文章摘要
徐应乐,王俊华,徐远红,李海峰,钟伟华,杜慧君,谢谨.作业疗法结合自助具训练对偏瘫患者上肢功能的影响[J].中国康复,2012,27(2):91-92
作业疗法结合自助具训练对偏瘫患者上肢功能的影响
Effect of Occupational Therapy Combined with Self-help Aids on Upper Extremity Motor Function and Activity of Daily Life of Patients with Hemiplegia
  
DOI:
中文关键词: 作业疗法  自助具  偏瘫  日常生活能力
英文关键词: occupational therapy  self-help aids  hemiplegia  activity of daily life
基金项目:
作者单位
徐应乐 湖北医药学院附属东风医院康复科湖北 十堰 442000 
王俊华 湖北医药学院附属太和医院康复科湖北 十堰 442000 
徐远红 湖北医药学院附属太和医院康复科湖北 十堰 442000 
李海峰 湖北医药学院附属太和医院康复科湖北 十堰 442000 
钟伟华 湖北医药学院附属太和医院康复科湖北 十堰 442000 
杜慧君 湖北医药学院附属太和医院康复科湖北 十堰 442000 
谢谨 湖北医药学院附属太和医院康复科湖北 十堰 442000 
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中文摘要:
  目的:观察作业疗法结合自助具训练对偏瘫患者上肢运动功能及日常生活能力的影响。方法:偏瘫患者50例随机分为2组各25例,均给予Bobath疗法及神经肌肉功能电刺激等常规康复训练,观察组在此基础上加用作业疗法及自助具训练。治疗前及治疗1、3个月后,采用Fugl-Meyer(FMA)评定量表评定患者上肢综合运动功能,Barthel(BI)指数评定日常生活能力。结果:治疗1个月后,2组BI评分均较治疗前明显提高(P<0.05),且观察组明显高于对照组(P<0.05);但FMA评分2组治疗前后差异无统计学意义。治疗3个月后,2组BI及FMA评分均较治疗前明显提高,且观察组更高于对照组(P<0.05)。结论:作业疗法结合自助具训练在改善偏瘫患者上肢运动及日常生活能力方面具有较好的疗效,有利于患者重返家庭,回归社会。
英文摘要:
  Objective: To observe the effects of occupational therapy and self-help aids on upper extremity motor function and activity of daily life (ADL) of patients with hemiplegia. Methods: Fifty cases of hemiplegia were randomly divided the control group and the treatment group equally. General rehabilitation training was given to both groups, but the treatment group received the occupational therapy and self-help aids additionally. Fugl-Meyer scale was used to assess the upper extremity motor function, and Barthel index (BI) was used to assess ADL before and 1 month, 3 months after the treatments. Results: BI scores were significantly increased in both groups after treatment for 1 month(P<0.05), and that in the treatment group was more significantly as compared with in the control group(P<0.05), but there was no significant difference in scores of Fugl-Meyer scale in both two groups before and after treatment. After treatment for 3 months, scores of BI and Fugl-Meyer scale in both groups were significantly increased, and that in the treatment group was more obviously than in the control group(P<0.05). Conclusion: Occupational therapy and self-help aids can improve upper extremity motor function and ADL of patients with hemiplegia and can help the patients return to the family and the society.
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