闭链运动对脑卒中患者上肢功能康复的临床分析

Clinical analysis of closed kinetic chain exercises on upper extremity function recovery in stroke patients

目的:观察闭链运动对脑卒中偏瘫患者上肢运动功能和使用能力的康复疗效。方法:脑卒中上肢偏瘫患者100例随机分为观察组和对照组各50例,2组均进行神经生理与神经发育疗法训练,观察组在此基础上加用闭链运动训练。治疗前后使用Fugl-Meyer运动功能量表(FMA)上肢部分和上肢动作研究量表(ARAT)评价偏瘫侧上肢运动功能情况,运动活动记录表中患肢所做活动的使用量量表(AOU)和动作质量量表(QOM)评定患侧肢体的使用能力。结果:治疗6周后,2组FMA、ARAT、AOU及QOM评分均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。结论:闭链运动训练对脑卒中偏瘫患者的上肢运动功能与使用能力有较好的康复疗效。

Objective：To explore the rehabilitation effect of closed kinetic chain exercises on upper extremity motor function and ability in stroke patients.Methods：100stroke patients were divided into 2groups：control group（50cases）receiving neurophysiological and neurodevelopmental（NPT and NDT）therapy only;treatment group（50cases）receiving closed kinetic chain（CKC）exercises combined with NPT and NDT therapy.Both groups were treated for 6weeks,5days a week,40 min per day.Fugl-Meyer Assessment（FMA）and Action Research Arm Test（ARAT）were used to evaluate upper extremity motor function.The motor activity log（MAL）was performed to assess upper extremity ability in activities.FMA,ARAT and MAL scores were measured in both groups before and after treatment.Results：There were increases of FMA,ARAT and MAL scores in both groups after treatment as compared with pre-treatment（P〈0.05）,and the scores of FMA,ARAT and MAL in the treatment group were significantly higher than those in the control group（P〈0.05）.Conclusion：CKC exercises can significantly increase the motor function and ability of the upper extremity in stroke patients.