摘要
目的 :研究脑卒中偏瘫患者健侧上肢运动控制障碍对功能恢复的影响。方法 :62例脑卒中偏瘫患者分别在治疗前和治疗 3个月后对健侧上肢进行上肢功能检查 (manualfunctiontest ,MFT) ,用巴塞尔指数 (BarthelIndex ,BI)评测患者的ADL。结果 :①治疗前MFT异常者 49例 (79% ) ;②MFT变化差值上早期康复组高于恢复期康复组 (P <0 .0 0 1 ) ;③MFT正常组 3个月治疗训练后BI值 1 0 0分 ,BI变化差值正常组高于异常组 (P <0 .0 0 1 )。结论 :脑卒中偏瘫患者健侧上肢存在运动控制障碍 ,并影响功能恢复 。
Objective:To study the influence of function recovery on motor control deficits in the ipsilesional upper extremity of patients with hemiplegia after stroke.Method:62 patients with stroke were measured motor control deficits in the ipsilesional upper extremity and ADL by manual function test(MFT) and Barthel index(BI) before treatment and three months after words.Result:①49 patients on MFT(79%) was abnormal before treatment;②MFS gain of early rehabilitation group were significantly higher than convalescence rehabilitation group after three months ( P <0.001);③MBI gain of MFT normal group were significantly higher than MFT abnormal group after three months( P <0.05).Conclusion:Motor control in ipsilesional upper extremity had deficits after stroke and influence on function recovery. It is very important to actively measure and treat motor control deficits in the ipsilesional upper extremity after stroke. Author′s address Dept.of Rehabilitation Medicine,The General Hospital of PLA,Beijing,100853
出处
《中国康复医学杂志》
CAS
CSCD
2003年第2期85-87,共3页
Chinese Journal of Rehabilitation Medicine
