《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (04): 372-373.

• 临床研究 • 上一篇    下一篇

作业疗法对偏瘫患者上肢运动及日常生活活动的影响

李岩; 顾旭东; 姚云海; 吴华; 李辉; 王伟; 金敏敏; 俞志良; 张雄伟   

  1. 嘉兴市第二医院康复医学中心,浙江嘉兴市 314000
  • 收稿日期:2007-11-12 出版日期:2008-04-01 发布日期:2008-04-01

Effect of Occupational Therapy on Motor Function of Upper Limbs and Activities of Daily Living of Patients with Hemiplegia

LI Yan,GU Xu-dong, YAO Yun-hai, et al   

  1. The Rehabilitation Medicine Center of Jiaxing Second Hospital, Jiaxing 314000, Zhejiang, China
  • Received:2007-11-12 Published:2008-04-01 Online:2008-04-01

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摘要： 目的探讨作业疗法对偏瘫患者上肢运动及日常生活活动的影响。方法51例偏瘫患者随机分为治疗组(n=26)和对照组(n=25),均接受常规康复训练,但治疗组增加作业疗法。治疗前后采用Fugl-Meyer量表评定患者的上肢综合运动功能,并进行日常生活活动(ADL)能力及手功能评定。结果治疗后,两组患者的Fugl-Meyer量表评分、ADL及手功能评定均较治疗前改善(P<0.05),但治疗组的疗效优于对照组(P<0.05)。结论采用作业疗法强化上肢及手功能训练,能有效改善和恢复偏瘫患者的各种精细协调动作。

关键词: 作业疗法, 上肢功能, 偏瘫, 日常生活活动

Abstract: Objective To investigate the effect of occupational therapy on motor function of upper limbs and activities of daily living(ADL)of patients with hemiplegia.Methods 51 patients with hemiplegia were randomly divided into the treatment group(n=26)and control group(n=25).Both two groups were received routine training,and besides,patients in the treatment group were added with occupational therapy.The motor function of upper limbs was evaluated by Fugl-Meyer scale before and after treatment,and ADL and hand function were also evaluated at same time.Results After treatment,the scores of Fugl-Meyer scale,ADL and hand function of all patients in two groups improved(P<0.05),but the therapeutic effect of the treatment group was superior to the control group(P<0.05).Conclusion The occupational therapy can strengthen the upper limbs and hands function,and effectively improve fine motors.

Key words: occupational therapy, upper limb function, hemiplegia, activity of daily living