| 范星月,徐若男,韩露,徐海鹏,王雪,刘波,孙婷婷.强制性使用运动疗法结合电刺激对脑卒中单侧忽略的作用[J].中国康复,2017,32(4):281-284 |
| 强制性使用运动疗法结合电刺激对脑卒中单侧忽略的作用 |
| Effect of constraint-induced movement therapy combined with electrical stimulation on unilateral neglect in stroke patients |
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| DOI： |
| 中文关键词: 单侧空间忽略 强制运动 功能性电刺激 |
| 英文关键词: unilateral spatial neglect constraint-induced movement therapy feedback functional electrical stimulation |
| 基金项目:黑龙江省中医康复学科后备带头人科研基金（20150101） |
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| 中文摘要: |
| 目的：观察强制性使用运动疗法结合反馈式功能性电刺激对脑卒中单侧空间忽略患者的临床疗效。方法：脑卒中并伴有单侧空间忽略障碍的患者60例，随机分为2组各30例，对照组给予常规的康复治疗和强制性使用运动疗法训练，观察组在此基础上增加反馈式功能性电刺激治疗，治疗前后均进行二等分线段、删除试验和临摹图形评定，凯瑟琳-波哥量表（CBS）评价法、上下肢Fugl-Meyer评价法（FMA），评估患者的单侧空间忽略程度和运动功能。结果：治疗6周后，2组二等分线段、删除试验和临摹图形试验、CBS、FMA评定均有明显好转(P<0.05)，且观察组各项评定指标均优于对照组(P<0.05)。结论：强制性使用运动疗法结合反馈式功能性电刺激治疗可有效改善脑卒中单侧空间忽略患者单侧忽略的程度，提高肢体运动功能，让患者能够更好地参与到日常生活中。 |
| 英文摘要: |
| Objective: To observe the clinical effect of constraint-induced movement therapy combined with feedback functional electrical stimulation treatment on unilateral neglect in stroke patients. Methods: Sixty stroke patients with unilateral spatial neglect were randomly divided into the control group (n=30) and the experimental group (n=30). Both two groups were treated with routine rehabilitation training and constraint induced movement therapy. The experimental group received feedback functional electrical stimulation additionally. Fugl-Meyer Assessment (FMA), Catherine Bergego Scale (CBS), line bisection test, cancellation test and copying drawing test were assessed before and after treatment. Results: After 6 weeks of treatment, the scores of FMA, CBS, line bisection test, cancellation test and copying drawing test were significantly improved in both two groups (P<0.05), and they were better in the experimental group than in the control group (P<0.05). Conclusion: The constraint-induced movement therapy combined with feedback functional electrical stimulation can improve unilateral spatial neglect, limb motor function and the degree of USN in stroke patients, so that patients can better participate in daily life. |
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