强制性运动训练对脑卒中患者上肢运动功能康复疗效的研究

Effect of constraint-induced movement therapy on upper limb motor function rehabilitation in stroke patients

目的评估强制性运动训练(Constraint-induced movement therapy,CIMT)对促进脑卒中患者上肢运动功能康复的疗效。方法连续纳入60例于2015年1月~2017年12月期间在丽水市人民医院康复医学科住院治疗的脑卒中患者,随机分为普通训练组与CIMT组。普通训练组采用常规康复治疗技术,2 h/d,每周5 d,连续3周;CIMT组采用强制性运动训练疗法,6h/d,5次/周,连续3周。评估两组患者治疗前后的Wolf运动功能试验(Wolfmotorfunctiontest,WMFT)与日常活动能力量表(Barthelindex,BI)改善情况。结果CIMT组患者的Wolf运动功能试验(WMFT)评估分值和BI评估分值改善情况均优于普通训练组,差异具有统计学意义(P<0.05)。结论强制性运动训练能够有效促进脑卒中患者的上肢运动功能康复,值得运用推广。

Objective To evaluate the effect of constraint-induced movement therapy(CIMT) on the rehabilitation of upper extremity motor function in stroke patients. Methods Sixty stroke patients who were hospitalized in the rehabilitation department of Lishui People's Hospital from January 2015 to December 2017 were randomly divided into the general training group and the CIMT group. The general training group used conventional rehabilitation techniques, 2 h/d, 5 days per week for 3 weeks. The CIMT group used constraint-induced movement therapy, 6 h/d, 5 times/week for 3 weeks. The improvement of the Wolf motor function test (WMFT) and the Barthel index (BI) before and after treatment between two groups was evaluated. Results In the CIMT group, the improvement of the Wolf motor function test (WMFT) and the BI assessment scores was better than that of the general training group, and the difference was statistically significant(P<0.05). Conclusion Constraint-induced movement therapy can effectively promote the recovery of upper limb motor function in stroke patients, which is worthy of promotion.