强化训练对严重脑卒中偏瘫患者运动功能的康复作用

The rehabilitation effect of intensive training for severe stroke patients

目的该文探讨对严重脑卒中偏患者行之有效的康复训练办法。方法对42例较年轻的严重脑卒中偏瘫患者采用一系列的强化训练对策,平均训练3个月后观察运动功能、平衡能力、步行情况和日常生活活动(ADL)改变情况。结果其中27例恢复独立步行能力,大大提高了日常生活自理能力和生存质量。但这些措施对提高手臂功能无效。结论强化训练对较年轻的严重脑卒中患者运动功能恢复、提高自理能力是有价值的。

Objective To probe a effective way of training the motor function for severe stroke patients in order to increase the quality of life of them.Methods The paper observed the results of intensive training for 42 relative younger severe stroke patients based on the measurements of motor function, balance, walk and ADL.The intensive training included the combination of basic training and applied training approaches. They lasted 3 months more or less.Results 27 cases recovered the abilities of walk with or without cane. The mean ADL was greatly increased. Therefore , the quality of life is increased.However, the function of arm and hand was not improved by the methods for most of the patients. It is still a problem.Conclusion Intensive training is a valuable method for motor function improvement and ADL independence of severe stroke patients.