改良强制性运动疗法对脑卒中偏瘫患者上肢功能的影响

Effect of Improved Mandatory Training Therapy to Upper Limb Function of Hemiparetic Stroke Patients

目的观察改良强制性运动疗法对脑卒中偏瘫患者上肢功能的影响。方法按入组先后顺序将56例脑卒中偏瘫患者分成观察组(28例)和对照组(28例),两组患者均在常规康复的基础上,观察组给于改良强制性运动疗法,对照组给于强制性运动疗法。两组患者均在治疗前后采用Fugl-Meyer运动评价法(FMA-A)和Wolf运动功能测试(WMFT)评价其上肢运动功能以及改良Barthel指数(MBI),评价日常生活活动能力。结果康复治疗后,两组患者FMA-A评分、WMFT评分、MBI评分均较治疗前增高(P<0.05),观察组MBI评分平均为(60.74±6.23)分,高于对照组(55.65±6.50)分(P<0.05)。观察组与对照组康复治疗后FMA评分和WMFT评分比较,差异无统计学意义(P>0.05)。结论改良强制性运动疗法与强制性运动疗法相比可以更显著地提高患者的日常生活自理能力。

Objective To observe the effect of modified compulsory exercise therapy on upper limb function of stroke patients with hemiplegia. Methods 56 hemiparetic stroke patients were divided into observation group（28 cases） and comparative group（28 cases）, comparative group received normal rehabilitation training and observation group received extra improved mandatory training and comparative group received extra mandatory training, all patients＇ upper limb function are evaluated by FuglMeyer（FMA-A） exercise method and Wolf motor function test（WMFT）, daily viability are evaluated by meliorate Barthel index（MBI） before and after the therapy. Results After therapy, FMA-A value, WMFT value and MBI are increased（P〈0.05）, average value of observation group was（60.74±6.23） and comparative group was（55.65±6.50）, the difference is significant（P〈0.05）, the comparison of FMA and WMFT of the two groups after therapy is no statistical meaning（P〈0.05）. Conclusion Improved mandatory training therapy have better effect than to mandatory training therapy on upper limb function of hemiparetic stroke patients.