Brunnstrom分期训练对脑卒中偏瘫患者功能恢复的效果观察

目的探讨Brunnstrom分期功能训练对脑卒中偏瘫患者日常生活能力及运动功能恢复的影响。方法将120例脑卒中偏瘫患者随机分为观察组和对照组各60例，均予脑血管病常规药物治疗和常规护理。观察组在常规治疗护理基础上同时按照Brunnstrom分期分别进行康复训练（包括床上体位摆放、简单运动疗法、日常生活活动训练）、心理护理及健康指导。于训练前及训练4周后采用Brunnstrom评价肢体功能，Barthel指数评价日常生活活动能力（ADL），并进行秩和检验。结果康复训练后，观察组患者Brunnstrom分期及ADL能力的恢复显著优于对照组。结论脑卒中偏瘫患者早期按照Brunnstrom分期进行康复训练，能有效促进其日常生活能力及运动功能的恢复，提高患者的毕活质量．

Observation in effect of rehabilitation training according to Brunnstrom stage on motor function recovery of stroke patients

Objective To evaluate the effects of rehabilitation training according to Brunnstrom stage on ability of daily life （ADL） and motor function of stroke patients. Methods 120 hemiplegia patients who suffered from stroke were randomly divided into the observation group and the control group with 60 cases in each group. Both groups received routine cerebrovascular medicine treatment and routine nursing, the observation group received rehabilitation training according to Brunnstrom stage（including body position,simple kinesitherapy,daily life exercise）, psychological nursing and health guidance. The motor function and ADL were assessed respectively by Brunnstrom assessment and Barthel index before and 4 weeks after training using rank test. Results Brunnstrom stage and ADL of the observation group were better than those of the control group after rehabilitation training. Conclusions Early rehabilitation training according to Brannstrom stage can obviously improve the recovery of motor function and ADL as well as life quality of stroke patients.