强制性运动治疗急性脑卒中偏瘫上肢功能障碍的临床研究

目的观察强制性运动治疗急性脑卒中偏瘫上肢功能障碍的临床效果。方法将70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,各35例。2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,治疗组采用强制性运动疗法。4周后对2组进行康复评定。结果治疗组总有效率为85.7%高于对照组的68.6%,差异有统计学意义（P〈0.05）。2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急性脑卒中偏瘫上肢功能障碍疗效显著,可促进患者上肢运动功能恢复。

Clinical study on 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 70 cases patients of upper limb dysfunction in acute stroke were randomly divided into treatment group and control group,35 cases of each. The two groups were both given acute neurological conventional medical treatment,and accept-ed 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（ 85. 7% ） was higher than that in control group（ 68. 6% ） ,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 with upper limb dysfunction is significant effect,can promote patients with upper limb motor function recovery.