动态腕手矫形器应用于慢性期脑卒中患者上肢及手功能康复的疗效

doi:10.3969/j.issn.1006-9771.2019.11.019

Abstract

Abstract: Objective To observe the effect of grasping training under a dynamic wrist-hand orthosis (Saebo Glove) on upper limb and hand function in chronic stroke patients. Methods From October, 2018 to January, 2019, eleven patients with hemiplegia in upper limb and hand after chronic stroke were recruited. They received conventional rehabilitation and grasping training under dynamic wrist-hand orthosis for three weeks. They were tested surface electromyography of flexor and extensor muscle of wrist and upper limb, assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Action Reach Arm Test (ARAT), modified Ashworth Scale (MAS), modified Tardieu Scale (MTS) and Triple Spasticity Scale (TSS), and measured grip force, active range of motion of wrist and metacarpophalangeal joints before and after treatment. Results The scores of FMA, ARAT and TSS, and active range of motion of wrist flexor improved after treatment (t > 2.739, P < 0.05). Conclusion Grasping training assisted with dynamic wrist-hand orthosis can improve upper limb and hand function of motor and release spasticity in hemiplegics after chronic stroke.

Key words: stroke, upper limb, hand, wrist-hand orthosis, motor function, spasticity

CLC Number:

R743.3

YANG Ming-zhen, HUANG Song-hua, BAI Yu-long. Application of A Dynamic Wrist-hand Orthosis for Upper Limb and Hand Function Rehabilitation in Chronic Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(11): 1361-1364.

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Application of A Dynamic Wrist-hand Orthosis for Upper Limb and Hand Function Rehabilitation in Chronic Stroke Patients

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