实时超声视觉反馈对脑卒中偏瘫患者上肢功能的影响

Effect of real-time ultrasonic visual feedback on upper limb function in stroke patients with hemiplegia

目的:探讨实时超声视觉反馈训练对脑卒中偏瘫患者上肢功能的影响。方法:选取2018年1~12月在浙江大学医学院附属第四医院康复医学科住院的脑卒中偏瘫伴上肢功能障碍患者30例,按随机数字表法分为观察组、对照组各15例,对照组接受常规的作业治疗、物理治疗及物理因子治疗,观察组在对照组基础上采用肌肉骨骼超声作为视觉反馈仪,予实时超声影像进行干预训练,两组患者上述治疗方法每日一次,每周6天,连续8周。分别于治疗前和治疗8周末,采用Fugl-Meyer运动功能评定量表及Wolf运动功能量表进行评估。结果:治疗后,两组患者的FMA(上肢)评分、Wolf运动功能评分均较治疗前升高(P<0.05),且观察组治疗后的FMA(上肢)评分、Wolf运动功能评分均高于对照组(P<0.05)。结论:实时超声视觉反馈改善脑卒中患者上肢功能能障碍的临床效果较好。

Objective:To evaluate the effects of real-time ultrasound visual feedback on functional improvement of the upper extremity in stroke patients.Methods:A total of 30 patients with stroke hemiplegia and upper limb dysfunction hospitalized in our hospital from January to December 2018 were selected and divided into observation group and control group by random number table method,with 15 patients in each group.The control group received routine occupational therapy,physical therapy and physical factor therapy.The observation group adopted musculoskeletal ultrasound as the visual feedback instrument on the basis of the control group,and received real-time ultrasound image for intervention training.Patients in both groups received the above treatment once a day,6 days a week,for 8 weeks.Fugl-meyer Assessment scale and Wolf Motor Function Scale were used for evaluation before treatment and at the end of 8 weeks of treatment,respectively.Results:After treatment,FMA(upper limb)score and Wolf motor function score in both groups were higher than those before treatment(P<0.05),and FMA(upper limb)score and Wolf motor function score in the observation group were higher than those in the control group(P<0.05).Conclusion:The ultrasound visual feedback in the treatment of upper limb dysfunction after stroke presents good efficacy,Therefore,it is worthy of clinical promotion and application.