新医学
新醫學
신의학
NEW CHINESE MEDICINE
2014年
5期
304-307
,共4页
偏瘫型脑性瘫痪%家庭康复%强制性诱导运动疗法%上肢功能
偏癱型腦性癱瘓%傢庭康複%彊製性誘導運動療法%上肢功能
편탄형뇌성탄탄%가정강복%강제성유도운동요법%상지공능
Hemiplegic cerebral palsy%Home-based rehabilitation%Constraint induced movement therapy%Upper limb function
目的：探讨家庭康复中运用强制性诱导运动疗法（CIMT）对偏瘫型脑瘫患儿上肢功能恢复的影响。方法将偏瘫型脑瘫患儿62例分为CIMT组与对照组，两组均接受普通康复训练， CIMT组在此基础上还接受CIMT治疗。采用以下量表对治疗疗效进行评定并比较两组结果，包括Fugl-Meyer运动功能评定量表（FMA）上肢部分（FMA-UE）、运动功能评估量表（MAS）上肢部分（MAS-UE）、Carroll上肢功能试验（UEFT）及日常生活活动能力（ADL）量表（Barthel指数）。结果治疗10周后，两组的 FMA-UE、MAS-UE、UEFT 评分及 Barthel 指数均较治疗前提高（P均＜0.05），且CIMT组疗效优于对照组（FMA-UE：31.44±12.26 vs.25.52±10.71；MAS-UE：5.96±4.50 vs.3.65±4.48；UEFT：53.35±5.43 vs.42.44±2.10；Barthel指数：59.48±5.45 vs.56.41±4.75）（P均＜0.05）。结论家庭康复中运用CIMT有助于偏瘫型脑性瘫痪患儿上肢功能的恢复。
目的：探討傢庭康複中運用彊製性誘導運動療法（CIMT）對偏癱型腦癱患兒上肢功能恢複的影響。方法將偏癱型腦癱患兒62例分為CIMT組與對照組，兩組均接受普通康複訓練， CIMT組在此基礎上還接受CIMT治療。採用以下量錶對治療療效進行評定併比較兩組結果，包括Fugl-Meyer運動功能評定量錶（FMA）上肢部分（FMA-UE）、運動功能評估量錶（MAS）上肢部分（MAS-UE）、Carroll上肢功能試驗（UEFT）及日常生活活動能力（ADL）量錶（Barthel指數）。結果治療10週後，兩組的 FMA-UE、MAS-UE、UEFT 評分及 Barthel 指數均較治療前提高（P均＜0.05），且CIMT組療效優于對照組（FMA-UE：31.44±12.26 vs.25.52±10.71；MAS-UE：5.96±4.50 vs.3.65±4.48；UEFT：53.35±5.43 vs.42.44±2.10；Barthel指數：59.48±5.45 vs.56.41±4.75）（P均＜0.05）。結論傢庭康複中運用CIMT有助于偏癱型腦性癱瘓患兒上肢功能的恢複。
목적：탐토가정강복중운용강제성유도운동요법（CIMT）대편탄형뇌탄환인상지공능회복적영향。방법장편탄형뇌탄환인62례분위CIMT조여대조조，량조균접수보통강복훈련， CIMT조재차기출상환접수CIMT치료。채용이하량표대치료료효진행평정병비교량조결과，포괄Fugl-Meyer운동공능평정량표（FMA）상지부분（FMA-UE）、운동공능평고량표（MAS）상지부분（MAS-UE）、Carroll상지공능시험（UEFT）급일상생활활동능력（ADL）량표（Barthel지수）。결과치료10주후，량조적 FMA-UE、MAS-UE、UEFT 평분급 Barthel 지수균교치료전제고（P균＜0.05），차CIMT조료효우우대조조（FMA-UE：31.44±12.26 vs.25.52±10.71；MAS-UE：5.96±4.50 vs.3.65±4.48；UEFT：53.35±5.43 vs.42.44±2.10；Barthel지수：59.48±5.45 vs.56.41±4.75）（P균＜0.05）。결론가정강복중운용CIMT유조우편탄형뇌성탄탄환인상지공능적회복。
Object To observe the effect of home-based constraint-induced movement therapy (CI-MT) on upper limb function in children with hemiplegic cerebral palsy. Method Sixty-two patients with hemiplegic cerebral palsy were divided into CIMT group and control group. Both groups were treated with com-mon rehabilitation training,with an extra CIMT training in the former group. The effects were evaluated and compared with fugl-meyer assessment-upper extremity (FMA-UE ),motor assessment scale-upper extremity (MAS-UE),upper extremity function test (UEFT),barthel index were applied to evaluate upper limb func-tion and activity of daily living in two groups before and after treatment. Results After 1 0 weeks of treatment, the scores of FMA-UE,MAS-UE,UEFT and Barthel index of both groups were improved obviously (P<0.05 ). The treatment effect of CIMT group was significantly better than that of the control group (FMA-UE:31.44 ±1 2.26 vs. 25.52 ±1 0.71;MAS-UE:5.96 ±4.50 vs. 3.65 ±4.48;UEFT:53.35 ±5.43 vs.42.44 ±2.10;Barthel index:59.48 ±5.45 vs. 56.41 ±4.75)(P<0.05). Conclusion CIMT is helpful to improve the upper limb function of children with hemiplegic cerebral palsy.
