康复机器手辅助下任务导向训练对脑卒中手功能的效果

发布时间：2018-03-20 02:29

本文选题：脑卒中　切入点：手功能　出处：《中国康复理论与实践》2017年03期 　论文类型：期刊论文

【摘要】：目的探究康复机器手辅助任务导向训练对脑卒中患者手部抓握功能的康复效果。方法 2015年6月至2016年9月住院脑卒中患者35例,随机分为对照组(n=17)和试验组(n=18)。两组接受相同的常规康复训练,试验组采用康复机器手辅助患手进行实物抓握训练,对照组在治疗师的辅助下进行实物抓握训练,共2周。训练前后测量手指关节主动活动度(AROM),采用Fugl-Meyer评定量表(FMA)手指功能部分和改良Barthel指数(MBI)与手功能相关的活动进行评估。结果对照组脱落3例,试验组脱落2例。治疗后,试验组患手五指伸展AROM和及屈曲AROM和,拇示中三指伸展AROM和及总AROM,各手指总AROM均较治疗前增加(t2.937,P0.05);对照组五指伸展AROM和及屈曲AROM和,拇示中三指伸展AROM和、屈曲AROM和及总AROM和,拇指、示指、小指AROM较治疗前改善(t2.528,P0.05);试验组拇示中三指伸展AROM和及总AROM和,拇指、示指总AROM大于对照组(t2.535,P0.05)。治疗后,试验组共同屈曲、共同伸展、拇示对捏、柱状抓握、球状抓握和FMA总分较治疗前改善(Z2.000,P0.05);对照组共同伸展、拇示对捏和总分较治疗前改善(Z2.000,P0.05);两组间各项分及总分均无显著性差异(P0.05)。治疗后,试验组进食、穿衣、如厕、洗澡、修饰及总分较治疗前增高(Z2.041,P0.05);对照组治疗后总分较治疗前增高(Z=-2.527,P0.05);两组各项分和总分均无显著性差异(P0.05)。结论基于任务导向的康复机器手辅助训练可有效促进脑卒中早期患者患手手指主动关节活动度和抓握功能恢复。
[Abstract]:Objective to investigate the effect of rehabilitation machine hand assisted task-oriented training on hand grip function of stroke patients. Methods from June 2015 to September 2016, 35 stroke patients were hospitalized. The two groups received the same routine rehabilitation training. The experimental group received physical grip training assisted by rehabilitation machine hand, while the control group received physical grip training with the help of therapists. For 2 weeks, the active motion of finger joint was measured before and after training, and the finger functional part and modified Barthel index were evaluated by Fugl-Meyer. Results 3 cases were lost in the control group and 2 cases in the experimental group. In the test group, the five fingers extended AROM and flexion AROM and, the thumb showed the middle and third finger extension AROM and the total AROM, the total AROM of each finger increased as compared with that before the treatment, and the five finger extension AROM and the flexion AROM and the flexion AROM and the thumb showed the AROM and the total AROM sum of the middle and third fingers, and the total AROM of each finger were all increased as compared with those before the treatment, and the patients in the control group showed the AROM and the total AROM sum in the extension of the middle and third fingers. Compared with before treatment, the thumb, indication finger and AROM of the small finger improved compared with that before treatment. In the test group, AROM and total AROM and total AROM and total AROM of the thumb were extended, and the total AROM of the thumb was higher than that of the control group. After treatment, the test group had common flexion, joint extension, thumb pinching, and columnar grasp. The total score of ball grip and FMA was improved by Z2.000 P0.05A, the control group extended together, the total score of thumb pinch and total score were improved compared with that before treatment. There was no significant difference in each score and total score between the two groups (P 0.05). After treatment, the test group ate, dressed, went to toilet, bathed, took a bath, and had no significant difference in each score and total score between the two groups. After treatment, the total score of the control group was higher than that before treatment. There was no significant difference in the scores and total scores between the two groups. Conclusion Task-based rehabilitation robot hand assisted training can effectively promote stroke in patients with cerebral apoplexy (P < 0. 05), but there is no significant difference in each score and total score between the two groups (P < 0. 05). Conclusion\\\;\\\; Patients with hand-finger active joint motion and grip function recovery.
【作者单位】：广州医科大学;广州医科大学附属第二医院康复医学科;
【基金】：广东省研究生培养创新计划立项资助项目
【分类号】：R743.3;R493

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