文章摘要
姚宇,曾明安,陈玲,刘文健.视听媒体指导脑卒中患者主动功能锻炼的效果观察[J].中国康复,2019,34(3):131-133
视听媒体指导脑卒中患者主动功能锻炼的效果观察
Efficacy of Visual Auditory Media guided Active Functional Exercise in Stroke Patients
  
DOI:
中文关键词: 视听媒体  脑卒中  运动及平衡功能  功能独立性
英文关键词: visual auditory media  stroke  motor function and balance  functional independence
基金项目:湖南省卫生厅科研计划课题(C2013-056)
作者单位
姚宇 邵阳市中心医院康复医学科,湖南邵阳422000 
曾明安 邵阳市中心医院康复医学科,湖南邵阳422000 
陈玲 邵阳市中心医院康复医学科,湖南邵阳422000 
刘文健 邵阳市中心医院康复医学科,湖南邵阳422000 
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中文摘要:
  目的:研究视听媒体指导脑卒中患者主动功能锻炼对患者运动功能、平衡功能、功能独立性的影响。方法:将脑卒中偏瘫患者90例,随机分为对照组44例和观察组46例。对照组进行常规脑卒中康复治疗,采用口头讲解功能锻炼方法指导患者锻炼。观察组在进行常规脑卒中康复治疗基础上,通过视听媒体指导患者主动进行肢体功能锻炼,治疗结束后2组分别行Fugl Meyer运动、Fugl Meyer平衡功能评定及FIM功能独立性评定。结果:治疗4周后,2组患者Fugl Meyer运动、平衡功能评分及FIM评分均较治疗前明显提高(均P<0.05),且观察组患者各项评分均高于对照组(均P<0.05)。结论:通过视听媒体来指导脑卒中患者主动功能锻炼,能更好地改善患者的运动功能、平衡功能及功能独立性。
英文摘要:
  Objective: To study the visual auditory media guided active functional exercise and its influence on motor function, balance and functional independency of stroke patients. Methods: A total of 90 stroke patients with hemiplegia were randomly divided into control group (n=44) and study group (n=46). Patients in control group were given the routine stroke rehabilitation therapy, and functional exercise which was guided by the explanations. In study group, patients were subjected to the routine stroke rehabilitation therapy, and the functional exercise of limbs guided by visual and auditory media. After treatment, these two groups were evaluated with Fugl Meyer exercise, Fugl Meyer balance assessment and FIM functional independence assessment. Results: After 4 weeks of treatment, Fugl Meyer exercise, Fugl Meyer balance score and FIM function independence score in both groups had significant improvement as compared with pre therapy (P<0.05). After treatment, Fugl Meyer exercise, Fugl Meyer balance score and FIM function independence score showed statistically significant difference between two groups. Conclusion: Using visual auditory media guiding the active functional exercise can better improve motor function, balance and functional independency of stroke patients.
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