智能康复训练系统对脑卒中患者上肢及手功能的效果

doi:10.3969/j.issn.1006-9771.2020.10.013

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (10): 1198-1203.doi: 10.3969/j.issn.1006-9771.2020.10.013

智能康复训练系统对脑卒中患者上肢及手功能的效果

高品操^1,²(),唐芳²,杨义³,禹斌³

1.广西师范大学体育与健康学院,广西桂林市 541000
2.湖南医药学院康复医学与保健学院,湖南怀化市 418000
3.湖南医药学院第一附属医院康复科,湖南怀化市 418000

收稿日期:2020-06-03 修回日期:2020-07-06 出版日期:2020-10-25 发布日期:2020-10-29
通讯作者: 高品操 E-mail:pcgao1987@sina.com
作者简介:高品操(1987-),男,汉族,江西九江市人,博士研究生,主管治疗师,讲师,主要研究方向：脑卒中运动疗法。
基金资助:
1.湖南省教育厅科研项目(19C1330);湖南省教育厅科研项目(15C0993);2.湖南医药学院校级科研课题(2015ZKB15);湖南医药学院校级科研课题(2013KY05)

Effect of Intelligent Rehabilitation Training System on Upper Limb and Hand Function of Patients with Stroke

GAO Pin-cao^1,²(),TANG Fang²,YANG Yi³,YU Bin³

1. College of Physical Education and Health, Guangxi Normal University, Guilin, Guangxi 541000, China
2. College of Rehabilitation Medicine and Health, Hunan University of Medicine, Huaihua, Hunan 418000, China
3. Department of Rehabilitation Medicine, the First Affiliated Hospital of Hunan University of Medicine, Huaihua, Hunan 418000, China

Received:2020-06-03 Revised:2020-07-06 Published:2020-10-25 Online:2020-10-29
Contact: GAO Pin-cao E-mail:pcgao1987@sina.com
Supported by:
Scientific Research Program of Education Department of Hunan Province(19C1330);Scientific Research Program of Education Department of Hunan Province(15C0993);Hunan University of Medicine Project(2015ZKB15);Hunan University of Medicine Project(2013KY05)

摘要/Abstract

摘要：

目的观察智能康复训练系统对脑卒中患者上肢及手功能的效果。
方法 2018年12月至2019年12月,脑卒中患者68例随机分为对照组(n= 34)和试验组(n= 34),两组均采用常规物理治疗、作业治疗和头皮针治疗,试验组另采用智能康复训练系统训练,共8周。于治疗前,治疗1周、4周和8周后分别采用Fugl-Meyer评定量表上肢部分(FMA-UE)、上肢功能测试(UEFT)和改良Barthel指数(MBI)进行评价。
结果治疗前,两组FMA-UE评分、UEFT评分和MBI均无显著性差异(P > 0.05)。治疗后,两组各评分均显著增加( F > 11.676, P < 0.001)。治疗4周和8周后,试验组各评分均高于对照组( t > 2.122, P < 0.05)。
结论智能康复训练系统能有效改善脑卒中患者上肢及手功能和日常生活活动能力。

关键词: 脑卒中, 头皮针, 智能康复训练系统, 上肢, 手, 运动功能

Abstract:

Objective To explore the effect of intelligent rehabilitation training system on upper limb and hand function in patients with stroke.
Methods From December, 2018 to December, 2019, 68 stroke patients were randomly divided into control group (n = 34) and experimental group (n = 34). Both groups were treated with conventional physical and occupational therapy, and scalp acupuncture, while the experimental group accepted intelligent rehabilitation training in addition, for eight weeks. Before treatment and after one week, four weeks and eight weeks of treatment, both group were evaluated with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Upper Extermities Functional Test (UEFT) and modified Barthel Index (MBI).
Results Before treatment, there was no significant difference in the scores of FMA-UE, UEFT and MBI between two groups (P > 0.05). After treatment, all scores increased in both groups ( F > 11.676, P < 0.001). Four weeks and eight weeks after treatment, all scores were higher in the experimental group than in the control group ( t > 2.122, P < 0.05).
Conclusion Intelligent rehabilitation training system could improve the upper limb and hand function and activities of daily living in stroke patients.

Key words: stroke, scalp acupuncture, intelligent rehabilitation training system, upper limb, hand, motor function

中图分类号:

R743.3

高品操,唐芳,杨义,禹斌. 智能康复训练系统对脑卒中患者上肢及手功能的效果[J]. 《中国康复理论与实践》, 2020, 26(10): 1198-1203.

GAO Pin-cao,TANG Fang,YANG Yi,YU Bin. Effect of Intelligent Rehabilitation Training System on Upper Limb and Hand Function of Patients with Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(10): 1198-1203.

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组别	n	年龄(岁)	性别(n)		病程(d)	病变类别(n)		偏瘫侧(n)
组别	n	年龄(岁)	男	女	病程(d)	脑出血	脑梗死	左侧	右侧
对照组	34	58.85±9.284	18	16	45.12±7.044	14	20	16	18
试验组	34	59.03±8.144	20	14	42.91±8.350	12	22	14	20
t/χ²值		0.582	0.239		2.765	0.249		0.239
P值		0.934	0.625		0.243	0.618		0.625

组别	n	治疗前	治疗1周后	治疗4周后	治疗8周后	F值	P值
对照组	34	15.44±3.16	16.65±3.15	22.41±4.20^a	31.24±4.69^a	16.292	< 0.001
试验组	34	15.26±3.74	17.44±3.89^a	25.29±5.72^a	36.21±6.53^a	16.220	< 0.001
t值		-0.210	0.924	2.369	3.604
P值		0.834	0.359	0.021	0.001

组别	n	治疗前	治疗1周后	治疗4周后	治疗8周后	F值	P值
对照组	34	31.85±5.45	32.85±5.65	40.68±6.17^a	52.24±8.57^a	11.705	< 0.001
试验组	34	33.12±5.58	34.74±5.62	44.06±6.57^a	58.26±11.25^a	11.676	< 0.001
t值		0.945	1.377	2.187	2.486
P值		0.348	0.173	0.032	0.015

组别	n	治疗前	治疗1周后	治疗4周后	治疗8周后	F值	P值
对照组	34	38.24±5.81	38.79±5.71	48.50±6.71^a	57.12±7.38^a	11.721	< 0.001
试验组	34	37.82±6.54	39.24±6.73	52.53±8.78^a	61.26±8.86^a	12.574	< 0.001
t值		-0.274	0.291	2.126	2.122
P值		0.785	0.772	0.037	0.038

智能康复训练系统对脑卒中患者上肢及手功能的效果

Effect of Intelligent Rehabilitation Training System on Upper Limb and Hand Function of Patients with Stroke

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