目的 研究提醒治疗法对亚急性期脑卒中患者运动功能、活动和参与的疗效。方法 2016年2月至2017年10月,45例轻中度上肢运动功能障碍脑卒中住院患者,随机分成对照组(n=23)和试验组(n=22)。对照组每天接受常规作业治疗,试验组患侧手臂佩戴定时提醒腕表,提醒患者需要完成的指定训练任务,共3周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、功能独立性测量(FIM)、运动活动日志(MAL)和脑卒中影响量表(SIS)进行评定。结果 治疗后,两组均有部分项目评分增加(P<0.05),试验组FMA-UE、FIM评分,MAL、SIS多项评定结果优于对照组(t>1.183, P<0.05),其他项目无显著性差异(P>0.05)。结论 提醒治疗法能有效改善亚急性期脑卒中患者上肢运动功能、日常活动和参与能力,提高患者生活质量。
Objective To explore the effect of remind-to-move treatment on upper limb motor function, activities of daily living and participation in patients with subacute stroke. Methods From February, 2016 to October, 2017, 45 patients with mild to medium upper limbs dysfunction after stroke were randomly assigned to control group (n=23) and experimental group (n=22). The control group accepted routine occupational therapy, while the experimental group wore a wristwatch on the hemiplegic forearm to encourage the predetermined training programs, for three weeks. They were measured with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Function Independence Measurement (FIM), Motor Activity Log (MAL), and Stroke Impact Scale (SIS) before and after treatment. Results Both groups improved in part of the scores of three scales after treatment (P<0.05), and improved more in the experimental group than in the control group in scores of FMA-UE and FIM, and some sub-scores of MAL and SIS (t>1.183, P<0.05), with no significant difference in other indexes (P>0.05).Conclusion Remind-to-move treatment can promote the recovery of upper limb motor function, activities of daily living and participation in the patients with subacute stroke.
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