智能运动反馈训练在脑卒中恢复期偏瘫患者手及上肢功能康复中的应用

Application of joint angle feedback training on the motor function of hand and upper extremity of stroke patients

目的:初步探讨智能运动反馈训练对脑卒中恢复期偏瘫患者手及上肢功能康复的影响。方法:40例脑卒中恢复期手及上肢功能障碍的患者随机分为试验组(n=20)和对照组(n=20)。试验组每日接受40min常规作业治疗和20min智能运动反馈系统训练,对照组每日接受1h常规作业治疗,每周治疗6天,共治疗4周。两组患者分别于治疗前后予以FMA上肢部分(FMA-UE)、WMFT和MBI评定。结果:两组患者治疗前FMA-UE、WMFT和MBI的评分差异均无显著性意义(P>0.05)。治疗后两组患者FMA-UE、WMFT和MBI的评分均明显提高(P<0.05),组间比较差异无显著性意义(P>0.05);试验组患者治疗前后FMA-UE和WMFT评分差值明显高于对照组,差异具有显著性意义(P<0.05);两组间治疗后MBI评分及治疗前后MBI评分差值比较,差异均无显著性意义(P>0.05)。结论:智能运动反馈训练可促进脑卒中恢复期偏瘫患者手及上肢功能的康复。

Objective:To explore the effects of the joint angle feedback training on hand and upper extremity motor function and the activities of daily living of subacute stroke patients. Method:Forty stroke patients were divided into the therapy group (n=20) and control group(n=20)randomly. The therapy group accepted 40min conventional occupation therapy and 20min joint angle feedback training with MediTutorTM additionally. The control group accepted 1h conventional occupation therapy only. All patients accepted the treatments 1h/d, 6d/w and 4 weeks in total for hands and upper extremities. The patients received upper extremity Fugl-Meyer Assessment (FMA-UE), Wolf Motor Function Test (WFMT) and Modified Barthel Index test pre- and post-intervention. Result:The two groups showed no significant difference in the scores of FMA-UE, WMFT and MBI (P>0.05) before intervention. After the 4-week intervention, the FMA-UE, WMFT and MBI scores of both groups increased significantly (P<0.05). Compared with control group, the therapy group showed significant greater improvement on FMA-UE and WFMT (P<0.05), But no significant difference (P<0.05). on the scores of MBI between two groups. Conclusion:Joint angle feedback training promoted the motor function of hand and upper extremity of stroke patients in convalescent phase.