文章摘要
张立峰,张慧,刘妍妍,陈文江,孙先越.自制腕指康复板对脑卒中患者腕手功能恢复的影响[J].中国康复,2014,29(1):71-73
自制腕指康复板对脑卒中患者腕手功能恢复的影响
Effect of self-made wrist and finger board on the wrist and finger function recovery of stroke patients
  
DOI:
中文关键词: 腕指康复板  脑卒中  腕手功能
英文关键词: wrist and finger board  stroke  wrist and hand function
基金项目:
作者单位
张立峰 大庆医学高等专科学校黑龙江 大庆 163312 
张慧 大庆医学高等专科学校黑龙江 大庆 163312 
刘妍妍 大庆龙南医院康复科黑龙江 大庆 163312 
陈文江 大庆医学高等专科学校黑龙江 大庆 163312 
孙先越 大庆医学高等专科学校黑龙江 大庆 163312 
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中文摘要:
  目的:观察自制腕指康复板对脑卒中患者腕指功能障碍的疗效。方法:将脑卒中患者72例随机分为观察组和对照组各36例,2组均进行常规康复治疗,观察组在此基础上加用自制腕指康复板治疗。治疗4周及12周后,观察2组患者痉挛程度、手功能及腕关节活动度情况。结果:治疗4周时,观察组痉挛程度评分较治疗前及对照组均明显下降(P<0.01),对照组与治疗前比较差异无统计学意义;治疗12周后,2组痉挛程度评分均较治疗前及治疗4周时明显下降(P<0.01),且观察组更低于对照组(P<0.05)。治疗4周时,2组手功能改善情况比较差异无统计学意义;治疗12周后,2组手功能改善情况均较治疗4周时明显提高(P<0.01),且观察组更高于对照组(P<0.05)。治疗4周时,2组腕关节活动度均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。治疗12周后,观察组较治疗4周时及对照组均明显提高(P<0.05),对照组与治疗4周时比较差异无统计学意义。结论:自制腕指康复板结合常规康复治疗可明显改善患者痉挛状态、提高腕手功能。
英文摘要:
  Objective:To Observe the effects of self-made wrist and finger board on the wrist and finger function recovery of stroke patients.Methods:Seventy-two patients were designed into control group and observation group (n=36 each).Both groups were treated by the conventional rehabilitation,and observation group wore self-made wrist and finger board additionally.The degree of spasm,hand function and range of motion of wrist were compared 4 and 12 weeks after treatment.Result:After treatment for 4 weeks,the degree of spasm in the observation group was obviously milder than in the control group and pretreatment (P<0.01).After treatment for 12 weeks,the degree of spasm in both two groups was significantly milder than that before and 4 weeks after treatment (P<0.01),and that in the observation group was significantly milder than in the control group (P<0.05).After treatment for 4 weeks,there was no significant difference in the hand function recovery between two groups.After treatment for 12 weeks,the hand function recovery in both two group was significantly better than that 4 weeks after treatment (P<0.01),and that in the observation group was better than in the control group (P<0.05).After treatment for 4 weeks,the range of motion of wrist in both two groups was obviously greater than pretreatment (P<0.05),and that in the observation group was significantly increased as compared with that in the control group (P<0.05),and at 12th week after treatment,the range of motion of writs in the observation group was significantly increased as compared with that pretreatment and in the control group (P<0.05),but there was no significant difference in the range of motion of wrist in comparison to that at 4th week after treatment in the control group.Conclusion:The self made wrist and finger board in combination with conventional rehabilitation can improve spasm,wrist and hand function.
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