CAJ | 학술논문

目的：探讨任务导向结合肌力训练对脑卒中后遗症患者下肢运动功能和日常生活活动能力（ADL）的影响。方法选择2012年2月-2013年10月新疆医科大学第一附属医院康复医学科收治的80例脑卒中后遗症患者，随机分为试验组和对照组，每组40例。两组患者除均接受常规药物治外，对照组采用常规康复治疗措施，试验组采用任务导向结合肌力训练。比较两组患者训练前后评定运动功能量表（Fugl-Meyer）、日常生活能力评定量表（Barthel）指数及步速进行评价及临床疗效分析。结果两组患者治疗后下肢各项运动指标均有改善，但试验组患者 Fugl-Meyer 评分、Barthel 指数及步速均明显高于对照组（P ＜0．01），试验组患者康复训练的总有效率（92．5％）明显高于对照组（70．0％），差异有统计学意义（χ2＝6．7491，P ＝0．0342）。结论任务导向结合肌力训练对脑卒中后遗症期患者偏瘫下肢康复治疗效果良好，可显著改善脑卒中后遗症期患者的下肢运动功能，提高日常生活活动能力（ADL）。
목적：탐토임무도향결합기력훈련대뇌졸중후유증환자하지운동공능화일상생활활동능력（ADL）적영향。방법선택2012년2월-2013년10월신강의과대학제일부속의원강복의학과수치적80례뇌졸중후유증환자，수궤분위시험조화대조조，매조40례。량조환자제균접수상규약물치외，대조조채용상규강복치료조시，시험조채용임무도향결합기력훈련。비교량조환자훈련전후평정운동공능량표（Fugl-Meyer）、일상생활능력평정량표（Barthel）지수급보속진행평개급림상료효분석。결과량조환자치료후하지각항운동지표균유개선，단시험조환자 Fugl-Meyer 평분、Barthel 지수급보속균명현고우대조조（P ＜0．01），시험조환자강복훈련적총유효솔（92．5％）명현고우대조조（70．0％），차이유통계학의의（χ2＝6．7491，P ＝0．0342）。결론임무도향결합기력훈련대뇌졸중후유증기환자편탄하지강복치료효과량호，가현저개선뇌졸중후유증기환자적하지운동공능，제고일상생활활동능력（ADL）。
Objective To investigate the effects of task-oriented training combined with strength training on stroke patients with hemiplegia sequelae of lower extremity motor function and ADL ability.Methods 80 cases with hemiplegia stroke sequelae,selected from the Department of Rehabilitation,the First Affiliated Hospital,Xinjiang Medical University,in 2012.2-2013.10,were randomly divided into experimental and control group,with 40 patients in each group.With the conventional drug treatment for 80 patients,the control group received conventional rehabilitation,and the experimental group received the task-oriented training combined with strength training as the rehabilitation training.Fugl-Meyer score,Barthel Index, the pace and tempo in two groups of patients before and after the training were compared and studied for the analysis on the rehabilitation effects.Results After treatment,the indices of lower limb movement in two groups were improved,and the Fugl-Meyer score,Barthel Index and Pace in the experimental group were significantly higher than those in the control group (P <0.01);The total effective rate of rehabilita-tion in the experimental group (92.5%)was significantly higher than that in the control group (70.0%), with significant difference in statistics (χ2 =6.749 1,P =0.034 2).Conclusion The task-oriented training combined with strength training had good effects on the rehabilitation of patients with hemiplegia stroke sequelae,and it can significantly improve the patients′lower extremity motor function and ADL capacity.