强制性使用运动疗法对亚急性期脑卒中患者上肢运动功能的影响

目的:强制性使用运动疗法(CI MT)对亚急性期脑卒中患者上肢运动功能的影响。方法:将符合入选条件的36例亚急性期脑卒中患者随机分为对照组(n=18例)和治疗组(n=18例)。对照组采用常规Bobath方法为主,配合Rood法、Brunnstrom促进法,进行上肢和手功能训练,2h/d,5次/周,连续2周。治疗组采用强制性使用运动疗法治疗:限制健侧肢体动作,在治疗期间要求患者穿戴吊带和夹板1整天,每天清醒时固定时间不少于90%,根的据制定塑形任务进行患侧肢体的反复训练,6h/d,5次/周,连续2周。治疗前后用上肢功能测验(UEFT)和简易上肢功能检查(STEF)来评价患者的上肢运动功能。结果:治疗组治疗后上肢功能测验和简上肢功能评分较治疗前均有显著提高,差异有显著性意(P

Efects of Constraint-induced Movement Therapy on Upper Limb Function in Sub-acute Stroke Patients

Objective:To observe curative effect of constraint-induced movement therapy(CIMT)on upper limb function in sub-acute stroke patients.Method :Thirty-six patients with sub-acute stroke were randomly divided into contrast group(n=18)and Treatment group(n=18).Techniques of Bobath,Rood and Brunnstrom were adopted by contrast group in upper—limb and hands functional exercises,2h/d,five times a week,continuous for two weeks.CIMT was adopted by interference group,involving restriction of movement of the intact upper extremity by placing it in a sling for 90% of waking in a whole day and simultaneously training(by shaping)the affected upper extremity for 6h/d,five times a week,continuous for two weeks.Results:After treatment,the scores on UEFT and STEF were increased in two groups and were all better than before,the difierences were very obvious(P