文章摘要
龚晨,王盛,李向哲,马颖,王栋栋.充气夹板结合渐进性上肢运动训练对脑卒中偏瘫患者上肢功能及日常生活活动的影响[J].中国康复,2020,35(9):451-454
充气夹板结合渐进性上肢运动训练对脑卒中偏瘫患者上肢功能及日常生活活动的影响
Effect of inflatable splint combined with progressive upper limb exercise training on upper limb function and ADL in patients with hemiplegic stroke
  
DOI:
中文关键词: 脑卒中  充气夹板  上肢功能  日常生活活动
英文关键词: stroke  inflatable splint  upper limb function  activities of daily living
基金项目:苏州高新区医疗卫生科技计划项目(2017Z003)
作者单位
龚晨 南京医科大学第一附属医院南京 210000 
王盛 南京医科大学附属苏州科技城医院江苏 苏州 215153 
李向哲 南京医科大学附属苏州科技城医院江苏 苏州 215153 
马颖 南京医科大学附属苏州科技城医院江苏 苏州 215153 
王栋栋 南京医科大学附属苏州科技城医院江苏 苏州 215153 
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中文摘要:
  目的:观察充气夹板结合渐进性上肢运动训练对脑卒中偏瘫患者上肢功能及日常生活活动的影响。方法:40例脑卒中偏瘫患者随机分为对照组和观察组各20例,2组患者均给予常规康复治疗,对照组再行渐进性上肢运动训练,观察组在常规康复治疗上用充气夹板控制上肢各关节活动的自由度进行渐进性上肢运动训练。在治疗前和治疗6周后,采用Fugl-Meyer上肢运动功能量表(FMA-UE)、运动力指数(MI)及Barthel指数(BI)进行评估。结果:治疗6周后,2组FMA-UE、MI及BI评分较治疗前均明显提高(均P<0.05),且观察组以上评分均更高于对照组(均P<0.05)。结论:充气夹板结合渐进性上肢运动训练能提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动。
英文摘要:
  Objective: To observe the effects of inflatable splint combined with progressive upper limb strength training on upper limb function and activities of daily living (ADL) in hemiplegic stroke patients. Methods: Forty stroke patients with hemiplegia were randomly divided into control group and treatment group (n=20 each). Both groups were given routine rehabilitation treatment, the control group was given progressive upper limb exercise training, and the treatment group was given progressive upper limb exercise training by using inflatable splint to control the freedom of movement of upper limb joints. Before and after 6 weeks of treatment, the upper extremity portion of the Fugl Meyer motor assessment(FMA-UE), Motor Force Index (MI) and Barthel Index (BI) were used for evaluation. Results: After 6 weeks of treatment, the scores of FMA-UE, MI and BI in both groups were significantly higher than those before treatment (all P<0.05), and the scores in the treatment group were higher than those in the control group (all P<0.05).Conclusions: Inflatable splint combined with progressive upper limb exercise training can improve upper limb motor function and ADL in stroke patients with hemiplegia.
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