《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (11): 1259-1264.doi: 10.3969/j.issn.1006-9771.2022.11.004
收稿日期:
2022-06-29
修回日期:
2022-09-09
出版日期:
2022-11-25
发布日期:
2022-12-20
通讯作者:
徐磊
E-mail:xuleibyfy@163.com
作者简介:
童心(1996-),男,汉族,四川泸州市人,硕士研究生,治疗师,主要研究方向:神经康复-手功能。|徐磊(1981-),男,汉族,安徽蚌埠市人,博士,副主任医师、副教授,主要研究方向:神经康复。
基金资助:
TONG Xin,LU Yan,ZHANG Yongqing,YU Aiyan,DUAN Zaiyang,XU Lei()
Received:
2022-06-29
Revised:
2022-09-09
Published:
2022-11-25
Online:
2022-12-20
Contact:
XU Lei
E-mail:xuleibyfy@163.com
Supported by:
摘要:
目的 观察悬吊下数字作业疗法(OT)评估训练系统训练对脑卒中后上肢运动功能障碍的影响。
方法 2021年2月至2022年2月,蚌埠医学院第一附属医院脑卒中偏瘫上肢运动功能障碍患者90例随机数字表法分为常规组、数字OT组和悬吊组,每组30例。三组均行常规上肢康复训练和药物治疗,并予传统OT治疗;数字OT组行上肢数字OT系统训练,悬吊组在上肢悬吊状态下行数字OT系统训练,共4周。治疗前后,采用Fugl-Meyer评定量表上肢部分(FMA-UE)、改良Barthel指数(MBI)进行评定,表面肌电图(sEMG)检测桡侧腕背伸肌收缩时的平均肌电值(AEMG)、均方根值(RMS)、中位频率(MF)和平均功率频率(MPF)。
结果 治疗后,3组FMA-UE评分、MBI评分、AEMG、RMS、MF和MPF均显著改善(|t| > 9.202, P < 0.001),悬吊组各项指标最优(F > 8.791, P < 0.001)。
结论 悬吊下数字OT系统训练能进一步改善脑卒中偏瘫患者上肢运动功能,提高日常生活活动能力,提高上肢肌肉功能。
中图分类号:
童心,卢燕,张永卿,俞蔼晏,段再扬,徐磊. 悬吊下数字作业疗法系统训练对脑卒中偏瘫患者上肢运动功能的效果[J]. 《中国康复理论与实践》, 2022, 28(11): 1259-1264.
TONG Xin,LU Yan,ZHANG Yongqing,YU Aiyan,DUAN Zaiyang,XU Lei. Effects of Digital Occupational Therapy System training under suspension on upper limb motor function for stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1259-1264.
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