强制性运动疗法对脑卒中偏瘫患者上肢运动功能的影响..doc

强制性运动疗法对脑卒中偏瘫患者上肢运动功能的影响        [11-02-1311:47:00]    作者:曾育山,符俏,曹贤畅    编辑:studa20【摘要】 目的:研究强制性运动疗法(CIMT)对脑卒中偏瘫患者上肢运动功能及日常生活能力(ADL)的影响。方法:选择40例脑卒中患者,随机平均分为强制性运动疗法(CIMT)治疗组和常规康复(RRT)治疗组,CIMT组采用强制性运动疗法治疗4周,RRT组采用常规康复治疗方法治疗4周。所有病人采用Fugl-Meyer运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的上肢运动功能和ADL。结果:同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<),治疗后CIMT组的FMA和MBI值比RRT组显著升高(P<)。结论:CIMT对于脑卒中患者偏瘫上肢功能是较常规康复疗法更有效的康复治疗手段。【关键词】 脑卒中;运动疗法;强迫;上肢;康复 Objective:Tostudytheeffectsofconstraintinducedmovementtherapy(CIMT)onupperlimbfunctionalrecoveryandactivityofdailyliving(ADL):FortypatientswithstrokewererandomlydividedintoaverageCIMTgroupandroutinerehabilitationtherapy(RRT)group,whichwereseparatelytreatedwithconstraintMeyerassessment(FMA)andModifiedBarthelIndex(MBI):After4weekstreatment,FMAandMBIscoresofthetwogroupswerebothsignificantlyincreased(P<);however,theincreaseofFMAandMBIscoresweresignificanthigherintheCIMTgroupthanthatwereintheRRTgroup.(P<).Conclusion:ConstraintinducedmovementtherapyismoreeffectivethantheroutinerehabilitationtherapyinimprovingtheupperlimbmotorfunctionandADLinthepatientswithhemiplegicstroke. [KEYWORDS]Constraintinduced;Movementtherapy;Stroke;Upperlimbmotorf