【作者】 高圣海； 冉春风； 李泉； 刁海华；

【Author】 Gao Shenghai,Ran Chunfeng,Li Quan,Diao Haihua.The Long Gang District Centre Hospital of Shen Zhen,Shen Zhen 518116 China

【机构】 深圳市龙岗中心医院康复科；

【摘要】 目的探讨强制性运动疗法对脑卒中偏瘫患者上肢运动功能障碍的治疗效果。方法将30例脑卒中偏瘫患者随机分成治疗组及对照组,对照组采用常规康复治疗,每天2次,每次3h,每周5天,总共2周,而治疗组在治疗期间除以上治疗外,要求受试者连续2周每天除去睡眠时间,其余90%的时间健肢带上手套限制使用,用患肢进行日常生活活动。采用Wolf运动功能评定方法对入组患者在入组前、治疗后2周、治疗后3个月由专业评定人员进行评定。结果参与研究的30例患者全部完成了此研究。在治疗前,两组比较p>0.05,无显著性差异,经过2周治疗后,两组之间相比p<0.05,有显著性差异,治疗组与治疗前相比p<0.05有显著性差异,治疗后3个月两组之间相比p<0.05,有显著性差异,治疗组与治疗前相比p<0.05有显著性差异。结论强制性运动治疗是一种有效的康复治疗方法 ,可用于改善脑卒中偏瘫患者上肢运动功能,与常规康复治疗同时应用,可促进和加快偏瘫侧上肢运动功能的恢复,疗效优于普通康复治疗。更多还原

【Abstract】 Objective:To research the therapeutic effect of Constraint-induced movement therapy(CIMT) on patients with upper-extremity disorders after stroke.Method:The 30 patients with upper-extremity disorders after stroke were randomly divided into a treatment group and a control group.Patients in the two groups were treated with common rehabilitation therapy for 6 h a day for 2 weeks and 5 days a week,Meanwhile, the patients in the treatment group were involving restriction of movement of the intact upper extremity by placing it in a sling for 90%of waking hours for 14 days,and the Wolf Motor Function Test(WMFT) were used to evaluate the therapeutic effects before treatment and at two weeks and three month after treatment.Results:There was no significant difference between the scores of the treatment group and control group before treatment(p>0.05).However,there were significant differences between the scores of the treatment group and control group 2 weeks and 3 months after treatment separately(p<0.05) ,and compared the pre-treatment with the scores of 2 weeks or 3 months after treatment,significant differences we re also found the treatment group(P<0.05).Conclusion CIMT is an effective rehabilitation technique for different severity of the motor deficit of upper extremity after stroke,especially in severe stroke patient s.更多还原