CAJ | 학술논문

目的观察强制性使用运动疗法(CIMT)对亚急性期脑卒中偏瘫患者上肢功能恢复的影响.方法将60例脑卒中偏瘫患者分为治疗组(n=30)和对照组(a=30),进行6周的康复治疗.2组患者均先进行常规康复训练,每日1次,每次45～60 min,每周训练6次.4周后治疗组改用CIMT治疗2周,对照组治疗保持不变.采用Fugl-Meyer运动量表(FMA)、上肢功能测验(UEFT)、简易上肢机能检查(STEF)和改良Barthel指数(MBI),于治疗前、治疗4周和6周后,以及治疗结束后1个月和3个月评定2组患者的上肢运动功能和日常生活活动能力,并进行比较.结果 2组治疗后不同时间段的上肢、腕和手FMA、UEFT、STEF和MBI评分与治疗前比较,差异均有统计学意义(P＜0.05);治疗组治疗6周后及随访期间的UEFT、STEF和MBI评分与对照组比较,差异有统计学意义(P＜0.05),提示其功能改善更显著,且疗效持续至随访期.结论 CIMT可促进亚急性期脑卒中偏瘫患者上肢功能的恢复,其疗效优于常规康复训练.
목적 관찰강제성사용운동요법(CIMT)대아급성기뇌졸중편탄환자상지공능회복적영향.방법 장60례뇌졸중편탄환자분위치료조(n=30)화대조조(a=30),진행6주적강복치료.2조환자균선진행상규강복훈련,매일1차,매차45～60 min,매주훈련6차.4주후치료조개용CIMT치료2주,대조조치료보지불변.채용Fugl-Meyer운동량표(FMA)、상지공능측험(UEFT)、간역상지궤능검사(STEF)화개량Barthel지수(MBI),우치료전、치료4주화6주후,이급치료결속후1개월화3개월평정2조환자적상지운동공능화일상생활활동능력,병진행비교.결과 2조치료후불동시간단적상지、완화수FMA、UEFT、STEF화MBI평분여치료전비교,차이균유통계학의의(P＜0.05);치료조치료6주후급수방기간적UEFT、STEF화MBI평분여대조조비교,차이유통계학의의(P＜0.05),제시기공능개선경현저,차료효지속지수방기.결론 CIMT가촉진아급성기뇌졸중편탄환자상지공능적회복,기료효우우상규강복훈련.
Objective To study the effects of constraint-induced movement therapy(CIMT)on upper extremity functional performance in sub-acute stroke patients.Methods Sixty stroke survivors were divided into a treatment group(n=30)and a control group(a=30).The treatment group received routine rehabilitation training for 4 weeks,followed by CIMT for two weeks;the control group received only routine rehabilitation training for six weeks.The Fugl-Meyer Assessment(FMA),upper extremity function test(UEFT),simple test for evaluating hand function(STEF)and modified Barthel Index(MBI)were used to assess motor function in the patients'upper extremities and their performance in the activities of daily living(ADL)before treatment,at the end of4 and 6 weeks of treatment,and 1 and 3 months after the end of the 6-week treatment. Results After six weeks of treatment,the patients in both groups were significantly improved in terms of FMA,UEFT,STEF and MBI scores compared with their results got before treatment,and the treatment group scored significantly higher on the UEFT,STEF and MBI scales compared with the control group. Conclusion CIMT can effectively improve upper extremity motor function and the ADL performance of patients with sub-acute stroke.Its effectiveness is superior to that of routine rehabilitation training.