《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (4): 370-371.

• 论文 • 上一篇    下一篇

强制性运动疗法对脑卒中后上肢运动障碍的影响

郭天龙1a，秦大伟1b   

  1. 1.黑龙江省康复医院，a: 医务科；b: 现代康复治疗部，黑龙江哈尔滨市 150018。
  • 收稿日期:2009-12-31 修回日期:1900-01-01 出版日期:2010-04-25 发布日期:2010-04-25
  • 通讯作者: 秦大伟

Effect of Constraint-induced Movement Therapy for Motor Function of Upper Extremity after Stroke

GUO Tian-long, QIN Da-wei.   

  1. Rehabilitation Hospital of Heilongjiang Province, Harbin 150018, Heilongjiang, China
  • Received:2009-12-31 Revised:1900-01-01 Published:2010-04-25 Online:2010-04-25

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被引次数

29

摘要： 目的研究强制性运动疗法(CIMT)对脑卒中后上肢运动功能康复的效果。方法28例符合CIMT适应症的脑卒中患者分成两组：观察组限制健手的使用，强化训练患侧上肢(CIMT)；对照组不限制健手的使用，进行传统神经发育疗法治疗。治疗前后评价两组的Fugl-Meyer上肢运动功能评分。结果Fugl-Meyer评分显示，治疗前后相比有显著性差异(P<0-05)。在提高上肢灵活性和上肢的使用方面，观察组与对照组间有显著性差异(P<0-05)。结论CIMT能加强脑卒中患者上肢运动功能和日常生活能力的改善。

关键词: 强制性运动疗法, 脑卒中, 上肢, 康复

Abstract: ObjectiveTo explore the effect of constraint-induced movement therapy (CIMT) for motor function of upper extremity after stroke.Methods28 stroke patients with upper-limb hemiparesis were divided into two groups, 14 cases in each group. The observation group received constraint-induced movement therapy, treated with intensive shaping training with constraint of the unaffected arms. While the control group received routine rehabilitation with no constraint of the unaffected arms. The effect was evaluated by The Fugl-Meyer Asseseement(FMA).ResultsThe scores of FMA is higher after than before treatment in the observation group, (P<0-05). The flexibility of upper extremity of the observation group improved more significantly than that of the control group after treatment (P<0-05).ConclusionCIMT can enhance the effect of rehabilitation in the function of upper extremity and the activities of daily living of hemiplegia patients.

Key words: constraint-induced movement therapy, stroke, upper extremity, rehabilitation