悬吊训练结合本体感觉训练对脑卒中患者上肢功能的影响

关键词：脑卒中  上肢功能  悬吊训练  本体感觉训练

Keywords:stroke  upper limb function  suspension training  proprioceptive training

摘要：

      摘要 目的：观察悬吊训练结合本体感觉训练对脑卒中患者上肢功能的影响。 方法：采用随机数字法将69例脑卒中患者分为试验组（n=34）和对照组（n=35）。试验组在接受基础常规康复训练的基础上采用悬吊训练结合本体感觉训练治疗，对照组采用常规康复治疗。治疗前后采用疼痛目测类比法（VAS）、重复定位测试（RT）、简化Fugl-Meyer量表上肢部分（FMA-UE）来评估患者的功能。 结果：共61例患者完成试验。治疗后，两组VAS、RT、FMA-UE评分均较治疗前改善（P<0.05），且试验组的VAS、RT评分（90°、150°）、FMA-UE优于对照组（P<0.05），RT评分在30°处二者相比较无显著性差异（P>0.05）。 结论：悬吊训练结合本体感觉训练可减轻早期脑卒中患者肩痛，提高患者上肢本体感觉，促进上肢运动功能的恢复。

Abstract:

      Abstract Objective： To investigate the effects of suspension training combined with proprioceptive training on upper limb function in patients after stroke. Method： Sixty-nine subjects， suffering from stroke， were randomly divided into experimental group(n=34) and control group(n=35). On the basis of the routine rehabilitation training， the experimental group was treated with suspension training combined with proprioception training， while the control group was treated with routine rehabilitation treatment only. Before and after training， visual analogue scale(VAS)， repositioning test(RT) and Fugl-Meyer assessment(FMA-UE) scores were collected to evaluate the function of patients in both groups. Result： A total of 61 patients completed the trial. After training， both of the two groups have significant improvement in VAS、RT、FMA-UE scores. FMA-UE，VAS and RT scores (90°and 150°) in the experimental group improved better than those in the control group(P<0.05)，and there was no significant difference in RT scores between the two groups at 30°(P>0.05). Conclusion： Suspension training combined with proprioception training can alleviate shoulder pain in patients with early stroke，improve proprioception of upper limbs， and promote the recovery of upper limb motor function.