摘要
目的:研究强制使用运动疗法对脑卒中患者上肢运动功能恢复的影响。方法:12例脑卒中偏瘫患者接受强制使用运动疗法治疗,在治疗期间要求患者健侧穿戴吊带和夹板来限制健侧肢体动作,每天清醒时固定时间不少于90％,连续12天。同时接受行为再塑的技巧训练,密集的训练患侧肢体活动,完成日常生活中的动作,连续2周共10个工作日。在治疗前的2周(基线)、治疗前和治疗后用上肢功能测验(UEFT)和简易上肢功能检查(STEF)来评价患者的上肢运动功能。结果:患者在治疗前2周的基线期内,在UEFT和STEF上未显现出明显的改善(ES:0.21;0.06)。但患者在接受2周的强制使用运动疗法治疗后,在UEFT和STEF上显现出较为明显的改善(ES:1.24;0.65),其中病程3-6个月的患者比病程>6个月的患者的改善更为明显(ES:1.43:0.96;0.81:0.5)。结论:强制使用运动疗法是改善恢复期和慢性期脑卒中患者上肢运动功能的有效治疗方法。
Objective:To determine the efficacy of constraint-induced movement therapy(CIMT) protocol for patients with stroke patients. Method: Twelve patients who experienced stroke were given CIMT, involving restriction of movement of the intact upper extremity by placing it in a sling for 90% of waking hours for 12 days and training (by shaping) the more affected extremity for 6 hours on the 10 week days during that period. Outcome measures were upper extremity function test(UEFT) and simple test for evaluating hand function(STEF).Result:Patients showed a significant and very large degree of improvement from before to after treatment on UEFT and STEF (ES, 1.24 and 0.65, respectively). The subacute patients who suffered a stroke≤6 months before the initiation of CI therapy received as much benefit from the therapy as chronic patients (ES:1.43 to 0.96;0.81 to 0.5, respectively). Conclusion: CIMT is an efficacious method of improving function and use of the more affected arms of subacute and chronic stroke patients.
出处
《中国康复医学杂志》
CAS
CSCD
2004年第10期724-727,共4页
Chinese Journal of Rehabilitation Medicine
基金
国家"十五"攻关项目资助课题(2001BA703B22)
关键词
运动疗法
脑卒中
上肢运动功能
康复
<Keyword>constrain-induced movement therapy
arm
rehabilitation
stroke
function
