文章摘要
孙莹,花佳佳,施加加,罗艳,程会兰,李周.运动反馈训练对偏瘫患者上肢运动功能和日常生活活动能力的疗效[J].中国康复,2015,30(6):409-411
运动反馈训练对偏瘫患者上肢运动功能和日常生活活动能力的疗效
Effects of motion feedback training on upper limb motor function and ADL in hemiplegic patients
  
DOI:
中文关键词: 运动反馈训练  偏瘫  运动功能  康复
英文关键词: motion feedback training  hemiplegia  motor function  rehabilitation
基金项目:
作者单位
孙莹 昆山市康复医院康复治疗科江苏 昆山 215300 
花佳佳 南通市第六人民医院康复医学科江苏 南通 226000 
施加加 昆山市康复医院康复治疗科江苏 昆山 215300 
罗艳 昆山市康复医院康复治疗科江苏 昆山 215300 
程会兰 昆山市康复医院康复治疗科江苏 昆山 215300 
李周 昆山市康复医院康复治疗科江苏 昆山 215300 
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中文摘要:
  目的:探讨上肢运动反馈训练对偏瘫患者上肢运动功能和日常生活活动能力的疗效。方法:52例脑卒中后偏瘫患者随机分为观察组和对照组各26例。对照组在进行常规康复训练的基础上增加一般作业疗法训练,观察组在常规康复训练的基础上增加上肢运动反馈的作业疗法训练,治疗前后分别对2组患者上肢主动关节活动度(AROM)、改良Barthel指数(MBI)、Fugl-Meyer评定量表(FMA)和简易上肢机能检查(STEF)进行评价。结果:治疗后2组患者AROM、STEF、FMA和MBI评分均较治疗前明显升高(P<0.05),且观察组更高于对照组(P<0.05)。结论:通过5个月的上肢运动反馈作业疗法可改善偏瘫患者上肢和手的运动功能和日常生活活动能力。
英文摘要:
  Objective: To explore the effects of upper limb motion feedback training on upper limb motor function and activities of daily living (ADL) ability in hemiplegic patients. Methods: Fifty-two cases of hemiplegia after stroke were randomized into observation group and control group, 26 cases in each. The control group was given general occupational therapy training besides routine rehabilitation training, and observation group was subjected to occupational therapy training of upper limb motion feedback besides routine rehabilitation training. The active range of motion (AROM), modified Barthel index (MBI), Fugl-Meyer motor assessment scale (FMA) and simple test for evaluating hand function (STEF) were assessed in two groups before and after treatment. Results: After treatment, both groups showed significant improvements in AROM, STEF, FMA and MBI as compared with those before treatment (P<0.05). The observation group was improved more significantly than the control group (P<0.05). Conclusion: After 5-month treatment, occupational therapy of upper limb motion feedback could obviously improve the motor function of upper limb and hand, and ADL ability in hemiplegic patients.
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