双侧训练在脑卒中急性期康复中的临床效果观察

目的:观察双侧训练对于急性期脑卒中患者的康复治疗效果。方法:36例急性期脑卒中患者分成对照组和观察组各18例,均给予常规康复训练,对照组增加单侧肢体及手运动功能训练,观察组增加双侧肢体及手运动功能训练。2组患者在治疗前后采用改良Ashworth评分-肩、肘、腕、手(MAS-S,MAS-E,MAS-W,MAS-H)、Fugl-Meyer评定量表肩/肘/前臂、腕手(FM-SEF,FM-WH)及改良Bathel指数(MBI)进行评分。结果:训练12周后,2组FM-SEF,FM-WH评分,MAS各项评分及MBI评分均较训练前改善(P0.05),观察组训练后FM-SEF,及MAS-S,MAS-E,MAS-W评分较对照组改善更显著(P0.05)。结论:双侧训练应用于脑卒中急性期的患者可以有效地降低肩、肘及腕关节肌张力,并且对于上肢腕手运动功能恢复有一定效用。

Effects of bilateral movement training on upper limb function in acute stroke patients

Objective: To evaluate the effects of bilateral movement training on upper limb function in acute stroke patients. Methods: Thirty-six acute stroke patients at their first-ever stroke were enrolled and randomized into two groups: experimental group (EG, n=18) and control group (CG, n=18). Both of two group patients were given the standard therapy. The unilateral movement training was provided to the CG, while bilateral movement training to the EG. The following evaluations were performed before and 12 weeks after treatment: Modified Ashworth Scale-Shoulder, Elbow, Wrist, Hand (MAS-S, MAS-E, MAS-W, MAS-H); Fugl Meyer motor assessment scale-Shoulder/Elbow/Forearm, Wrist/Hand (FM-SEF, FM-WH); Modified Bathel Index (MBI). Results: Significant improvement was achieved in both EG and CG in MAS-S, MAS-E, MAS-W, MAS-H, FM-SEF, FM-WH, and MBI (P<0.05) after the treatment. The EG was improved more significantly than CG in MAS-S, MAS-E, MAS-W, and FM-SEF (P<0.05) after the treatment. Conclusion: Bilateral movement training applied to acute stroke patients can decrease the muscle tone of shoulder, elbow and wrist, and help to increase motor recovery of upper limb.