新Bobath技术结合智能运动反馈训练对脑卒中偏瘫患者手功能的影响

Effect of New Bobath Technology Combined with Intelligent Motion Feedback Training on Hand Function of Stroke Patients with Hemiplegia

目的:观察新Bobath技术结合智能运动反馈训练系统对脑卒中偏瘫患者手功能的影响。方法:68例脑卒中偏瘫患者按照随机数字表分为对照组和治疗组,每组34例。对照组采用常规康复治疗及作业疗法,治疗组在对照组的基础上增加新Bobath技术及智能运动反馈训练。比较2组手腕运动功能FMA-UE评分、日常生活活动能力MBI评分、偏瘫侧腕关节背伸最大活动度的差异。结果:治疗2、4、6周后,2组FMAUE、MBI评分及腕关节背伸最大活动度均较治疗前明显提高,差异具有统计学意义(P<0.05);治疗4、6周后,治疗组FMA-UE评分及腕关节背伸最大活动度均明显优于对照组,差异具有统计学意义(P<0.05);治疗6周后,治疗组MBI评分明显优于对照组,差异具有统计学意义(P<0.05)。结论:新Bobath技术结合智能运动反馈训练能有效改善脑卒中偏瘫患者手功能,提高生活自理能力。

Objective: To observe the effect of new Bobath technology combined with intelligent motion feedback training on hand function of stroke patients with hemiplegia. Methods: A total of 68 stroke patients with hemiplegia were randomly divided into control group and treatment group, with 34 cases in each group. The control group was treated with routine rehabilitation therapy and occupational therapy, while the treatment group was treated with new Bobath technique and ntelligent motion feedback training on the basis of the control group. FMA-UE score of wrist motor function, MBI score of daily living ability and maximum activity of wrist joint dorsal extension on hemiplegic side were compared between the two groups. Results: After treatment for two, four and six weeks, the FMA-UE, MBI score and wrist dorsal extension maximum activity of the two groups improved significantly than those of treatment before, with statistically significant differences(P<0.05);After treatment for four and six weeks, the FMA-UE score and wrist dorsal extension maximum activity of the treatment group were significantly better than those of the control group, with statistically significant differences(P<0.05);after treatment for six weeks, MBI score of the treatment group was significantly better than that of the control group, with statistically significant differences(P<0.05). Conclusion: New Bobath technology combined with ntelligent motion feedback training can effectively improve hand function and self-care ability of stroke patients with hemiplegia.