早期关节负重训练对脑卒中患者运动功能的影响

目的:评价早期关节负重对脑卒中偏瘫患者运动功能的影响。方法:117例脑卒中偏瘫患者随机分为负重组68例和对照组49例,均接受常规康复治疗,负重组同时接受早期关节负重训练。于治疗前和治疗2个月后采用Fugl-Meyer运动功能评定量表(FMA)评定运动功能,采用Barthel指数(BI)评定ADL能力。结果:经过2个月治疗,负重组FMA评分和BI评分均明显高于对照组(前者u=2.79,P<0.01,后者u=7.21,P<0.01)。结论:常规康复治疗加早期关节负重训练对脑卒中偏瘫患者运动功能和ADL能力的改善较单纯康复治疗更显著。

Effect of Early Joint Bearing on Motor Recovery in Hemiplegic Patients with Cerebral Strokes

Objectives: Effects of early joint bearing on motor recovery of the hemiplegic extremities in patients with strokes.Methods: One hundred and seventeen patients with strokes were randomly divided into the treatment group(68 cases) and the control group(49 cases).All patients were given routine rehabilitation.Patients in the treatment group were moved early to the tilt table that made the joints of the lower extremities to be compressed.The control group was only given the routine treatment.All the patients were evaluated with Fugl-Meyer motor assessment(FMA),ADL,and Barthel index before and after the treatment.Data were analyzed using u test to analyze difference between the two groups.Results: After two months of treatment,statistically significant differences were found in the scores of FMA(P<0.01) and Barthel index(P<0.01) between the two groups.Conclusion: Early joint bearing combined with routine rehabilitation is more effective than sole routine rehabilitation.