家属参与的强制性运动疗法对脑卒中后偏瘫患者运动能力、生活质量的影响

Effects of Constraint-induced Movement Therapy with Family Involvement on Exercise Capacity and Quality of Life in Hemiplegia Patients after Stroke

目的:探讨家属参与的强制性运动疗法对脑卒中后偏瘫患者运动能力、生活质量的影响。方法:将笔者所在医院康复科2015年12月-2017年12月收治的脑卒中后偏瘫患者120例随机抽签分为观察组(n=60)对照组(n=60),对照组采用常规康复疗法,观察组在对照组基础上采用家属参与的强制性运动疗法,8周后比较两组患者的上、下肢运动功能量表(FMA)评分及日常生活活动能力评分(ADL)及WHOQOL生活质量评分。结果:治疗后两组患者上、下肢FMA评分、ADL评分均升高,且观察组明显高于对照组(P<0.001);治疗后观察组WHOQOL各维度评分及总分均升高,且明显高于对照组(P<0.05)。结论:家属参与的强制性运动疗法能显著提高脑卒中后偏瘫患者的运动能力、日常生活活动能力及生活质量。

Objective:To investigate the effects of constraint-induced movement therapy with family involvement on exercise capacity and quality of life in hemiplegia patients after stroke.Method:A total of 120 patients with hemiplegia after stroke from December 2015 to December 2017 in rehabilitation department of the hospital were randomly divided into observation group(n=60) control group(n=60) by random sampling method.The control group was given routine rehabilitation therapy.On the basis of the control group,the observation group was given constraint-induced movement therapy with family involvement.After 8 weeks,the scores of the upper and lower extremity motor function scale (FMA),activities of daily living ability(ADL) and WHOQOL quality of life were compared between the two groups.Result:After treatment,the FMA of the upper and lower limbs score and ADL score in the two groups were increased,the observation group was significantly higher than the control group(P<0.001).After treatment,each dimensions score and total scores of WHOQOL in the observation group increased,and were significantly higher than those in the control group(P<0.05).Conclusion:Constraint-induced movement therapy with family involvement can significantly improve exercise capacity,activities of daily living and quality of life in patients with hemiplegia after stroke.