基于动作分析的强化性分离运动对脑卒中患者上肢功能及日常生活活动能力的影响

目的：探讨动作分析及在此基础上的强化性分离运动对脑卒中患者上肢功能及日常生活活动能力的影响。方法：62例脑卒中偏瘫患者随机分为对照组和观察组,对照组接受常规的物理治疗和作业治疗;观察组患者在常规治疗的基础上,对每个作业活动进行动作分析,并在此基础上进行强化性分离运动训练。治疗前及治疗2个月后分别用简化Fugl-Meyer运动量表和Brunnstrom分期评定上肢功能,以及用改良的Barthel指数评定日常生活活动能力。结果：对照组和观察组治疗后上肢功能和日常生活活动能力均有改善（P〈0.05）,且观察组的均优于对照组,差异有显著性意义（P〈0.05）。结论：基于动作分析的强化性分离性运动对脑卒中偏瘫患者的上肢功能和ADL功能具有促进作用,对提高脑卒中的康复疗效具有重要意义。

Intensified isolated motion based on movement analysis in hemiplegia stroke

Objective: To investigate the influences of the isolated motion basing on movement analysis for upper-extremity function and ADL of hemiplegia patients of stroke. Method: Sixty-two stroke patients with hemiplegia were divided randomly into two groups. The control group was received ordinary physical therapy and occupational therapy. Except ordinary PT and OT, the observed group was received intensified isolated motion training based on the movement analysis on functional activities, and the isolated movements training was integrated into functional movements training, which included ADL. The evaluation was done pre-treatment and post-treatment. The motor function of upper-extremity was measured by Fugl-Meyer scale and Brunnstrom stages of motor recovery, and ADL was assessed with Barthel Index-100. Result: The motor function of upper-extremity and ADL of two groups were improved(P<0.05), and the motor function of upper-extremity and ADL in the observe group were significantly better than in the control group(P<0.05). Conclusion: Intensified isolated motion training can promote the motor function of upper-extremity and improve ADL function of hemiplegia patients of stroke.