任务导向性训练对脑卒中偏瘫者骨骼肌含量及肌力的影响

发布时间：2018-05-16 22:44

本文选题：脑卒中 + 偏瘫　；参考：《重庆医科大学学报》2017年10期

【摘要】：目的:探讨以任务导向性训练(task oriented training,TOT)为主的康复训练对脑卒中偏瘫骨骼肌含量、肌力以及肢体功能的影响。方法:按照入院病例号对患者进行编号,根据随机数字表,将240例脑卒中患者随机分成2组,每组120例。并安排在两个康复室进行康复训练。对照组给予常规康复训练方法,以抑制异常模式等方法促进神经修复;观察组在此基础上将任务导向性训练模式贯穿于康复训练之中,已指导和具体化康复内容。于康复治疗前1天和治疗1个月后测定患者上、下肢骨骼肌含量、肢体肌力情况,并评估患者肢体功能以及日常生活活动能力。结果:康复训练后,观察组肢体骨骼肌含量和肌力结果分别为(8.8±0.6)kg和(362.7±24.6)N,均优于训练前和训练后对照组测定结果(P0.05);观察组患者训练后Fugl-Meyer运动功能评分(Fugl-Meyer assessment of sensorimotor recovery,FMA)和Barthel指数(the Barthel index,MBI)评分分别为(84.8±8.6)分和(82.7±5.6)分,均优于训练前和训练后对照组评分结果(P0.05)。结论:TOT可将康复训练内容细致化和具体化,并提高患者接受康复训练的积极主动性,增强骨骼肌含量和肌力,提高运动的协调性。
[Abstract]:Objective: to investigate the effects of task oriented training on skeletal muscle content, muscle strength and limb function in stroke hemiplegic patients. Methods: 240 stroke patients were randomly divided into two groups, 120 cases in each group. Arrangements were made for rehabilitation training in two rehabilitation rooms. In the control group, routine rehabilitation training was given to promote nerve repair by inhibiting abnormal pattern, and the task-oriented training model was used in the rehabilitation training on the basis of which, the rehabilitation content was guided and concretized in the observation group. The contents of skeletal muscle and muscle strength of lower limbs were measured 1 day before rehabilitation and 1 month after treatment. The limb function and activities of daily living were evaluated. Results: after rehabilitation training, The results of skeletal muscle content and muscle strength in the observation group were 8.8 卤0.6)kg and 362.7 卤24.6Nrespectively, which were better than those of the control group before and after training (P 0.05), and the Fugl-Meyer motor function scores of the patients in the observation group were 84.8 卤8.6 and 82.7 卤5.6, respectively, and that of the Barthel index were 84.8 卤8.6 and 82.7 卤5.6, respectively. All the scores were better than those of the control group before and after training (P 0.05). ConclusionTwo tot can make the rehabilitation training more detailed and concrete, enhance the active activity of rehabilitation training, enhance the skeletal muscle content and muscle strength, and improve the coordination of exercise.
【作者单位】：山东省昌邑市人民医院神经内二科;
【分类号】：R493;R743.3

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