作业疗法与功能性电刺激同步治疗脑梗死患者上肢功能障碍的临床观察

发布时间：2018-10-29 19:46

【摘要】：目的:探讨作业疗法与功能性电刺激同步治疗脑梗死患者上肢功能障碍的临床疗效。方法:选择符合诊断和纳入标准的脑梗死后上肢功能障碍的患者随机分为治疗组与对照组,每组各30例,共60例。对照组采用非同步作业疗法结合功能性电刺激训练方法(即作业疗法训练后再进行功能性电刺激治疗),治疗组采用同步作业疗法结合功能性电刺激训练方法(即作业疗法与功能性电刺激同时训练治疗)。治疗前后采用Wolf运动功能测试评分(WMFT)、Fugl-Meyer 上肢功能评分(FMA-A)、改良 Barthel 指数(MBI)变化来评价两组患者上肢运动功能和日常生活能力情况。结果:1.WMFT评分:治疗前两组患者WMFT评分无显著差异(p0.05);治疗后两组患者WMFT评分差异显著(p0.05);治疗组较对照组明显提高,差异显著(p0.05);2.Fugl-Meyer评分:治疗前两组患者Fugl-Meyer评分无显著差异(p0.05);治疗后两组患者Fugl-Meyer评分差异显著(p0.05);治疗组较对照组明显提高,差异显著(p0.05);3.MBI评分:治疗前两组患者MBI评分无显著差异(p0.05);治疗后两组患者MBI评分差异显著(p0.05);治疗组较对照组明显提高,差异显著(p0.05)。结论:1.作业疗法与功能性电刺激同步、非同步治疗均能改善患者上肢运动能力,且同步治疗明显优于非同步治疗。2.作业疗法与功能性电刺激同步、非同步治疗均能改善患者日常生活能力,且同步治疗明显优于非同步治疗。
[Abstract]:Objective: to investigate the clinical effect of occupational therapy and functional electrical stimulation in the treatment of upper limb dysfunction in patients with cerebral infarction. Methods: patients with upper limb dysfunction after cerebral infarction were randomly divided into treatment group and control group, each group consisted of 30 cases, a total of 60 cases. The control group was treated with non-synchronous occupational therapy combined with functional electrical stimulation training (i.e. functional electrical stimulation after occupational therapy training). The treatment group was treated with synchronous occupational therapy combined with functional electrical stimulation training (i.e. occupational therapy and functional electrical stimulation training at the same time). Before and after treatment, the Wolf motor function test score (FMA-A) and the modified Barthel index (MBI) were used to evaluate the upper limb motor function and ADL of the two groups. Results: 1.WMFT score: there was no significant difference in WMFT score between the two groups before treatment (p0.05), there was a significant difference in WMFT score between the two groups after treatment (p0.05), the treatment group was significantly higher than the control group, the difference was significant (p0.05). 2.Fugl-Meyer score: there was no significant difference in Fugl-Meyer score between the two groups before treatment (p0.05), there was a significant difference in Fugl-Meyer score between the two groups after treatment (p0.05), the treatment group was significantly higher than the control group, the difference was significant (p0.05). 3.MBI score: there was no significant difference in MBI score between the two groups before treatment (p0.05), there was a significant difference in MBI score between the two groups after treatment (p0.05), and the treatment group was significantly higher than the control group (p0.05). Conclusion: 1. Occupational therapy and functional electrical stimulation synchronize, asynchronous treatment can improve the upper limb motor ability of patients, and synchronous therapy is significantly better than asynchronous treatment. 2. 2. Both occupational therapy and functional electrical stimulation can improve the ability of daily living, and synchronization therapy is superior to asynchronous therapy.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3;R49

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