【摘要】 目的:观察自制腕指康复板对脑卒中患者腕指功能障碍的疗效。方法:将脑卒中患者72例随机分为观察组和对照组各36例,2组均进行常规康复治疗,观察组在此基础上加用自制腕指康复板治疗。治疗4周及12周后,观察2组患者痉挛程度、手功能及腕关节活动度情况。结果:治疗4周时,观察组痉挛程度评分较治疗前及对照组均明显下降(P<0.01),对照组与治疗前比较差异无统计学意义;治疗12周后,2组痉挛程度评分均较治疗前及治疗4周时明显下降(P<0.01),且观察组更低于对照组(P<0.05)。治疗4周时,2组手功能改善情况比较差异无统计学意义;治疗12周后,2组手功能改善情况均较治疗4周时明显提高(P<0.01),且观察组更高于对照组(P<0.05)。治疗4周时,2组腕关节活动度均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。治疗12周后,观察组较治疗4周时及对照组均明显提高(P<0.05),对照组与治疗4周时比较差异无统计学意义。结论:自制腕指康复板结合常规康复治疗可明显改善患者痉挛状态、提高腕手功能。更多还原

【Abstract】 Objective:To Observe the effects of self-made wrist and finger board on the wrist and finger function recovery of stroke patients.Methods:Seventy-two patients were designed into control group and observation group(n=36each).Both groups were treated by the conventional rehabilitation,and observation group wore self-made wrist and finger board additionally.The degree of spasm,hand function and range of motion of wrist were compared 4and 12weeks after treatment.Result:After treatment for 4weeks,the degree of spasm in the observation group was obviously milder than in the control group and pretreatment(P<0.01).After treatment for 12weeks,the degree of spasm in both two groups was significantly milder than that before and 4weeks after treatment(P<0.01),and that in the observation group was significantly milder than in the control group(P<0.05).After treatment for 4weeks,there was no significant difference in the hand function recovery between two groups.After treatment for 12 weeks,the hand function recovery in both two group was significantly better than that 4weeks after treatment(P< 0.01),and that in the observation group was better than in the control group(P<0.05).After treatment for 4 weeks,the range of motion of wrist in both two groups was obviously greater than pretreatment(P<0.05),and that in the observation group was significantly increased as compared with that in the control group(P<0.05),and at 12th week after treatment,the range of motion of writs in the observation group was significantly increased as compared with that pretreatment and in the control group(P<0.05),but there was no significant difference in the range of motion of wrist in comparison to that at 4th week after treatment in the control group.Conclusion:The self-made wrist and finger board in combination with conventional rehabilitation can improve spasm,wrist and hand function.更多还原