CAJ | 학술논문

目的：评价强化训练对脑卒中后偏瘫痉挛状态的治疗效果。方法将100例脑卒中后偏瘫患者随机分为强化康复治疗组和常规康复治疗组，每组50例，2组患者在治疗前后分别采用E-LINK评估系统、改良Ashworth分级量表、FMA运动功能评定量表以及采用改良MBI对患者治疗前后肘关节屈伸活动度及前臂旋转活动度、屈肘肌群及前臂旋前肌群肌张力、肢体的运动功能以及日常生活活动能力进行评定。结果2组患者治疗前后肘关节屈伸活动度显著升高（P＜0.05），屈肘肌群及前臂旋前肌群肌张力显著降低（P＜0.05），且强化康复训练组优于常规康复训练组；治疗后强化康复训练组患者的肢体运动功能及日常生活活动能力改善显著优于常规康复训练组（ P＜0.05）。结论强化康复训练对于改善脑卒中后偏瘫痉挛效果更佳。
목적：평개강화훈련대뇌졸중후편탄경련상태적치료효과。방법장100례뇌졸중후편탄환자수궤분위강화강복치료조화상규강복치료조，매조50례，2조환자재치료전후분별채용E-LINK평고계통、개량Ashworth분급량표、FMA운동공능평정량표이급채용개량MBI대환자치료전후주관절굴신활동도급전비선전활동도、굴주기군급전비선전기군기장력、지체적운동공능이급일상생활활동능력진행평정。결과2조환자치료전후주관절굴신활동도현저승고（P＜0.05），굴주기군급전비선전기군기장력현저강저（P＜0.05），차강화강복훈련조우우상규강복훈련조；치료후강화강복훈련조환자적지체운동공능급일상생활활동능력개선현저우우상규강복훈련조（ P＜0.05）。결론강화강복훈련대우개선뇌졸중후편탄경련효과경가。
Objective To evaluate the therapeutic effectiveness of intensive rehabilitation training on spastic hemiplegia af-ter stroke.Methods One hundred stroke patients with hemiplegia were randomly divided into intensive rehabilitation treatment group and routine treatment group ,50 patients in each group. E-LINK assessment ,modified ashworth scale (MSA ) ,Fugl-Meyer assessment (FMA)and modified Barthel index(MBI) scores were used to assess the muscle tone ,the limb motor func-tion and the ability of living on themselves in two groups before and after treatment. Results The elbow flexion and extension were significantly higher in the two groups after treatment(P<0.05) ,the elbow flexors and the tension of forearm pronated muscle decreased significantly (P<0.05) ,but intensive rehabilitation training group is superior to the conventional rehabilita-tion training group. The improvement of limb motor function and activities of daily living of intensive rehabilitation training groups was significantly higher than those of conventional rehabilitation training groups (P<0.05). Conclusion Intensive re-habilitation training has more notable improvement on spastic hemiplegia after stroke.