摘要
目的研究早期脑梗死患者进行上肢强制性运动疗法(CIMT)的可行性、安全性、对治疗的耐受性及其远期疗效。方法22例患者分为治疗组和对照组各11例,脑梗死后2周时开始康复训练2周。在治疗前、治疗2周后及治疗后3个月时进行Fugl-Meyer上肢部分评分(FMA)、Wolf运动功能试验(WMFT)、运动活动日志(MAL)、改良Barthel指数评定。结果两组患者治疗2周后的WMFT、FMA、MAL、Barthel指数均有提高(P<0.05),除WMFT时间评价外,治疗组均较对照组为优(P<0.05)。治疗后3个月时,治疗组MAL数量评分仍优于对照组(P<0.05),MAL质量评分略优于对照组,但无显著性差异。结论CIMT运用于早期脑梗死是安全和有效的,早期疗效优于常规康复,但其优势未能维持至3个月后。
Objective To study the feasibility, safety, tolerance and the effectiveness of constraint induced movement therapy （CIMT） in early cerebral infarction, and the long-term outcome. Methods 2 weeks after cerebral infarction, 22 patients with upper extremity weakness were divided into treatment group （11 cases, accepted CIMT） and control group （11 cases, accepted routine rehabilitation）. They were assessed with Fugl Meyer Assessment （FMA）, Wolf Motor Function Test （WMFT）, Motor Activity Log （MAL） and Barthel Index （BI） before and 2 weeks, 3 months after treatment. Results The scores of FMA, WMFT, MAL and BI improved in both group （P〈0.05）, but more in the treatment group （P〈0. 05）. 3 months after treatment, the score of MAL quality was no different between two group. Conclusion CIMT is safe and effective for early cerebral infarction, and more effective than routine immediately, but it is similar 3 months later.
出处
《中国康复理论与实践》
CSCD
2009年第9期844-846,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
强制性运动疗法
脑梗死
早期康复
上肢
运动功能
constraint induced movement therapy （CIMT）
cerebral infarction
early rehabilitation
upper extremity
motor function
