个体化桥式运动强化训练对脑卒中偏瘫患者的影响

关键词：脑卒中  偏瘫  桥式运动  康复

Keywords:stroke  hemiplegia  bridging activity  rehabilitation

摘要：

      目的：探讨个体化的桥式运动强化训练对脑卒中偏瘫患者肢体运动功能、平衡能力和ADL能力的影响。方法：对80例发病2-12周内的脑卒中偏瘫患者，随机分成常规运动治疗组（Ａ组）和个体化桥式运动强化训练组（Ｂ组），两组的常规内科治疗相同，分别于入组时、治疗８周末，采用简化Fugl-Meyer运动功能评分、Fugl-Meyer平衡功能评分和改良Barthel指数进行评定。结果：治疗８周后B组的各项评分明显高于A组（Ｐ＜0.05）。结论：个体化桥式运动强化训练较常规运动治疗能更显著地改善脑卒中偏瘫患者肢体运动功能、平衡能力和日常生活活动能力。

Abstract:

      Objective:To observe the effect of individual intensive bridging activities on limb motor function, balance ability and ADL in patients with hemiplegia after stroke. Method:Eighty patients with hemiplegia secondary to stroke for 2 to 12 weeks were randomly assigned into two groups: the general exercise group (group A) and the individual intensive bridging activities group (group B). Both of the two groups had the same general medicine therapy. We assessed the two groups by simplified Fugl-Meyer motor function scale and Fugl-Meyer balance scale and Modified Barthel Index separately at the time of beginning and 8 weeks later and evaluated the clinic curative effect. Result: The assessments for the group B were better than group A after 8 weeks' treatment. There were significant differences between the two groups(P<0.05). Conclusion:Individual intensive bridging activities are more effective than routine exercises on motor function, balance ability and ability of ADL in hemiplegia after stroke.