《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 844-846.

• 临床研究 • 上一篇    下一篇

脑梗死早期上肢强制性运动疗法的研究

屠建莹1;张通2,3;张媛菲1;吴忠庆1   

  1. 1.北京世纪坛医院神经内科，北京市 100038;2. 首都医科大学康复医学院,北京市 100068;3.中国康复研究中心北京博爱医院神经康复科，北京市 100068
  • 收稿日期:2009-05-07 出版日期:2009-09-01 发布日期:2009-09-01
  • 通讯作者: 张通

Constraint-induced Movement Therapy for Upper Extremity in Early Cerebral Infarction

TU Jian-ying,ZHANG Tong,ZHANG Yuan-fei,et al   

  1. Department of Neurology, Beijing Shijitan Hospital, Beijing 100038, China
  • Received:2009-05-07 Published:2009-09-01 Online:2009-09-01

PDF (PC)

被引次数

19

摘要： 目的 研究早期脑梗死患者进行上肢强制性运动疗法（CIMT）的可行性、安全性、对治疗的耐受性及其远期疗效。方法 22例患者分为治疗组和对照组各11例，脑梗死后2周时开始康复训练2周。在治疗前、治疗2周后及治疗后3个月时进行Fugl-Meyer上肢部分评分（FMA）、Wolf运动功能试验（WMFT）、运动活动日志（MAL）、改良Barthel指数评定。结果 两组患者治疗2周后的WMFT、FMA、MAL、Barthel指数均有提高（P<0.05），除WMFT时间评价外，治疗组均较对照组为优（P<0.05）。治疗后3个月时，治疗组MAL数量评分仍优于对照组（P<0.05），MAL质量评分略优于对照组，但无显著性差异。结论 CIMT运用于早期脑梗死是安全和有效的，早期疗效优于常规康复，但其优势未能维持至3个月后。

关键词: 强制性运动疗法, 脑梗死, 早期康复, 上肢, 运动功能

Abstract: Objective To study the feasibility, safety, tolerance and the effectiveness of constraint-induced movement therapy (CIMT) in early cerebral infarction, and the long-term outcome.Methods 2 weeks after cerebral infarction, 22 patients with upper extremity weakness were divided into treatment group (11 cases, accepted CIMT) and control group (11 cases, accepted routine rehabilitation). They were assessed with Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT), Motor Activity Log (MAL) and Barthel Index (BI) before and 2 weeks, 3 months after treatment. Results The scores of FMA, WMFT, MAL and BI improved in both group (P<0.05), but more in the treatment group (P<0.05). 3 months after treatment, the score of MAL quality was no different between two group.Conclusion CIMT is safe and effective for early cerebral infarction, and more effective than routine immediately, but it is similar 3 months later.

Key words: constraint-induced movement therapy (CIMT), cerebral infarction, early rehabilitation, upper extremity, motor function