《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (2): 165-167.

• 论文 • 上一篇    下一篇

强制运动疗法对脑卒中亚急性期上肢运动功能的影响

何龙文1，沈光宇2，沈敏1，徐胜林1，倪隽2，蔡俊燕2，朱振杰2，顾琦2，蔡娴颖1，方栋1   

  1. 1.上海市残疾人康复职业培训中心，上海市 200127；2. 南通大学医学院，江苏南通市 226001。
  • 收稿日期:2010-05-20 修回日期:1900-01-01 出版日期:2011-02-25 发布日期:2011-02-25

Constraint-induced Movement Therapy on Upper Extremities for Sub-acute Stroke

HE Long-wen, SHEN Guang-yu, SHEN Min, et al.   

  1. Shanghai Rehabilitation & Training Centre for the Disabled, Shanghai 200127, China
  • Received:2010-05-20 Revised:1900-01-01 Published:2011-02-25 Online:2011-02-25

PDF (PC)

摘要： 目的评估强制运动疗法(CIMT)对脑卒中后亚急性期患者上肢运动功能的疗效。方法选择上海市残疾人康复职业培训中心和南通大学附属医院康复医学科收治的脑卒中偏瘫患者63例，按入院先后时间分为治疗组(32例)和对照组(31例)，均接受2周的常规康复训练。然后，对照组继续常规康复训练，治疗组接受2周的CIMT治疗。两组均在治疗后第1天、第15天和第30天用上肢动作研究量表(ARAT)评分、Fugl-Meyer量表(FMA)进行评估。结果治疗后第30天CIMT组ARAT评分、FMA评分均显著高于该组第15天评分及常规康复组评分(P<0.001)。结论CIMT是一种改善亚急性期脑卒中患者上肢运动功能的有效治疗方法，优于常规康复训练。

关键词: 强制运动疗法, 脑卒中, 亚急性期, 上肢运动

Abstract: ObjectiveTo assess the effects of constraint-induced movement therapy(CIMT) on sub-acute stroke patients with upper extremity motor dysfunction.Methods63 patients with hemiplegia after stroke were divided into two groups: control group(31 cases) and CIMT group(32 casese). The two groups received the regular rehabilitation training for 14 d. Then the control group went on the the regular rehabilitation training, while the CIMT group received CIMT for 14 d. All patients were assessed by the Action Research Arm Test(ARAT) and Fugl-Meyer(FMA) on the first day, the 15th day and the 30th day after the treatment.ResultsARAT score and FMA scores were higher in CIMT group than in the control group 30 d after the treatment and in CIMT group 15 days after the treatment(P<0.001).ConclusionCIMT is more effective to improve the upper limb motor function of the sub-acute stroke patients than the regular rehabilitation training.

Key words: constraint-induced movement therapy, stroke, sub-acute, upper extremity