摘要
目的观察Rood技术对脑梗塞患者软瘫期上肢运动功能的疗效.方法选取2019年1月—2022年2月该院收治的60例脑梗塞后上肢处于软瘫期的患者为研究对象,按随机数字表法将其分为常规治疗组及Rood技术治疗组,各30例.常规治疗组采用常规药物和肢体关节被动活动等常规康复治疗,Rood技术治疗组在常规药物治疗的基础上采用Rood技术疗法.治疗前、治疗4周后,采用上肢Fugl-Meyer运动功能评分量表(U-FMA)、改良Ashworth痉挛评定量表和Barthel指数(BI)评分分别对两组患者进行上肢运动功能评分、肌张力等级评定和日常生活能力的评估.结果治疗前,两组U-FMA评分和BI评分比较,组间差异无统计学意义(P>0.05);治疗4周后,Rood技术治疗组U-FMA评分、BI评分分别为(10.33±2.86)分、(54.34±6.82)分,均高于常规治疗组的(8.41±3.02)分、(46.51±7.13)分,组间差异有统计学意义(P<0.05).Rood技术治疗组肌张力改善率为80.00%,高于常规治疗组的43.33%,差异有统计学意义(P<0.05).结论Rood技术疗法可有效促进脑梗塞患者软瘫期上肢运动功能的恢复.
Objective To observe the effect of Rood technique on upper limb motor function in patients with cerebral infarction during flunky paralysis.Methods 60 patients with upper limb flabby paralysis after cerebral infarction admitted to this hospital from January 2019 to February 2022 were selected as the research objects.According to the random number table method,they were divided into a conventional treatment group and a rood technique treatment group,with 30 cases in each group.The conventional treatment group was treated with conventional drugs and conventional rehabilitation treatment such as passive movement of limbs and joints.The Rood technique treatment group was treated with Rood technique in addition to conventional drug treatment.The Fugl-Meyer Assessment scale(U-FMA),Modified Ashworth Scale and Barthel Index(BI)were used to evaluate the upper limb motor function,muscle tension and activity of daily living of all patients before and after treatment.Results Before treatment,there was no significant difference in U-FMA score and BI score between the two groups(P>0.05).After 4 weeks of treatment,the U-FMA score and BI score in the Rood technique group were(10.33±2.86)points and(54.34±6.82)points,respectively,which were higher than(8.41±3.02)points and(46.51±7.13)points in the conventional treatment group,and the differences between the two groups were statistically significant(P<0.05).Before treatment,the muscle tension of the two groups was 0,and the difference was not statistically significant(P>0.05).After treatment,the improvement rate of muscle tension in the Rood technique treatment group was 80.00%,which was higher than 43.33%in the conventional treatment group,the difference was statistically significant(P<0.05).Conclusion Rood technique can effectively promote the recovery of upper limb motor function in patients with cerebral infarction during flabby paralysis.
作者
陈瑞旦
苏海婷
杨玉凤
聂镜钊
陈嘉健
黄山城
CHEN Ruidan;SU Haiting;YANG Yufeng;NIE Jingzhao;CHEN Jiajian;HUANG Shancheng(Department of Rehabilitation Medicine,First People's Hospital of Zhaoqing,Guangdong Province,Zhaoqing Guangdong,526040,China)
出处
《反射疗法与康复医学》
2024年第5期85-88,共4页
Reflexology And Rehabilitation Medicine
关键词
Rood技术
脑梗塞
软瘫期
上肢运动功能
Rood technique
Cerebral infarction
Flabby paralysis stage
Upper limb motor function
