《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (08): 675-676.

• 专题 脑损伤及其并发症 • 上一篇    下一篇

偏瘫实用训练技术应用的研究

桑德春1,2; 纪树荣1,2; 范晓华1,2; 金萍3; 张缨1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.北京博爱医院,北京市 100068;3.北京残疾人康复服务指导中心,北京市 100028
  • 收稿日期:2006-07-03 出版日期:2006-08-01 发布日期:2006-08-01

Effectiveness and Practicability of Rehabilitation Training for Hemiplegia

SANG De-chun, JI Shu-rong, FAN Xiao-hua, et al   

  1. The Faculty of Rehabilitation of Capital University of Medical Sciences, Beijing 100068, China
  • Received:2006-07-03 Published:2006-08-01 Online:2006-08-01

PDF (PC)

被引次数

17

摘要： 目的探讨偏瘫实用训练技术的有效性和可行性。方法将313例脑血管病偏瘫患者分为康复治疗组和对照组,运用偏瘫实用训练技术进行康复治疗3个月。康复治疗组在康复治疗前、治疗1个月、2个月和3个月时分别采用Fugl-Meyer评定法、功能独立性评定法(FIM)和社区康复肢体残疾功能评定法,进行肢体功能评定和日常生活活动能力(ADL)评定。对照组仅做定期跟踪康复评定,内容同康复治疗组。结果治疗后,康复治疗组患者的肢体运动功能、ADL、社会适应能力均有明显改善,Fugl-Meyer评分、FIM评分、社区康复肢体残疾功能评分均显著提高(P<0.001),康复效果明显优于对照组(P<0.05～0.001)。FIM评分、Fugl-Meyer评分、社区康复肢体残疾功能评定法三者之间呈正相关关系。结论偏瘫实用训练技术有良好的康复效果。

关键词: 偏瘫, 运动功能, 运动功能障碍, 训练技术, 康复治疗

Abstract: ObjectiveTo explore the effectiveness and practicability of training technique in hemiplegia.Methods313 stroke patients with hemiplegia were divided randomly into the control group and training group, and treated with integrative training technique for hemiplegia impairment during 3 months. Locomotor recovery and the performance of activities of daily living (ADL) of patients in two groups were assessed before and after one, two and three months training respectively, using Fugl-Meyer Assessment (FMA), Functional Independence Measure (FIM) and the scale of impairment in community rehabilitation.ResultsAfter treatment, FMA, FIM and the scale of impairment in community rehabilitation of the patients in the training group improved significantly ( P<0.001), the effectiveness was better than that of the control group ( P<0.05～0.001).The scales of FMA and FIM were proportional to the scale of impairment in community rehabilitation.ConclusionThe training technique for hemiplegia has ideal rehabilitation effectiveness.

Key words: hemiplegia, motor function, movement impairment, training technique, rehabilitation