手指屈指运动联合综合康复训练对脑卒中后偏瘫患者手指活动度和上肢功能的影响

发布时间：2018-01-11 07:09

本文关键词：手指屈指运动联合综合康复训练对脑卒中后偏瘫患者手指活动度和上肢功能的影响　出处：《中国全科医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨手指屈指运动联合综合康复训练对脑卒中后偏瘫患者手指活动度和上肢功能的影响。方法选取2015年8月—2016年10月在信阳市中心医院就诊的110例脑卒中后偏瘫患者,采用随机数字表法将其分成联合组和对照组,各55例。对照组仅予以综合康复训练措施,联合组在上述基础上联合手指屈指运动干预措施。比较两组干预前后手指活动度指标[Brunnstrom脑卒中恢复分级(手功能部分)、主动活动范围(AROM)、最大伸展角度、最大屈曲角度]及上肢功能指标[Brunnstrom脑卒中恢复分级(上肢部分)、前臂旋转活动度、腕背伸活动度]变化情况,记录其生活自理能力[Barthel自理能力指数(BI)]指标。结果干预后,两组AROM、最大伸展角度、最大屈曲角度、手功能优良率均高于干预前,且联合组上述指标高于对照组(P0.05)。干预后,两组前臂旋转活动度、腕背伸活动度及上肢功能优良率均高于干预前,且联合组高于对照组(P0.05)。联合组BI评分、优良率均高于对照组(P0.05)。结论手指屈指运动联合综合康复训练能有效改善脑卒中偏瘫患者手指活动度及上肢运动功能,对患者生活自理能力恢复有利。
[Abstract]:Objective to investigate the effect of finger flexion movement combined with comprehensive rehabilitation training on finger motion and upper limb function in patients with hemiplegia after stroke. 110 patients with hemiplegia after stroke. The patients were randomly divided into two groups: the combined group and the control group, 55 cases in each group. The control group was only given comprehensive rehabilitation training measures. The index of finger movement before and after intervention was compared between the two groups. [Brunnstrom stroke recovery grading (hand functional part, active range of movement, maximum extension angle, maximum flexion angle) and upper limb function index. [Brunnstrom stroke recovery grading (upper limb partial rotation, forearm rotation, wrist extension) was recorded to record the ability of self-care. [Results after intervention, the two groups had higher rate of excellent and good hand function than before intervention, including the maximum extension angle, the maximum flexion angle, the maximum flexion angle and the excellent and good rate of hand function. The above indexes in the combined group were higher than those in the control group (P 0.05). After intervention, the rotation activity of forearm, the activity of carpal dorsal extension and the excellent and good rate of upper limb function in both groups were higher than those before intervention. The BI score of the combined group was higher than that of the control group (P 0.05). Conclusion the finger flexion and finger movement combined with comprehensive rehabilitation training can effectively improve the finger movement and upper limb motor function of stroke hemiplegic patients. It is beneficial to the recovery of patients' ability to take care of themselves.
【作者单位】：河南省信阳市中心医院;
【分类号】：R473.74
【正文快照】： 临床研究发现,脑卒中作为一种严重的器质性病变,患者多伴有不同程度的后遗症[1],具体表现为偏瘫、偏盲、口齿不清、口歪眼斜等,对患者生活质量影响极大。目前,国内外已发现及早予以康复训练措施对恢复脑卒中患者运动功能、改善其生活自理能力、促进受损的脑神经恢复等具有积极

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