自制关节屈伸装置对脑梗死后上肢及手功能的作用

目的:观察自制关节屈伸装置对脑梗死后上肢及手功能的治疗作用。方法:60例脑梗死患者随机分为关节屈伸装置组和常规康复组,每组30例。常规康复组予以作业训练、肌电生物反馈、运动训练等常规康复治疗。屈伸装置组在常规康复治疗基础上加用腕关节和肘关节屈伸装置训练,每天2次,每个装置每次30min,2组治疗3周,每周6d。于治疗前、治疗后采用简化Fugl-Meyer运动功能量表上肢部分(FMA-UE)评定上肢运动功能、手功能量表评定患手功能、健康调查简表(SF-36)评价生活质量。结果:2组治疗后运动功能量表评分、手功能评分、生活质量评分均较治疗前升高(均P<0.05),且屈伸装置组更高于常规康复组(P<0.05)。结论:自制关节屈伸装置对脑梗死后上肢及手功能有促进改善作用。

Effects of self-made articular flexion and extension device on upper limb and hand function after cerebral infarction

Objective: To observe the therapeutic effect of self made articular flexion and extension device on upper limb and hand function after cerebral infarction. Methods: Sixty patients with cerebral infarction were randomly divided into the articular flexion and extension device group and the routine rehabilitation group, 30 patients in each group. The routine rehabilitation group received operation training, spasmodic electrical stimulation, myoelectric bio feedback, exercise training and other routine rehabilitation treatment. In the flexion and extension device group, wrist and elbow flexion and extension device training were added on the basis of conventional rehabilitation treatment, 2 times a day, 30 min each time for each device, and 3 weeks and 6 days a week for the two groups. Before and after treatment, the upper limb motor function was assessed by the simplified Fugl Meyer motor function scale. The hand function scale was assessed by the hand function scale, and the quality of life was assessed by the Mos 36 item Short Form Health Survey (SF-36). Results: The scores of the simplified Fugl-Meyer motor function rating scale, the hand function scale and the SF-36 scale were increased in both groups after treatment (P<0.05), and there was significant difference between two groups after treatment (P<0.05). Conclusion: The self made articular flexion and extension device can improve the function of upper limbs and hands after cerebral infarction.