CAJ | 학술논문

目的：探究康复治疗在急性脑梗死患者手运动功能恢复上的作用。方法：利用血氧水平依赖性功能磁共振成像（BOLD－fMRI）技术与Fugl－Meyer（Fugl－Meyer assessment scale，FMA）运动功能评分评定方法，以20例健康志愿者为对照，比较分析38例脑梗死急性期患者（康复治疗组和常规治疗组）治疗前、后（2周）手运动中枢激活区（SMC）体积及偏侧化指数（LI）的变化，并比较分析康复治疗组和常规治疗组治疗过程中每周的康复情况。结果：38例脑梗死患者中，其健手被动运动的LI值大于患手；康复治疗组患手（右手）治疗前、后（2周）的运动激活SMC的LI值差异显著；康复治疗组的FMA评分明显高于常规治疗组，且FMA评分的变化趋势呈上升状态，至治疗第12周后趋于平缓。结论：康复治疗对急性脑梗死患者的手运动功能恢复具有积极的作用，以发病后的前12周进行康复治疗的效果为佳。
목적：탐구강복치료재급성뇌경사환자수운동공능회복상적작용。방법：이용혈양수평의뢰성공능자공진성상（BOLD－fMRI）기술여Fugl－Meyer（Fugl－Meyer assessment scale，FMA）운동공능평분평정방법，이20례건강지원자위대조，비교분석38례뇌경사급성기환자（강복치료조화상규치료조）치료전、후（2주）수운동중추격활구（SMC）체적급편측화지수（LI）적변화，병비교분석강복치료조화상규치료조치료과정중매주적강복정황。결과：38례뇌경사환자중，기건수피동운동적LI치대우환수；강복치료조환수（우수）치료전、후（2주）적운동격활SMC적LI치차이현저；강복치료조적FMA평분명현고우상규치료조，차FMA평분적변화추세정상승상태，지치료제12주후추우평완。결론：강복치료대급성뇌경사환자적수운동공능회복구유적겁적작용，이발병후적전12주진행강복치료적효과위가。
Objective: To investigate the role of rehabilitation in hand motor function recovery in patients with acute cerebral infarc -tion.Methods:Blood oxygenation level dependent functional magnetic resonance imaging ( BOLD-fMRI) technique and Fugl -Meyer motor function assessment ( FMA) method were adopted .With 20 healthy volunteers as controls , changes of hand movement central acti-vation area ( SMC) volume and laterality index ( LI) of 38 cases with acute cerebral infarction ( rehabilitation treatment group and the con-ventional treatment group ) before and after treatment (2weeks) were comparatively analyzed .Additionally, comparative analysis was also conducted to examine rehabilitation conditions weekly of rehabilitation treatment group and the conventional treatment group during the therapeutic process .Results:The LI value of healthy hand passive movement in 38 patients with cerebral infarction was greater than that of the affected hand.The LI value of SMC of the affected hand(right hand) in the rehabilitation group before and after treatment (two weeks) indicated significant differences .FMA score in the rehabilitation group was markedly higher than that of the conventional treatment group.Also, the FMA score showed a rising trend and tended to flat after 12 weeks of treatment .Conclusi on: Rehabilitation therapy should have a positive effect on hand motor function recovery of patients with acute cerebral infarction , it was better to carry out the reha-bilitation on the first 12 weeks after the onset .