文章摘要
张华.引导性上肢协调训练对脑卒中所致单侧空间忽略的疗效观察[J].中国康复,2016,31(1):42-44
引导性上肢协调训练对脑卒中所致单侧空间忽略的疗效观察
Therapeutic effectiveness of guiding upper limb coordination training for unilateral spatial neglect caused by stroke
  
DOI:
中文关键词: 脑卒中  单侧空间忽略  引导性上肢协调训练
英文关键词: Stroke  Unilateral spatial neglect  Guiding upper limb coordination training
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作者单位
张华 南阳市南石医院河南 南阳 473000 
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中文摘要:
  目的:观察应用引导性上肢协调训练治疗脑卒中所致单侧空间忽略患者的疗效。方法:脑卒中所致单侧空间忽略(USN)患者150例,随机分为2组各75例,2组患者均给予针对USN的训练,观察组在此基础上加用引导性上肢协调训练器训练。治疗前后进行空间忽略情况评价、改良Barthel指数(MBI)评定日常生活活动能力、简式Fugl-Meyer评分(FMA) 评定运动功能。结果:治疗2个月后,2组患者的USN阳性率明显低于治疗前(P<0.05),且观察组更低于对照组(P<0.05);2组MBI及FMA评分均明显高于治疗前(P<0.05),且观察组更高于对照组(P<0.05)。结论: 在常规康复治疗基础上联合引导性上肢协调训练进行综合治疗能有效改善脑卒中患者的单侧空间忽略,改善患者日常生活能力、提高患侧的运动能力。
英文摘要:
  Objective: To observe the effects of guiding upper limb coordination training for unilateral spatial neglect caused by stroke. Methods: 150 cases of unilateral spatial neglect (USN) caused by cerebral stroke were randomly divided into two groups (75 cases in each group). Both groups were given training aimed at USN, and observation group was subjected to guiding upper limb coordination training treatment additionally. USN, MBI, and FMA scores before and after treatment were evaluated and compared. Results: After two months of treatment, the number of positive rate of USN patients was significantly less than that before treatment (P<0.05), and that in observation group was less than in control group (P<0.05). After treatment, MBI and FMA scores in both two groups were significantly higher than those before treatment (P<0.05), and those in the observation group were significantly higher than in the control group (P<0.05). Conclusions: On the basis of conventional rehabilitation, combined use of guiding upper limb coordination training can effectively improve the ability of activities of daily living and ipsilateral athletic ability in USN patients.
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