基于虚拟反馈技术的改良强制性运动疗法在脑卒中恢复期患者上肢功能恢复中的临床应用

Clinical application of modified constraint-induced movement therapy based on virtual reality technique in the recovery of upper limb function in stroke patients

目的:观察基于虚拟反馈技术的改良强制性运动疗法在脑卒中恢复期患者上肢功能恢复中的临床应用。方法:采用随机数字表法将40例脑卒中偏瘫患者分为观察组及对照组,每组20例。2组患者均给予常规上肢功能训练和病房监督指导训练,观察组患者在此基础上辅以基于虚拟反馈技术的改良强制性运动训练,治疗周期为4周。于治疗前、治疗4周后对2组患者Fugl-Meyer运动功能量表上肢评测部分(FMA-UE)、简易上肢机能检查(STEF)及运动活动记录表(MAL)中的患肢使用数量(MAL-AOU)和患肢活动质量(MAL-QOM)进行评估对比。结果:治疗后2组患者FMA-UE、STEF、MAL-AOU和MAL-QOM评分均较治疗前明显提高(均P<0.05),且治疗组患者治疗后各项评分均明显高于对照组(P<0.05)。结论:在常规上肢康复干预基础上辅以基于虚拟反馈技术的改良强制性运动训练,能进一步促进脑卒中偏瘫恢复期患者上肢功能的改善,对提高患者生活质量具有重要意义。

Objective:To observe the clinical application of modified constraint-induced movement therapy assisted by virtual reality technology in the recovery of upper limb function in stroke patients.Methods:Totally 40 stroke patients with hemiplegia were divided into experimental group and control group by random number table method,with 20 patients in each group.Patients in both groups were given conventional upper limb function training,and patients in the experimental group were given modified constraint-induced movement therapy based on virtual reality technology additionally.The treatment cycle was 4 weeks.After 4 weeks of treatment,Fugl-Meyer Assessment Upper Extremity(FMA-UE),simple test for evaluating hand function(STEF),Motor Activity Log(MAL)with Amount of Use(MAL-AOU)and Quality of Movement(MAL-QOM)were used for evaluation and comparison before and after treatment.Results:After treatment,the two groups had a significant improvement in the scores of FMAS-UE,STEF,MAL-AOU and MAL-QOM(all P<0.05).The patients in the experimental group were improved significantly more than those in the control group(P<0.05).Conclusion:Modified constraint-induced movement therapy on the basis of conventional upper limb rehabilitation intervention assisted by virtual reality technology can further promote the improvement of upper limb function in stroke hemiplegia convalescent patients,which is of great significance to improve the quality of life of patients.