运动反馈训练对偏瘫患者上肢运动功能和日常生活活动能力的疗效

目的 探讨了Armeo Spring上肢运动反馈训练对偏瘫患者上肢运动功能和日常生活活动能力的疗效。 方法 52例偏瘫患者随机数字表法分为观察组和对照组，各26例。对照组进行常规康复训练的基础上增加每日1次作业疗法训练，观察组在常规康复训练的基础上增加每日1次Armeo Spring上肢运动反馈的作业疗法训练,2组治疗时间均为5个月，治疗前和治疗后分别对2组患者上肢和手的主动关节活动度测量（AROM）、改良Barthel 指数(Modify Barthel Index，MBI)、Fugl-Meyer 评定量表(Fugl-Meyer motor assessment scale,FMA）和简易上肢机能检查（Simple Test for Evaluating hand Function，STEF）进行评价。 结果 治疗前2组患者MBI、FMA和WMFT比较差异无统计学意义（P＞0.05）；治疗后2组患者MBI、FMA和WMFT较治疗前比较差异有统计学意义（P＜0.05），观察组MBI、FMA和WMFT较对照组差异均有显著统计学意义（P<0.05），且观察组各项指标改善均优于对照组。 结论 通过上肢运动反馈训练联合常规康复可明显改善偏瘫患者上肢运动功能和日常生活活动能力。

Effects of motion feedback training on upper limb motor function and ADL in hemiplegic patients

Objective: To explore the effects of upper limb motion feedback training on upper limb motor function and activities of daily living (ADL) ability in hemiplegic patients. Methods: Fifty-two cases of hemiplegia after stroke were randomized into observation group and control group, 26 cases in each. The control group was given general occupational therapy training besides routine rehabilitation training, and observation group was subjected to occupational therapy training of upper limb motion feedback besides routine rehabilitation training. The active range of motion (AROM), modified Barthel index (MBI), Fugl-Meyer motor assessment scale (FMA) and simple test for evaluating hand function (STEF) were assessed in two groups before and after treatment. Results: After treatment, both groups showed significant improvements in AROM, STEF, FMA and MBI as compared with those before treatment (P<0.05). The observation group was improved more significantly than the control group (P<0.05). Conclusion: After 5-month treatment, occupational therapy of upper limb motion feedback could obviously improve the motor function of upper limb and hand, and ADL ability in hemiplegic patients.