手工训练对脑卒中偏瘫患者上肢及手功能影响的临床研究

Clinical study of the effect of handcraft training for upper limb and hand function recovery in the hemiplegic patients with stroke

目的:观察手工训练对已有分离运动的脑卒中偏瘫患者上肢及手功能的疗效。方法:48例已有分离运动的脑卒中偏瘫患者随机分为实验组和对照组,两组均进行常规的康复治疗,实验组每天进行30min手工训练,对照组每天进行30min传统的作业治疗,两组患者每周进行6次治疗,共4周,治疗前后两组分别进行Fug1-Meyer量表上肢部分(Fug1-Meyer assessment of upper extremity,FMA-UE)、上肢简易运动功能评分(simple test for evaluating hand function,STEF)、改良Barthel指数评分(modified Barthel index,MBI),比较两组治疗效果。结果:两组患者治疗4周后,其FMA-UE、STEF、MBI评分与治疗前相比差异有显著性意义(P<0.05),且实验组FMA-UE(48.45±3.93)、STEF(68.45±10.76)、MBI(71.87±8.69)与对照组FMA-UE(46.54±1.97)、STEF(59.16±8.37)、MBI(66.67±8.29)相比差异有显著性意义(P<0.05)。结论:系统的手工训练可明显改善已有分离运动的脑卒中偏瘫患者上肢及手的运动功能,提高其日常生活能力。

Objective： To investigate the effects of handcraft training for upper limb and hand functional recovery in the hemiplegic patients with separation movement.Method： Forty-eight stroke hemiplegic patient with separation movement were divided randomly into the experimental group（treated by handcraft training for 30 min, n=24） and the control group（treated by occupational therapy for 30 min, n=24）. Two groups were evaluated by Fug1- Meyer assessment of upper extremity（FMA- UE）,simple test for evaluating hand function（STEF） and modified Barthel index（MBI） before and after treatment.Result： After 4 weeks, scores of FMA-UE, STEF and MBI of two groups were all raised significantly（P〈0.05）, and scores of FMA-UE（48.45±3.93）, STEF（68.45±10.76） and MBI（71.87±8.69） of experimental group were significantly greater than the scores of FMA-UE（46.54±1.97）, STEF（59.16±8.37）, MBI（66.67±8.29） of the control group（P〈0.05）.Conclusion： Handcraft training can significantly improve upper limb and hand function and activity of daily living of the hemiplegic patients with separation movement.