优化运动再学习训练对脑卒中患者手功能的影响

Effect of Optimum Motor Relearning Programme on Hand Function of Stroke Patients

目的:探讨优化运动再学习训练对脑卒中偏瘫患者手功能的影响。方法:56例患者按照随机数字表分为治疗组和对照组,每组28例。对照组采用常规康复治疗,治疗组在对照组的基础上增加优化运动再学习训练。2组患者均于治疗前、治疗4、6、8周及治疗结束3个月后随访。采用手腕部分量表(FMA-UE)、运动功能状态量表(MSS)、改良Barthel指数(MBI)评定其手功能。结果:治疗4、6、8周后,2组FMA-UE和MBI评分均较治疗前升高(P<0.05);治疗6、8周后,2组MSS评分均较治疗前显著性提高(P<0.05);3个月后随访,2组FMA-UE、MSS、MBI评分较治疗后比较无统计学意义(P>0.05)。治疗4、6、8周后治疗组FMA-UE和MBI评分均较对照组提高(P<0.05);治疗6、8周后治疗组MSS评分亦优于对照组(P<0.05);3个月后随访,FMA-UE、MSS和MBI评分明显优于对照组(P<0.05)。结论:常规康复治疗结合优化运动再学习训练能有效改善脑卒中患者手功能。

Objective：To study the effect of optimum motor relearning programme（OMRP） on hand function of stroke patients with hemiplegia. Methods：56 stroke patients were divided into treatment group and control group by a random number table,and 28 patients in each group. The control group received routine rehabilitation therapy,and the treatment group received routine rehabilitation therapy and OMRP. The hand function of patients in the two groups was assessed by Wrist part of Fugl-Meyer Assessment Upper Extremity（FMA-UE）,Motor Function Status Scale（MSS） and Modified Barthel Index（MBI） before and 4,6,8 weeks after treatment and a 3-month follow-up on the patients leaving hospital. Results：After 4,6 and 8 weeks of treatment,FMA-UE and MBI of the two groups were increased significantly（P〈0.05）. After 6 and 8 weeks of treatment,MSS of the two groups was increased significantly（P〈0.05）. Whereas a 3-month follow-up on the patients leaving hospital,FMA-UE,MSS and MBI of the two groups did not show significant difference（P〈0.05）. After 4,6 and 8 weeks of treatment,FMA-UE and MBI in the treatment group were increased significantly compared with the control group（P〉0.05）. After 6 and 8 weeks of treatment,MSS in the treatment group was increased significantly compared with the control group（P〈0.05）. A 3-month follow-up on the patients leaving hospital,FMA-UE,MBI and MSS in the treatment group were superior to those in the control group（P〈0.05）. Conclusion：Conventional rehabilitation therapy combined with OMRP can effectively improve the hand function of stroke patients.