摘要
目的 :探讨早期物理治疗对急性脑卒中患者功能预后的影响。方法 :选择 82例急性脑卒中患者 ,随机分为早期物理治疗组和对照组 ,治疗组采用Bobath法和运动再学习法相结合的方法进行训练 ,对照组不实施物理治疗 ,任其自然恢复。结果 :治疗组Fugl Meyer和功能独立性测量得分 ,治疗前后比较有显著提高 (P <0 0 1) ,对照组的上、下肢运动功能和功能独立方面的评分也有一定提高 ,但改善的程度不如对照组 ,两组间差异有显著性 (P <0 0 0 5 ) ;治疗组继发性残疾的发生率为 0 ,对照组为 2 7 5 % ,其中肩手综合征 5例 ,单一肩关节半脱位 2例 ,坠积性肺炎 3例 ,褥疮 1例。结论 :早期物理治疗对促进运动功能的恢复 ,提高患者的生活自理能力 ,从而改善患者的生活质量 ,预防各种合并症。
Objective:To investigate the functional prognosis of early physical therapy (PT) applied to acute stroke patient.Method:Eihgt two acute stroke patients,were randomly devided into two groups.42 of them were in the physical therapy group,and the control group had 40 patients. The criteria of patients selection was based on the National Conference of Cerebral Vascular Diseases in 1995.The start time of early physical therapy depended on stablity of the physical signs, plus 48 hours after symptoms stopped to develop, and Glasgow Coma Scale (GCS) was greater than 9.Fugl Meyer Assessment was used for body movement ability and Functional Independence Measure(FIM) was used for the level of disability.The treatment group was treated with Bobath′s and motor relearning programme(MRP) method for physical therapy.The control group received no physical therapy.Result:(1) The score of Fugl Meyer and FIM improved significantly(P<0 01) between pre training and post training in the treatment group. The score of motor function and Functional independence increased in the control group,but the degree of improvement was significantly higher in the treatment group than in the controls(P<0.005). The ability of self care and transfer improved greater in FIM with PT.(2)The Incidence of secondary disability was zero in the treatment group and 27.5% in the controls (5 of the Shoulder Hand Syndrome,2 with the subluxed shoulder,3 with pneumonia and 1 with bedsore).Conclusion: Early physical therapy is very important in accelerating recovery of motor function,improving the ability of ADL and quality of life,and preventing secondary disability. Author′s address\ Dept. of Rehabil,the First Affiliated Hospital of Sun Yat sen University of Medical Sciences,Guangzhou,510080
出处
《中国康复医学杂志》
CAS
CSCD
2000年第2期83-84,共2页
Chinese Journal of Rehabilitation Medicine
关键词
物理疗法
运动功能
预后
中风
Stroke
Physical therapy
Motor function
Prognosis
