【作者】 闫彦宁； 贾子善； 槐雅萍； 赵振彪； 王中立； 孙增鑫；

【Author】 Yan Yanning, JIA Zishan, Huai Yaping, at al. Center of Rehebilitation, Hebei Provincial People’s Hospital, Shijiazhuang 050051, China

【机构】 河北省人民医院康复中心；

【摘要】 目的探讨强制性使用运动疗法在脑卒中患者上肢恢复中的作用及其重复应用的疗效。方法采用自身前后对照研究,对1例脑出血6个月上肢偏瘫患者实施强制性使用运动疗法。第一次进行2周的强制性使用训练后停止各种训练,3个月后再次实施训练2周。治疗期间限制使用健侧上肢活动,每天保持6小时以上的患侧上肢训练。分别于治疗前后进行金子翼上肢功能评价。结果第1次强化训练后患者上肢金子翼上肢功能评分明显提高,第2次强化训练后仍可见金子翼上肢功能评分明显提高,1年后随访金子翼上肢功能评分无下降。对健手限制活动前后金子翼上肢功能评分无下降。结论“强制性使用”运动疗法对慢性脑卒中患者的运动功能是一种有效的康复方法,特别在提高患者的上肢日常生活能力方面;反复应用“强制性使用”运动疗法可进一步提高患肢功能,提高生活质量。更多还原

【Abstract】 Objective: To study the effect of repeated constraint induced movement therapy (CIMT) on upper extremities function of stroke patients. Method: A cross-overstudy was performed on a patient within 6 months after stroke and the patient was treated by CIMT, which consist of restraint of the unaffected upper extremity in a sling for 2 weeks combined with 6 hours of training per day of the affected extremity. The patient was treated by CIMT for two weeks after three months once more, a Japan upper extremity function test were applied in baseline, pretreatment and posttreatment. Result: There were improvement in scores of a Japan upper extremity function test in posttreatment compared with those in baseline after the first CIMT and the second CIMT. There were no change after one year. Conclusion: CIMT is an effective method for restoring motor function of chromic stroke, especially in improvement upper-extremity ADL of patients. The function of affected extremity and the quality of life will be made a further improvement through repeated CIMT.更多还原