摘要
目的探讨改良强制性运动疗法联合个体化作业疗法对脑卒中偏瘫患者肢体障碍及认知功能影响。方法选取2018年7月至2020年1月南京医科大学附属淮安第一医院收治80例脑卒中偏瘫患者为研究对象,按照治疗方法分为对照组和联合治疗组,每组40例。对照组接受个体化作业疗法进行康复治疗,联合治疗组在对照组的基础上联合改良强制性运动疗法进行康复治疗。治疗3个月后,比较两组肢体运动功能[Fugl-Meyer运动功能评分法(FMA)及Carroll上肢功能测试评分(UEFT)]、生活质量[SF-36健康调查简表(SF-36)]、日常生活能力(Barthel指数)、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、认知功能[蒙特利尔认知评估量表(MoCA)]评分。结果治疗前,两组上肢FMA评分、下肢FMA评分、UEFT评分、BI评分、NIHSS评分、MoCA评分比较,差异均无统计学意义(P>0.05);治疗3个月后,两组上肢FMA评分、下肢FMA评分、UEFT评分、BI评分、MoCA评分高于治疗前,且联合治疗组高于对照组;NIHSS评分低于治疗前,且联合治疗组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组SF-36评分比较,差异无统计学意义(P>0.05);治疗3个月后,两组SF-36评分高于治疗前,且联合治疗组高于对照组,差异有统计学意义(P<0.05)。结论改良强制性运动疗法联合个体化作业疗法可改善脑卒中偏瘫患者肢体障碍、认知功能及神经功能,还可提高生活质量、日常活动能力。
Objective To explore the effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia.Methods Eighty patients with stroke and hemiplegia admitted to the Affiliated Huai’an First Hospital of Nanjing Medical University were selected from July 2018 to January 2020 as research objects.They were divided into the control group and the combined treatment group according to the treatment method,with 40 cases in each group.The control group was received individualized occupational therapy for rehabilitation,and the combined treatment group was combined with modified compulsory exercise therapy for rehabilitation based on the control group.The motor function of the two groups of limbs(Fugl-Meyer assessment scale[FMA]and Carroll upper extremities functional test[UEFT]),quality of life(the MOS 36-item short from health survey[SF-36]),ability of daily living(Barthel index),neurological function(national institutes of health stroke scale[NIHSS]),cognitive function(Montreal cognitive assessment scale[MoCA])were compared after three months of treatment.Results Before treatment,there were no significant differences in upper limb FMA score,lower limb FMA score,UEFT score,BI score,NIHSS score and MoCA score between the two groups(P>0.05).After three months of treatment,upper limb FMA score,lower limb FMA score,UEFT score,BI score and MoCA score in two groups were higher than those before treatment,and the combined treatment group was higher than the control group;NIHSS score of two groups were lower than that before treatment,and the combined treatment group was lower than the control group,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in SF-36 score between the two groups(P>0.05).After three months of treatment,SF-36 score in two groups were higher than those before treatment,and the combined treatment group was higher than the control group,and the differences were statistically significant(P<0.05).Conclusion Modified compulsory exercise therapy combined with individualized occupational therapy can improve limb disorders,cognitive function and neurological function in patients with stroke and hemiplegia,and can also improve the quality of life and daily activity ability.
作者
郑志达
刘亚
ZHENG Zhida;LIU Ya(Department of Rehabilitation Medicine,the Affiliated Huai’an First Hospital of Nanjing Medical University,Jiangsu Province,Huai’an 223300,China;Department of Children’s Rehabilitation,the Affiliated Huai’an First Hospital of Nanjing Medical University,Jiangsu Province,Huai’an 223300,China)
出处
《中国医药导报》
CAS
2021年第20期74-77,共4页
China Medical Herald
基金
江苏省自然科学基金资助项目(BK20191212)。
关键词
改良强制性运动疗法
个体化作业疗法
脑卒中
偏瘫
Modified compulsory exercise therapy
Individualized occupational therapy
Stroke
Hemiplegia
