文章摘要
李文立,何小英,张嘉默,徐开寿,罗桂鹏.基于家庭环境使用改良强制性运动疗法对慢性脑卒中后上肢功能恢复的探讨[J].中国康复,2017,32(4):278-280
基于家庭环境使用改良强制性运动疗法对慢性脑卒中后上肢功能恢复的探讨
Effect of family-based modified constraint-induced movement therapy on recovery of upper limb function after chronic cerebral apoplexy
  
DOI:
中文关键词: 脑卒中  偏瘫  社区康复  CIMT  上肢功能
英文关键词: cerebral apoplexy  hemiplegia  community-based rehabilitation  CIMT  upper extremity function
基金项目:广东省医学科研基金项目(NO.A2013514)
作者单位
李文立 广州博爱医院(广州市残疾人康复中心)社区康复指导部广州 510630 
何小英 广州博爱医院(广州市残疾人康复中心)社区康复指导部广州 510630 
张嘉默 广州博爱医院(广州市残疾人康复中心)社区康复指导部广州 510630 
徐开寿 广州市妇女儿童医疗中心神经康复科广州 510120 
罗桂鹏 广州市天河区康园服务中心广州 510000 
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中文摘要:
      目的:进行家庭使用改良强制性运动疗法(mCIMT)治疗慢性脑卒中后上肢功能恢复的探讨。方法:选择在社区康复机构接受治疗的脑卒中后上肢功能障碍的成年患者64例,随机分为观察组和对照组各32例,2组均接受常规康复训练,观察组加用强制性运动疗法治疗;运动功能评定采用Fugl-Meyer量表上肢部分(FMA-UE),日常生活活动能力评价采用改良Barthel指数(MBI);在治疗前、后及治疗后12周时进行效果评定。结果:治疗后以及12周后随访,2组FMA-UE评分及MBI评分均较治疗前明显提高(P<0.05),且观察组2项评分高于对照组(P<0.05)。结论:家庭mCIMT有助于脑卒中偏瘫患者上肢功能的恢复。
英文摘要:
      Objective: To explore the effect of family-based modified constraint-induced movement therapy (mCIMT) on functional recovery of upper limb in patients after chronic cerebral apoplexy. Methods: Sixty-four patients from community rehabilitation agency were randomized into family-based mCIMT group (n=32) and control group (n=32). Motor function was assessed by the Fugl-Meyer scale upper limb (FMA-UE), and the ability of daily mobility was assessed by modified Barthel index (MBI). The effects were evaluated before, and immediate and 12 weeks after treatment. Results: Immediate and 12 weeks after treatment, the FMA-UE and MBI scores were significantly increased as compared with those before treatment in both two groups (P<0.05), and those in the family-based mCIMT group were significantly higher than in the control group (P<0.05). Conclusion: The family-based mCIMT is beneficial to the functional recovery of upper limb in cerebral apoplexy patients with hemiplegia.
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