摘要
目的研究分析针对性运动疗法结合认知训练治疗脑外伤后运动功能障碍的临床效果。方法将2018年4月~2019年4月我院收治的88例脑外伤患者纳为研究对象,并依据入院时间对其进行分组:2018年4~10月收治的44例作为常规组,予以常规疗法,2018年11月~2019年4月收治的44例则作为研究组,予以针对性运动疗法结合认知训练。比较分析两组患者的简易上肢机能检查(Simple Test Evaluating Hand Function,STEF)量表、Fugl-Meyer运动功能(Fugl-Meyer Assessment,FMA)量表、简明精神状态量表(Minimum Mental State Examination,MMSE)、日常生活活动能力量表(Activity of Daily Living,ADL)评分及Holden步行功能分级情况。结果治疗后,研究组的STEF评分、FMA评分、MMSE评分、ADL评分均高于常规组;此外,研究组Holden步行功能0、1级患者例数均少于常规组,4、5级患者例数则均多于常规组(P<0.05)。结论在脑外伤后患者中采用针对性运动疗法结合认知训练能够有效改善其上肢功能及肢体运动障碍,促进运动功能恢复,同时提高步行能力及日常生活能力,效果显著。
Objective To investigate and analyze the clinical effect of targeted exercise therapy combined with cognitive training in the treatment of movement disorders after traumatic brain injury.Methods 88 patients with traumatic brain injury admitted to our hospital from April 2018 to April 2019 were selected as research subjects and were divided into groups according to admission time:44 patients admitted from April 2018 to October 2018 were treated with conventional therapy as the conventional group,while 44 patients admitted from November 2018 to April 2019 were treated with targeted exercise therapy combined with cognitive training as the study group.The scores of Simple Test Evaluating Hand Function(STEF),Fugl-Meyer Assessment(FMA),Minimum Mental State Examination(MMSE)and Activity of Daily Living(ADL)and Holden's functional ambulation category(FAC)scale were compared between the patients of the two groups.Results After treatment,STEF scores,FMA scores,MMSE scores and ADL scores of the study group were all higher than those of the conventional group.In addition,the number of patients with both grade 0 and grade 1 of Holden's FAC in the study group was smaller than that in the conventional group,and the number of patients with both grade 4 and grade 5 was larger than that in the conventional group(P<0.05).Conclusion Targeted exercise therapy combined with cognitive training can effectively ameliorate the upper limb function and limb dyskinesia,promote the recovery of movement function,and also improve walking ability and daily living ability of the patients with traumatic brain injury.The effect is obvious.
作者
张树宇
唐琳
高琛
高晋
崔金雪
ZHANG Shuyu;TANG Lin;GAO Chen;GAO Jin;CUI Jinxue(General Hospital of Heilongjiang Farms&Land Reclamation Administration,Harbin150088,China;The Fourth Hospital of Harbin Medical University,Harbin150001,China;Military Sports Training Center,Shenyang110000,China)
出处
《中国现代医生》
2020年第17期124-127,131,共5页
China Modern Doctor
关键词
脑外伤
运动功能障碍
针对性运动疗法
认知训练
Traumatic brain injury
Movement disorders
Targeted exercise therapy
Cognitive training
