CAJ | 학술논문

目的：探讨音乐疗法结合强制性使用运动疗法治疗脑梗塞上肢运动功能障碍的疗效及机理。方法：将120例脑梗塞亚急性期上肢功能障碍患者随机分为观察组（50例）和对照组（50例），两组患者在入院后均接受常规康复训练及内科治疗；2周后，对照组在常规康复训练、治疗基础上给予强制性使用运动疗法治疗，观察组则给予音乐疗法结合强制性使用运动疗法，干预14天后观察两组患者上肢动作研究量表（ARAT）评分、Fugl-Meyer量表（FMA）评分、汉密尔顿焦虑量表（HAMA）评分的改善情况。结果：干预14天后，观察组ARAT评分、FMA评分均显著高于对照组（P<0.01），HAMA评分显著低于对照组（P<0.01）。结论：音乐结合强制性使用运动疗法可有效改善脑梗塞亚急性期上肢功能障碍及焦虑状态，值得临床推广应用。
목적：탐토음악요법결합강제성사용운동요법치료뇌경새상지운동공능장애적료효급궤리。방법：장120례뇌경새아급성기상지공능장애환자수궤분위관찰조（50례）화대조조（50례），량조환자재입원후균접수상규강복훈련급내과치료；2주후，대조조재상규강복훈련、치료기출상급여강제성사용운동요법치료，관찰조칙급여음악요법결합강제성사용운동요법，간예14천후관찰량조환자상지동작연구량표（ARAT）평분、Fugl-Meyer량표（FMA）평분、한밀이돈초필량표（HAMA）평분적개선정황。결과：간예14천후，관찰조ARAT평분、FMA평분균현저고우대조조（P<0.01），HAMA평분현저저우대조조（P<0.01）。결론：음악결합강제성사용운동요법가유효개선뇌경새아급성기상지공능장애급초필상태，치득림상추엄응용。
Objective:To investigate the efficacy and mechanism of music therapy combined with constraint-induced movement therapy (CIMT) for upper extremity dyskinesia after cerebral infarction. Methods:120 cases of patients with upper extremity dyskinesia at sub-acute phase of cerebral in-farction were randomly divided into observation group (50 cases) and control group (50 cases), both groups were received conventional rehabilitation training and medical treatment after hospitalization;2 weeks later, on the basis of conventional rehabilitation training and medical treatment, the con-trol group treated by CIMT, while the observation group by music therapy combined with CIMT, then observed the improvement of ARAT, FMA and HAMA scores of two groups after 14 days. Results:After 14 days' intervention, the ARAT and FMA scores of observation group were both signifi-cantly higher than those of control group (P<0.01), while HAMA score was significantly lower than that of control group (P<0.01). Conclusion:Mu-sic therapy combined with CIMT can effectively improve upper extremity dyskinesia and anxiety at sub-acute phase of cerebral infarction, which de-serves clinical promotion and application.