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

doi:10.3969/j.issn.1006-9771.2022.11.004

Abstract

Abstract:

Objective To observe the effect of Digital Occupational Therapy (OT) System training under suspension on upper limb motor function after stroke.

Methods From February, 2021, to February, 2022, 90 stroke hemiplegic patients with upper limb motor dysfunction from the First Affiliated Hospital of Bengbu Medical College were randomly divided into routine group (n = 30), digital OT group (n = 30) and suspension group (n = 30). All the groups received routine upper limb rehabilitation, medication, and routine OT, while the digital OT group received the upper limb training of Digital OT System and the suspension group received the upper limb training of Digital OT System with the upper limb suspended. They were assessed with Fugl-Meyer Assessement-Upper Extremities (FMA-UE) and modified Barthel Index (MBI) before and four weeks after treatment, while the mean electromyography (AEMG), root mean square (RMS), median frequency (MF) and mean power frequency (MPF) of the radial extensor carpi dorsi muscle during contraction were measured with surface electromyography (sEMG).

Results The FMA-UE score, MBI score, AEMG, RMS, MF and MPF improved after treatment in all the groups (|t| > 9.202, P < 0.001), and all the indexes were the best in the suspension group (F > 8.791, P < 0.001).

Conclusion Digital OT System training under suspension can promote the recovery of upper limb motor function for stroke patients, as well as the activities of daily living and the upper limb muscle function.

Key words: stroke, upper limbs, suspension, occupational therapy, rehabilitation

CLC Number:

R743.3

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.

Figures/Tables 7

References 30

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组别	n	性别(男/女)/n	年龄/岁	病程/d	患侧(左/右)/n	性质(出血/梗死)/n
常规组	30	21/9	58.33±10.11	65.57±23.01	14/16	13/17
数字OT组	30	22/8	57.63±10.24	68.77±20.75	17/13	15/15
悬吊组	30	21/9	56.63±9.88	70.27±13.80	15/15	14/16
χ²/F值 P值		0.108 0.947	0.216 0.806	0.451 0.639	0.623 0.733	0.268 0.875

组别	n	治疗前	治疗后	t值	P值
常规组	30	31.90±8.63	35.37±8.05	-9.202	< 0.001
数字OT组	30	32.27±7.34	40.30±6.91^a	-10.918	< 0.001
悬吊组	30	32.60±8.83	44.20±5.99^a,b	-12.028	< 0.001
F值		0.053	11.883
P值		0.948	< 0.001

组别	n	治疗前	治疗后	t值	P值
常规组	30	59.00±13.86	65.33±12.52	-11.894	< 0.001
数字OT组	30	58.83±13.94	71.00±10.62^a	-11.439	< 0.001
悬吊组	30	58.50±12.17	76.67±7.69^a,b	-11.626	< 0.001
F值		0.011	8.791
P值		0.989	< 0.001

组别	n	治疗前	治疗后	t值	P值
常规组	30	16.37±6.00	30.33±6.47	-12.995	< 0.001
数字OT组	30	16.70±5.68	34.17±6.53^a	-21.665	< 0.001
悬吊组	30	15.77±5.14	38.83±4.75^a,b	-29.955	< 0.001
F值		0.213	15.232
P值		0.809	< 0.001

组别	n	治疗前	治疗后	t值	P值
常规组	30	31.37±8.45	46.23±7.75	-19.902	< 0.001
数字OT组	30	31.73±6.68	49.97±5.90^a	-26.076	< 0.001
悬吊组	30	32.03±8.66	54.30±5.93^a,b	-20.647	< 0.001
F值		0.053	11.287
P值		0.949	< 0.001

Effects of Digital Occupational Therapy System training under suspension on upper limb motor function for stroke patients with hemiplegia

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组别	n	治疗前	治疗后	t值	P值
常规组	30	71.13±7.91	84.43±7.12	-20.960	< 0.001
数字OT组	30	73.17±5.98	87.93±5.09^a	-35.402	< 0.001
悬吊组	30	72.40±7.65	91.40±5.26^a,b	-25.113	< 0.001
F值		0.605	10.471
P值		0.548	< 0.001

组别	n	治疗前	治疗后	t值	P值
常规组	30	91.33±7.41	105.40±9.69	-11.421	< 0.001
数字OT组	30	92.23±5.42	110.03±6.03^a	-25.534	< 0.001
悬吊组	30	92.23±6.95	114.80±8.16^a,b	-20.787	< 0.001
F值		0.183	10.107
P值		0.833	< 0.001

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