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1.
目的 探讨表面肌电生物反馈对脑卒中偏瘫患者下肢运动功能的影响.方法 30例脑卒中偏瘫患者分为观察组和对照组,每组各15例.两组患者均给予常规康复训练,观察组在常规康复训练的基础上给予生物反馈治疗,对照组在常规康复训练的基础上给予针刺治疗.两组均于治疗前和治疗4个疗程后进行Brunnstrom运动功能分级、简式Fugl-Meyer(FMA)下肢运动功能评定和表面肌电图肌电积分值(iEMG)测定.结果 4个疗程结束后,两组的Brunnstrom分级、FMA及iEMG较治疗前均有提高(P<0.05),且观察组各项评分均优于对照组(P<0.05).结论 表面肌电生物反馈治疗对脑卒中偏瘫患者下肢运动功能的恢复有明显的促进作用.  相似文献   

2.
目的 探讨表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的影响.方法 将30例脑卒中偏瘫患者分为治疗组和对照组,每组患者15例.2组患者均给予常规康复训练,治疗组在常规康复训练的基础上给予表面肌电触发电刺激,对照组在常规康复训练的基础上给予低频电刺激.2组患者均于治疗前和治疗3个疗程后进行Brunnstrom运动功能分期、简式Fugl-Meyer(FMA)下肢运动功能评定和表面肌电图肌电积分值(iEMG)测定.结果 3个疗程结束后,2组患者Brunnstrom分期、FAM评分及iEMG较治疗前均有显著提高(P<0.05),且治疗组各项评分均优于对照组(P<0.05).结论 表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的恢复有明显的促进作用.  相似文献   

3.
目的 探讨表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的影响.方法 将30例脑卒中偏瘫患者分为治疗组和对照组,每组患者15例.2组患者均给予常规康复训练,治疗组在常规康复训练的基础上给予表面肌电触发电刺激,对照组在常规康复训练的基础上给予低频电刺激.2组患者均于治疗前和治疗3个疗程后进行Brunnstrom运动功能分期、简式Fugl-Meyer(FMA)下肢运动功能评定和表面肌电图肌电积分值(iEMG)测定.结果 3个疗程结束后,2组患者Brunnstrom分期、FAM评分及iEMG较治疗前均有显著提高(P<0.05),且治疗组各项评分均优于对照组(P<0.05).结论 表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的恢复有明显的促进作用.  相似文献   

4.
目的观察运动想像疗法在脑卒中下肢功能障碍治疗中的疗效。方法将62例脑卒中住院患者随机分为运动想像组和观察组。两组患者均给予常规康复训练,运动想像组增加运动想像治疗。采用Fugl-Meyer量表及Barthel指数进行疗效评定。结果实施运动想像疗法治疗后,运动想像组患者Fugl-Meyer及Barthel指数均优于对照组(P〈0.05)。结论运动想像疗法能够加快和促进脑卒中下肢功能的改善。  相似文献   

5.
目的:探讨康复训练对缺血性脑卒中偏瘫患者运动功能恢复的影响。方法:将60例缺血性脑卒中偏瘫患者随机分为治疗组和对照组,各30例。对照组按神经内科诊治规范进行常规药物治疗,治疗组患者在此基础上加用康复训练治疗。采用Fugl-Mayer评分量表比较两组患者运动功能恢复情况。结果:治疗组在治疗前与对照组比较无统计学差异(P>0.05);两组在治疗后的不同时间点的评分逐渐提高,但在治疗后10 d、20 d均较对照组提高(P<0.05)。结论:康复训练可有效促进缺血性脑卒中偏瘫患者的运动功能恢复,值得推广应用。  相似文献   

