改良强制性使用运动疗法对亚急性期脑卒中患者日常生活活动能力康复疗效的评价

发布时间：2018-04-02 05:24

本文选题：改良强制性使用运动疗法　切入点：脑卒中　出处：《吉林大学学报(医学版)》2016年06期

【摘要】：目的:观察改良强制性使用运动疗法(CIMT)和任务-导向性作业疗法(OT)对亚急性期脑卒中患者上肢运动功能和日常生活活动能力(ADL)的康复疗效,探讨改良CIMT是否适用于亚急性期脑卒中患者ADL的康复。方法:将90例亚急性期脑卒中患者分为治疗组(48例)和对照组(42例),其中10例患者脱落,共收集治疗组42例和对照组38例患者的临床资料。治疗组患者采用CIMT,对照组患者采用任务-导向性为主的OT进行治疗。于治疗前、治疗21d后和治疗结束后30d随访评估2组患者的Wolf运动功能(WMFT)评分、Fugl-Meyer运动功能(FMA)评分及Barthel指数(BI)评分。结果:治疗21d后组内比较,2组患者WMFT评分、FMA评分和BI评分均较治疗前明显升高(P0.05);治疗21d后组间比较,治疗组患者WMFT评分、FMA评分和BI评分高于对照组(P0.05)。治疗结束后30d,治疗组患者WMFT评分和BI评分较治疗21d后升高(P0.05),FMA评分无明显变化(P0.05);对照组患者各评分未见明显变化(P0.05)。结论:改良CIMT对脑卒中患者ADL的康复疗效明显优于任务-导向性OT,适用于亚急性期脑卒中患者。
[Abstract]:Objective: to observe the rehabilitation effect of modified compulsory exercise therapy (CIMT) and task-oriented occupational therapy (OT) on upper limb motor function and ADL in patients with subacute stroke.To investigate whether modified CIMT is suitable for the rehabilitation of ADL in patients with subacute stroke.Methods: 90 patients with subacute stroke were divided into treatment group (n = 48) and control group (n = 42).The patients in the treatment group were treated with CIMT, while the patients in the control group were treated with OT.The scores of Wolf motor function and Barthel index were evaluated before treatment, 21 days after treatment and 30 days after treatment.Results: after 21 days of treatment, the WMFT scores and BI scores of the two groups were significantly higher than those before treatment, and the WMFT scores and BI scores in the treatment group were significantly higher than those in the control group after 21 days of treatment.30 days after treatment, the scores of WMFT and BI of the patients in the treatment group were not significantly changed compared with those of the patients after 21 days of treatment (P 0.05), while the scores of the patients in the control group did not change significantly (P 0.05).Conclusion: modified CIMT is superior to task-oriented ADL in the rehabilitation of stroke patients, and is suitable for subacute stroke patients.
【作者单位】：吉林大学第一医院康复科;吉林大学第一医院肝胆胰外科;
【基金】：吉林省科技厅自然科学基金资助课题(201015135)
【分类号】：R743.3

【相似文献】