强制性运动治疗脑卒中偏瘫患者上肢功能障碍的疗效观察

目的:观察强制性运动治疗急性脑卒中偏瘫患者上肢功能障碍的临床效果。方法:将56例急性脑卒中偏瘫上肢功能障碍患者随机分为治疗组和对照组,每组28例。两组患者急性期均接受神经内科常规药物治疗,待生命体征稳定后给予康复治疗,对照组采用常规运动疗法,包括被动活动关节、坐位平衡、站立平衡、步态训练及日常生活活动再学习训练等治疗;治疗组采用强制性运动疗法,包括限制健肢的使用,集中、重复、强化训练患肢,把训练内容转移到日常行为中。两组每天训练1 h,每周5 d,4周后对两组进行康复评定。结果:治疗组总有效率92.86%,高于对照组的75.00%,差异有统计学意义(P<0.05)。两组治疗后FMA评分和Barthel指数均升高,与治疗前比较差异均有统计学意义(P<0.05),且治疗组改善情况优于对照组,差异有统计学意义(P<0.05)。结论:强制性运动治疗对脑卒中偏瘫患者上肢功能障碍疗效明显,可促进患者上肢运动功能恢复。

A study of constraint - induced movement in acute stroke with upper limb disorder

Objective ：To observe clinical effect of constraint - induced movement in acute stroke with upper limb disorder. Methods：56 patients of upper limb dysfunction in acute stroke were randomly divided into treatment group and control group ,28 cases of each group. The two groups were both given acute neurological conventional medical treatment, and accepted rehabilitation after vital signs stabled. The control group was given regular exercise therapy, while the treatment group was given constraint - induced movement therapy. Assessed rehabilitation effect of the two groups after 4 weeks. Results：The total effective rate of the treatment group （92.86%） was higher than that in control group （75.00%）, the difference was statistically significant （ P 〈 0.05 ）. Compared with before treatment, FMA score and barthel index of the two groups increased after treatment, the differences were statistically significant（ P 〈 0.05 ）, and improvements in treatment group was better than the control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusion ： Constraint - induced movement therapy in acute stroke eith upper limb dysfunction is significant effect,can promote patients with upper limb motor function recovery.