6.
目的:探讨平衡训练对脑卒中偏瘫患者下肢运动能力的影响.方法:脑卒中偏瘫患者61例,将其随机分为观察组31例和对照组30例.2组均给予常规康复训练,观察组在此基础上加用Biodex平衡功能分析训练仪进行训练;训练前后进行功能性步行量表(FAC)、下肢运动功能评定量表(FMA)、日常生活活动能力Barthel指数(BI)及Berg平衡量表(BBS)评定.结果:治疗5周后,2组FMA、BI、BBS及FAC评分均较治疗前明显提高(P<0.01,0.05),且观察组更高于对照组(P<0.05).结论:平衡训练结合常规康复治疗对脑卒中偏瘫患者下肢运动能力的恢复较常规康复治疗效果更好.  相似文献   

7.
目的探讨运动想像结合运动再学习方法对脑梗死偏瘫患者下肢功能恢复的影响。方法将62例脑梗死偏瘫患者分为运动想像组(32例)和对照组(30例),两组患者均接受神经内科常规药物治疗和运动再学习治疗,运动想像组同时采用运动想像训练。治疗前、后采用Fugl-Meyer运动功能评分法(FMA)、改良Barthel指数(MBI)进行评定。结果治疗前后运动想像组FMA评定分别为(17.43±5.98)、(27.22±6.18),对照组分别为(18.36±6.23)、(24.58±5.88);运动想像组MBI分别为(48.86±8.78)、(75.96±9.48),对照组分别为(47.98±6.65)、(67.52±9.54)。运动想像组患者FMA及MBI优于对照组(P0.05)。结论运动想像结合运动再学习有利于提高脑梗死偏瘫患者下肢的综合能力。  相似文献   

8.
目的观察MOTO-med智能运动训练系统结合神经肌肉促进技术、运动再学习方法、推拿技术、关节活动范围训练、肌力训练、平衡功能训练、物理治疗、电针等综合康复训练,对脑卒中患者下肢运动功能及平衡功能改善的作用.方法脑卒中患者90例,随机分为对照组(45例)和治疗组(45例),对照组接受神经肌肉促进技术、运动再学习方法、推拿技术、关节活动范围训练、肌力训练、平衡功能训练、物理治疗、电针等综合康复训练,治疗组在综合康复训练的基础上,增加MOTO-med智能运动训练系统进行训练.分别在治疗前、治疗8周后评定两组患者下肢功能和平衡功能.结果治疗8周后,治疗组患者下肢功能和平衡功能改善较对照组患者明显,差异有统计学意义(P<0.05).结论 MOTO-med智能运动训练结合综合康复训练可改善偏瘫患者下肢功能及平衡功能.  相似文献   

9.
目的探讨表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的影响。 方法将30例脑卒中偏瘫患者分为治疗组和对照组,每组患者15例。2组患者均给予常规康复训练,治疗组在常规康复训练的基础上给予表面肌电触发电刺激,对照组在常规康复训练的基础上给予低频电刺激。2组患者均于治疗前和治疗3个疗程后进行Brunnstrom运动功能分期、简式Fugl-Meyer(FMA)下肢运动功能评定和表面肌电图肌电积分值(iEMG)测定。 结果3个疗程结束后,2组患者Brunnstrom分期、FAM评分及iEMG较治疗前均有显著提高(P<0.05),且治疗组各项评分均优于对照组(P<0.05)。 结论表面肌电触发电刺激对脑卒中偏瘫患者下肢运动功能的恢复有明显的促进作用。  相似文献   

10.
目的 探讨常规康复治疗结合运动想象疗法对脑卒中偏瘫患者偏瘫侧下肢运动功能的影响.方法 选取30例病情稳定且病程<6个月的脑卒中偏瘫患者,分为治疗组(13例)和对照组(17例).治疗组进行常规康复治疗和运动想象训练,对照组只进行常规康复治疗.分别在治疗前和治疗6周后进行偏瘫侧下肢最大负重百分比(%)、Barthel指数(BI)、5m最快折返速度、Berg平衡功能量表(BBS)和Fugl-Meyer运动功能评分法(FMA)(下肢部分)评定.结果 治疗组和对照组的各项指标较治疗前均有显著提高(P<0.01),且治疗组的偏瘫侧下肢最大负重百分比(%)和5m最快折返速度优于对照组(P<0.05).结论 常规康复治疗结合运动想象疗法能更有效地提高脑卒中偏瘫患者偏瘫侧下肢的运动功能.  相似文献   

