摘要
目的探讨运动再学习方案(MRP)对脑卒中偏瘫患者运动功能的影响。方法用MRP在康复门诊对所有偏瘫患者进行12周规律的康复训练,用运动功能评估量表(MAS)评估29例偏瘫患者训练前和训练后从仰卧到健侧卧、从仰卧到床边、坐位平衡、从坐到站、步行、上肢功能、手部运动、手的精细功能共8个方面的功能状况。结果29例患者训练前、后MAS各项得分和总分经t检验,差异都有统计学意义(P<0.05),其中7例发病在6个月以内的患者比22例病程超过6个月的患者疗效更好(P<0.05);在22例病程超过6个月的患者中,10例积极主动参与的患者比其他12例疗效更好(P<0.05)。结论MRP是一种将患者从被动接受治疗转变为主动参与学习的运动疗法,对提高脑卒中偏瘫患者的运动功能有满意的疗效。
Objective To observe the effects of motor relearning programme（MRP） on the motor functions of hemiplegic patients. Methods A total of 29 hemiplegic outpatients were recruited and treated with MRP for 12 weeks. The Motor Assessment Scale （MAS） was used to assess the motor function before and after training including supine position to sound side, from supine position to bedside, sitting balance, from sitting to standing, walking, upper extremity function, hand movement and specific hand function. Results After treatment, the MAS scores of all the 29 patients were significantly improved as compared to those before the treatment（ P 〈 0.05 ）. It was also found that the functional gains of those within 6 months of onset were significantly greater than those （22 cases） over 6 months of onset（P 〈0.05）, Among those 22 cases, 10 patients who participated actively in MRP had significantly greater improvements in motor functions than the other 12 patients who did not（P 〈 0.05）. Conclusion MRP is helpful in making the patients relearning motor skills actively, and has satisfactory effects in improving the motor functions of hemiplegic patients.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2007年第8期543-545,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
偏瘫
康复
运动再学习
主动参与
Hemiplegia
Rehabilitation
Motor relearning programme
Active participation
