针对性运动康复训练对脑梗死后上肢精细功能恢复的影响研究

The Influence of Targeted Exercise Training on the Upper Limb Fine Functional Recovery after Cerebral Infarction

目的:探讨针对性运动康复训练对脑梗死后上肢精细功能恢复的作用。方法:选取2014年1月-2015年6月邢台市第三医院神经内科收治的有上肢功能障碍的脑梗死患者100例,按照随机数字表法分为观察组和对照组,各50例。对照组给予常规康复训练,观察组在对照组的基础上给予针对性运动康复的康复训练,两组疗程均为8周。上肢运动功能评价采用FMA评分与STEF评分,手部精细功能评价采用Carr-Shepherd评分,日常生活能力评价采用改良Barthel指数评分,生活质量评价采用SF-36评分,观察时间节点为治疗前和治疗后。结果:治疗前两组的FMA评分、STEF评分、Carr-Shepherd评分、改良Barthel指数评分及SF-36评分比较差异均无统计学意义(P>0.05);治疗后两组FMA评分、STEF评分、Carr-Shepherd评分、改良Barthel指数评分及SF-36评分均较治疗前明显改善,观察组改善情况明显优于对照组,差异均有统计学意义(P<0.05)。结论:针对性运动康复训练,可有效改善脑梗死患者的上肢精细功能,提高患者的日常生活能力,改善生活质量。

Objective：To explore the influence of targeted exercise training on the upper limb fine functional recovery after cerebral infarction.Method：From January 2014 to June 2015 100 cases of patients with upper limb dysfunction after cerebral infarction were selected.They were divided into the observation group and the control group,50 cases in each group,according to random number table method.The control group was given conventional rehabilitation training therapy,the observation group was given targeted exercise training on the basis of the control group.The course of two groups was 6 weeks.FMA and STEF scores were used to evaluate the upper limb motor function,the Carr-Shepherd score was used to evaluate the fine function of hand,modified Barthel index score was used to evaluate the daily life ability evaluation,the SF-36 scale was used to evaluate the quality of life,the observation time node were before treatment and after treatment.Result：The FMA score,STEF score,Carr-Shepherd score,modified Barthel index score and SF-36 scale score of two groups before treatment had no statistically significante differences（P〉0.05）.The FMA score,STEF score,Carr-Shepherd score,modified Barthel index score and SF-36 scale score of two groups after treatment were obviously improved than before treatment,the improved situation of the observation group was obviously superior to the control group,the difference had statistical significance（P〈0.05）.Conclusion：The targeted exercise training can effectively improve the fine function of cerebral infarction patients with upper limb dysfunction,improve the ability of the patient＇s daily life and the quality of life.