11.
Parkinson's disease is a neurological disorder that primarily affects older individuals and their ability to engage in daily occupations. Occupational therapists are actively involved in the training and retraining of functional motor skills with this population. Motor control theories may assist clinicians in understanding the movement difficulties that these individuals experience. Motor learning principles may be implemented to facilitate the learning of adaptive skills and/or previous motor tasks. Both motor control and motor learning research findings may influence occupational therapy treatment approaches for the rehabilitation of this population. The purpose of this paper is to review the current knowledge in the areas of motor control and motor learning, discuss this knowledge as it applies to Parkinson's disease, and integrate this information into occupational therapy treatment.  相似文献   

12.
This special consultation information service is offered as a regular monthly feature of Postgraduate Medicine. Subscribers are invited to call on this Service for answers to difficult medical problems from members of our Editorial Board and our Editorial Consultants best qualified to help. Each question will be answered by mail and those of general interest will be published each month. Address all communications to Consultation Service, Postgraduate Medicine, 516 Essex Building, Minneapolis 3, Minnesota.  相似文献   

13.
This study investigated whether the pattern of abnormal motor responses is affected by the site of stimulation and the initial position of the upper extremity. Our findings did not demonstrate a significant correlation between site of stimulation and limb position, with the exception of extensor posturing, which occurred more frequently regardless of stimulation or limb position.  相似文献   

14.
Noninvasive electrical stimulation of the human brain first was attempted in the 1950s. In the early 1980s, the first clinical application method of transcranial electrical stimulation was developed. Investigators in the mid-1980s showed that it was possible to stimulate the nerve and the brain using external magnetic stimulation (transcranial magnetic stimulation [TMS]), with little or no pain. TMS now is used commonly in clinical neurology to study central motor conduction time. Depending on the stimulation techniques and parameters, TMS can excite or inhibit brain activity, allowing functional mapping of cortical regions and creation of transient functional lesions. It now is used widely as a research tool to study aspects of human brain physiology, including motor function and the pathophysiology of various brain disorders.  相似文献   

15.
Motor neuron disease refers to a spectrum of disorders resulting from degeneration of the upper or lower motor neurons or both. Amyotrophic lateral sclerosis is the most common form of motor neuron disease, in which patients demonstrate evidence of both anterior horn cell (lower motor neuron) and corticospinal tract (upper motor neuron) dysfunction. Several theories regarding the pathogenesis of amyotrophic lateral sclerosis have emerged, including glutamate excitotoxicity, free radical oxidative stress, cytoskeletal abnormalities, a deficiency of neurotrophic factor, autoimmunity, apoptosis, and viral infection. Numerous clinical trials have been completed based on these possible mechanisms of the disease propagation including treatment with antiglutamate agents, anti-oxidants, immunosuppressants, and neurotrophic factors. Several of these trials have shown modest effects in slowing the disease course. None, however, have yielded marked benefit in arresting disease progression. The most significant effect in abating disease progression has been our use and understanding of aggressive symptomatic therapy to reduce disability, enhance quality of life, and improve prognosis.  相似文献   

16.
Motor skill acquisition   总被引:1,自引:0,他引:1  
S Higgins 《Physical therapy》1991,71(2):123-139
The purpose of this article is to provide a framework for understanding motor skill and the process by which it is acquired. A selective historical overview is presented to demonstrate how the study of movement is a necessary preliminary to the study of motor skill learning. The phenomenon of skill is explored as an inherent feature of goal-directed organisms whose effective functioning depends on achieving a degree of competence in solving problems that are encountered in the everyday world. The relationship between problems and solutions is discussed. Movement is examined as a problem-solving tool and as the means by which the individual expresses skill. Factors that influence the individual's level of skill are fully explored, along with the implications for functional behavior. The creative use of resources in problem solving is thoroughly examined, and tasks are discussed in terms of the demands imposed on the individual.  相似文献   

17.
《Nursing times》2006,102(10):27
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