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偏瘫患者坐位起立强化训练的疗效观察

Discussion of rehabilitstion of STS intensive training for hemiplegic person
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摘要 目的:观察常规康复治疗增加坐位起立(sit to stand,STS)强化训练对脑卒中患者下肢功能和ADL的影响。方法:常规康复治疗的基础上,将40例患者随机分为强化STS训练的治疗组和常规治疗组。采用Fugl-meyer(FMA,下肢运动功能部分)和Barthel指数法于治疗前及治疗1个月、3个月后评定各组患者的下肢运动功能和日常活动能力[1]。结果:治疗前两组FMA(下肢部分)和Barthel指数积分相近,差异均无显著性意义(P>0.05);治疗1个月、3个月后,两组患者积分均有提高,STS强化康复组FMA(下肢部分)积分提高幅度更大,差异有显著性意义(P<0.05)。结论:STS强化训练是一种新颖、循序渐进、贯穿整个康复进程的偏瘫治疗手段,能显著改善偏瘫患者的运动模式,加速康复进程。 Objective: Observe the influence of conventional rehabilitation which is intensive training using a mean like sitting to stand( SIS ) on hemplegic persons' crura and ADL. Methods: On base of conventional rehabilitation, we divide 40 patients into two groups inrandom which include SIS and routine. We use Fugl - meyer(crura motor)and Barthel exponential method to assess every patient's crura ability and daily movement ability before treatment and about a month or three months after treatment. Results: Before treatment the numbers between FMA(lower limbs) and Barthel are similar and there are no remarkable significance ( P〉 0.05) between them; After a month or three months under treatment the index numbers of two groups which are tested by T have marked signifcance( P 〈 0.05) and there are larger improvement on FMA(lower limbs),the patients of SIS intensive training group have larger improvement than the other group. Conclusion: STS intensive training is a cure for hemiplegy which is a novel、growingand through all rehabilitation. It can improve the athletic mode of patients and enhance the recovery process.
机构地区 嘉祥县人民医院
出处 《中国民康医学》 2008年第4期272-272,309,共2页 Medical Journal of Chinese People’s Health
关键词 偏瘫 坐位起立 Hemiplegic Sitting to stand(STS) Rebabilitation
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