《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (03): 144-145.

• 专题研究 • 上一篇    下一篇

强制性使用运动疗法在脑卒中和脑外伤上肢康复中的应用

毕胜1;瓮长水1;秦茵1;霍春暖2;张雅静2;朱春燕2   

  1. 1.解放军总医院康复医学科 北京市 100853;2.解放军总医院神经内科 北京市 100853
  • 收稿日期:2003-02-17 出版日期:2003-03-25 发布日期:2003-03-25

Effect of Constraint Induced-Movement Therapy on upper extremities function of stroke and head-injured patients

BI Sheng,WENG Chang-shui,QIN Yin,et al   

  1. Department of Rehabilitation Medicine,Chinese PLA General Hospital,Beijing 100853,China
  • Received:2003-02-17 Published:2003-03-25 Online:2003-03-25

PDF (PC)

被引次数

60

摘要： 目的定量评价强制性使用运动疗法在脑卒中和脑外伤中的康复效果。方法9例脑卒中和脑外伤患者使用夹板固定限制健侧手,患侧手进行每日6小时康复训练,共2周;在治疗前2周、治疗前和治疗后分别采用Carrol上肢功能评定和金子翼上肢功能评定对患者进行评价。结果治疗后和治疗前及基线相比,两种评价方法值均具有显著性差异(P<0.05)。结论强制性使用运动疗法对脑卒中和脑外伤上肢功能有显著的康复效果。

关键词: 脑卒中, 脑外伤, 习得性废用, 强制性使用运动疗法, 康复

Abstract: ObjectiveTo quantitatively assess the effect of Constraint Induced(CI) Movement Therapy on stroke and head injured patients.MethodsNine stroke and head injured patients were applied by CI therapy,which consist of restraint of the unaffected upper extremity in a sling for 14 days combined with 6 hours of training per day of the affected upper extremity. The Carroll test and a Japan upper extremity function test were applied in baseline, pretreatment and posttreatment.ResultsThere were improvement in scores of the Carroll test (P=0.02) and a Japan upper extremity function test (P=0.42)in posttreatment compared with those in baseline.ConclusionsCI therapy is an effective treatment for upper extremity function of stroke and head injured patients.

Key words: stroke, head injured, learned nonuse, Constraint Induced Movement Therapy, rehabilitation