| 尹婵,刘新福,曾明安.强制诱导运动对脑卒中患者运动功能及胰岛素抵抗的影响[J].中国康复,2013,28(2):103-105 |
| 强制诱导运动对脑卒中患者运动功能及胰岛素抵抗的影响 |
| Influence of CIMT on motor function and insulin resistance of stroke patients |
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| DOI： |
| 中文关键词: 强制诱导运动治疗 脑卒中 胰岛素抵抗 |
| 英文关键词: CIMT stroke insulin resistance |
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| 中文摘要: |
| 目的：探讨强制诱导运动治疗（CIMT）对无糖尿病病史的空腹血糖正常的脑卒中患者运动功能及胰岛素抵抗的影响。方法：脑卒中住院患者30例，随机分为CIMT组和对照组各15例，2组患者均进行运动平板训练、步行练习、上下楼梯训练、运动再学习疗法等常规康复治疗，CIMT组患者同时健侧下肢每日穿戴改良膝夹板≥90％清醒时间，治疗前后对2组患者进行Fugl-Meyer运动功能（FMA）、Barthel指数（BI）、Berg平衡量表（BBS）评定以及测定稳态模型胰岛素抵抗指数（HOMA-IR）值。结果：治疗4周后，2组患者HOMA-IR值较治疗前比较差异无统计学意义；2组FMA、BBS及BI评分均较治疗前明显提高（均P＜0.05），且CIMT组显著高于对照组(均P＜0.01)。结论：CIMT对空腹血糖正常的脑卒中患者胰岛素抵抗无影响，但能有效改善脑卒中患者下肢运动功能、日常生活活动能力及平衡能力。 |
| 英文摘要: |
| Objective:To explore the influence of constraint-induced movement therapy (CIMT) on motor function and insulin resistance of stroke patients with normal fasting glucose.Methods:Thirty hospitalized patients with stroke were randomly divided into CIMT group and control group (n=15 each).Patients in two groups received routine rehabilitation therapies including the treadmill exercise training,walking,walking up and down the stairs,motor relearning therapy.In CIMT group,uninvolved extremities wore modified knee splint on no less than 90% sober time daily.Two groups of patients were assessed respectively to lower extremity motor function,ability of activities of daily living,and balance function using Fugl Meyer motor function scale,activities of daily living (ADL),and Berg balance scale respectively.Meanwhile HOMA IR value changes in two groups of patients before and after treatment were assessed.Results:There was no significant difference in HOMA IR values before and after treatment in two groups.After treatment,the FMA,BBS and BI scores were significantly increased (P<0.05) as compared with those before treatment,and those in CIMT group were significantly higher than in control group (P<0.01).Conclusion:CIMT is effective in improving lower limb motor function,ability of activities of daily living and balance ability in stroke patients,but had no positive effects on insulin resistance in stroke patients with normal fasting glucose level. |
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