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中风患者上肢本体感觉强化训练的意义 |
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李 华1 池达智1 姚红华1
摘要 目的：探讨中风患者接受上肢本体感觉强化训练的治疗方法及其疗效。方法：研究对象为60例中风后偏瘫患者，随机分为治疗组和对照组(各30例)，两组患者均接受一般的康复治疗，但治疗组患者还接受上肢各关节本体感觉强化训练。采用Fugl-Meyer积分法、SHEF方法与Barthel指数法进行功能评定。结果：治疗组患者上肢功能活动与日常生活活动能力均明显提高，上肢合并症的发生明显减少，与对照组比较均存在显著差异（P＜0.01)。结论：上肢本体感觉强化训练利于提高中风患者的上肢综合性运动功能，减少合并症的发生。
关键词：中风；本体感觉；强化训练
Effects of intensive training method for upper extremity proprioceptive sensibility in patients after stroke/LI Hua, CHI Dazhi, YAO Honghua//Chinese Journal of Rehabilitation Medicine, 1998, 13(3):113～115
Abstract Objective: The intensive stimulating methods of upper extremity proprioceptive sensibility after hemiplegia were introduced with emphasis on its curative effect. Method: 60 stroke patients were randomly divided into treatment group and control group. Both of them received common rehabilitation. Fugl-Meyer Scale,simple hand evaluation facilities(SHEF) and Barthel ADL Index were used to assess the function of all the patients. Result: In the treatment group the upper extremity comprehensive function and ADL were significantly improved, the concomitant symptoms were reduced. The above parameters were better in the treatment group as compare with control group. Conclusion:It′s indicated that the intensive stimulating method of proprioceptive sensibility might be effective for improving affected upper extremity after hemiplegia.
Author′s address Dept. of Rehabilitation Medicine, Zhujiang Hospital, Guangzhou, 510282
Key words Hemiplegia; Proprioceptive sensibility; Intensive training
在中风后偏瘫的康复中，上肢功能同下肢行走能力的恢复同等重要，它将直接影响到患者日后生活自理能力，而且还影响身体其他部位功能的发挥。治疗时上肢功能恢复难度大、进展慢，而且往往存在肩痛、肩手综合征、上肢屈肌痉挛等并发症，使功能恢复更加困难。本研究探讨了强化上肢本体感觉训练的治疗方法及疗效。
1 资料和方法
1.1 临床资料
全部病例为我院神经内科收治的中风后偏瘫患者60例，均经CT确诊，排除精神障碍和骨骼肌肉病变所致上肢运动功能障碍者。随机分为治疗组和对照组。治疗组30例，男21例，女9例；左侧偏瘫10例，右侧偏瘫20例，脑血栓形成24例，脑出血6例；平均年龄63.5±9.0岁；病程14～59天，平均38.5±11.0天。对照组30例，男19例，女11例；左侧偏瘫8例，右侧偏瘫22例；脑血栓形成23例，脑出血7例；平均年龄64.1&p[1] [2] 下一页
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