提醒治疗法对脑卒中后功能恢复的效果

doi:10.3969/j.issn.1006-9771.2018.03.016

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (3): 328-332.doi: 10.3969/j.issn.1006-9771.2018.03.016

提醒治疗法对脑卒中后功能恢复的效果

董安琴^1,2, 曹海燕¹, 何爱群¹, 黎景波¹, 聂天翠¹, 解益², 应其兴¹

1.广东省工伤康复医院,广东广州市 510440;
2.郑州大学第五附属医院,河南郑州市 450052

收稿日期:2018-01-22 修回日期:2018-02-22 出版日期:2018-03-25 发布日期:2018-03-27
通讯作者: 董安琴。E-mail: anqindong@163.com
作者简介:董安琴(1981-),女,汉族,河南信阳市人,博士,副主任治疗师,主要研究方向：神经康复科学。
基金资助:
广东省医学科学技术研究基金项目(No. A2015177)

Effects of Remind-to-move Treatment on Functional Recovery after Stroke

DONG An-qin^1,2, CAO Hai-yan¹, HE Ai-qun¹, LI Jing-bo¹, NIE Tian-cui¹, XIE Yi², YING Qi-xing¹

1. Guangdong Work Injury Rehabilitation Hospital, Guangzhou, Guangdong 510440, China;
2. the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China

Received:2018-01-22 Revised:2018-02-22 Published:2018-03-25 Online:2018-03-27
Contact: DONG An-qin. E-mail: anqindong@163.com
Supported by:
Supported by　Guangdong Medical Research Fund (No. A2015177)

摘要/Abstract

摘要： 目的研究提醒治疗法对亚急性期脑卒中患者运动功能、活动和参与的疗效。方法 2016年2月至2017年10月,45例轻中度上肢运动功能障碍脑卒中住院患者,随机分成对照组(n=23)和试验组(n=22)。对照组每天接受常规作业治疗,试验组患侧手臂佩戴定时提醒腕表,提醒患者需要完成的指定训练任务,共3周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、功能独立性测量(FIM)、运动活动日志(MAL)和脑卒中影响量表(SIS)进行评定。结果治疗后,两组均有部分项目评分增加(P<0.05),试验组FMA-UE、FIM评分,MAL、SIS多项评定结果优于对照组(t>1.183, P<0.05),其他项目无显著性差异(P>0.05)。结论提醒治疗法能有效改善亚急性期脑卒中患者上肢运动功能、日常活动和参与能力,提高患者生活质量。

关键词: 脑卒中, 提醒治疗法, 上肢, 运动功能, 日常生活活动能力, 生活质量

Abstract: Objective To explore the effect of remind-to-move treatment on upper limb motor function, activities of daily living and participation in patients with subacute stroke. Methods From February, 2016 to October, 2017, 45 patients with mild to medium upper limbs dysfunction after stroke were randomly assigned to control group (n=23) and experimental group (n=22). The control group accepted routine occupational therapy, while the experimental group wore a wristwatch on the hemiplegic forearm to encourage the predetermined training programs, for three weeks. They were measured with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Function Independence Measurement (FIM), Motor Activity Log (MAL), and Stroke Impact Scale (SIS) before and after treatment. Results Both groups improved in part of the scores of three scales after treatment (P<0.05), and improved more in the experimental group than in the control group in scores of FMA-UE and FIM, and some sub-scores of MAL and SIS (t>1.183, P<0.05), with no significant difference in other indexes (P>0.05).Conclusion Remind-to-move treatment can promote the recovery of upper limb motor function, activities of daily living and participation in the patients with subacute stroke.

Key words: stroke, remind-to-move treatment, upper limbs, motor function, activities of daily living, quality of life

中图分类号:

R743.3

董安琴, 曹海燕, 何爱群, 黎景波, 聂天翠, 解益, 应其兴. 提醒治疗法对脑卒中后功能恢复的效果[J]. 《中国康复理论与实践》, 2018, 24(3): 328-332.

DONG An-qin, CAO Hai-yan, HE Ai-qun, LI Jing-bo, NIE Tian-cui, XIE Yi, YING Qi-xing. Effects of Remind-to-move Treatment on Functional Recovery after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(3): 328-332.

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提醒治疗法对脑卒中后功能恢复的效果

Effects of Remind-to-move Treatment on Functional Recovery after Stroke

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