| 张 健,王小雪,耿 博,徐晓沐,陈慧娟.强制性运动疗法在脑卒中偏瘫康复治疗中的应用效果研究[J].,2018,(15):2902-2905 |
| 强制性运动疗法在脑卒中偏瘫康复治疗中的应用效果研究 |
| Effects of Constraint induced Movement Therapy in the Rehabilitation Treatment of Stroke Hemiplegia |
| 投稿时间：2018-03-20 修订日期：2018-04-13 |
| DOI：10.13241/j.cnki.pmb.2018.15.021 |
| 中文关键词: 脑卒中偏瘫 康复治疗 强制性运动疗法 |
| 英文关键词: Stroke hemiplegia Rehabilitation therapy Constraint induced movement therapy |
| 基金项目:黑龙江省自然科学基金面上项目（B201302, 41400102-x-13001） |
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| 中文摘要: |
| 摘要 目的：研究强制性运动疗法(CIMT)在脑卒中偏瘫康复治疗中的应用效果。方法：将100例脑卒中偏瘫患者随机分为两组，对照组50例予常规运动疗法，实验组50例予CIMT。治疗后，比较两组患者的临床总有效率、步行速度评分、日常生活活动能力评分、运动功能评分及患者满意度。结果：治疗后，试验组的总有效率显著高于对照组(90% vs. 68%)，步行速度评分[(61.25±7.94) vs. 46.12±8.56]、日常生活活动能力评分[(58.76±8.92) vs. 47.95 9.16]、运动功能评分[(85.14±4.68) vs. 52.39 9.64]、患者满意度(94% vs. 78%)较对照组均明显升高(94% vs. 78%)，差异具有统计学意义(P＜0.05)。结论：强制性运动疗法用于脑卒中偏瘫患者康复治疗的临床效果明显提升，可有效改善患者的运动功能。 |
| 英文摘要: |
| ABSTRACT Objective: To study the effect of constraint induced movement therapy (CIMT) in the rehabilitation of stroke hemiple- gia. Methods: 100 patients with stroke hemiplegia were randomly divided into two groups: control group with routine exercises (n=50) and experiment group with CIMT (n=50). The total effective rate, the walking speed, activity of daily living, motor function, and the pa- tients' satisfaction were compared between the two groups after treatment. Results: The total effective rate of CIMT group (90%) was sig- nificantly higher than that (68%) of the control group (P<0.05). The scores of walking speed (61.25±7.94), activity of daily living (58.76±8.92) and motor function (85.14±4.68) were significantly higher than those of the control group (P<0.05). The patients' satisfac- tion (94%) was higher than that of the control group (78%, P<0.05). Conclusion: The effect of CIMT in rehabilitation treatment of stroke hemiplegic patients is better than the routine exercise therapy, which can obviously improve the therapeutic effects and the motor func- tion of the patients with stroke hemiplegia. |
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