摘要
目的:观察运动疗法对偏瘫患者上肢运动功能的改善效果。方法:2004-01/2005-01作者利用课余时间在南京师范大学体育科学学院运动疗法实验室对1例脑卒中6年患者共完成约60次的康复训练。患者女,24岁,脑中动脉梗死左侧偏瘫6年,病后CT检查显示患者大脑皮质的运动区和颞叶受损坏。患者及其家属知情同意。选择体育运动中能调用瘫痪肌的多种运动动作为练习内容,用音乐控制运动节奏,以授课的形式进行康复训练。根据Brunnstrom功能评定方法,采用录像和照像对训练效果进行检测和评价,并适时地调整运动处方。Brunnstrom功能评定标准包括中枢运动功能障碍恢复的6个阶段,即弛缓阶段、痉挛阶段、联带运动阶段、部分分离运动阶段、分离运动阶段和正常运动阶段。结果:通过60次康复训练,患者上肢运动功能已从痉挛阶段康复到分离运动阶段。结论:运动疗法对偏瘫上肢痉挛阶段到分离运动阶段的康复效果显著。
AIM： To observe the effect of physical therapy on the improvement of upper limb function of patients with hemiplegia. METHODS： The rehabilitative training was carried out in the laboratory of physical therapy, Institute of Sports Science, Nanling Normal University for 60 times from January 2004 to January 2005 for one 24-year-old female patient with stroke for 6 years （informed consent）. The CT scanning showed that her corticocerebral motor area and temporal lobe was injured. She received special exercise training, which could transfer the paralytic muscle, in teaching form and controlled by music. Brunnstrom scale was used to evaluate the effect of training by video and photos, as so to regulate the training form in time. Brunnstrom scale involved 6 stages during the recovery of central motor dysfunction including relaxed stage, spasm stage, syncinesis stage, partial separation motion stage, separation motion stage, and normal motion stage. RESULTS： After the rehabilitative training for 60 times, the motion function of upper limb of the subject had recovered from spasm stage to separation motion stage. CONCLUSION： Physical therapy is very effective for the patient with hemiplegia spasticity.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第52期10474-10476,共3页
Journal of Clinical Rehabilitative Tissue Engineering Research
基金
江苏省高校自然科学基金项目<体育节律性运动对偏瘫上肢康复影响机制的研究>(06KJB320064)~~
