摘要
目的研究Fugl-Meyer运动功能评分量表上肢部分(upper Fugl-Meyer motor function assessment,U-FMA)在脑卒中患者镜像康复治疗中的评估作用及与功能独立性评测量表(functional independence measure, FIM)的关系。方法将80例脑卒中后偏瘫的患者随机分为常规康复组(40例)和镜像治疗组(40例)。常规康复组给予常规康复训练,镜像治疗组在常规康复训练的基础上加用镜像疗法;疗程均为24周。治疗前及治疗8、16、24周后采用U-FMA量表评估运动功能、FIM量表评估日常独立活动能力。分析患者运动功能及日常生活活动能力改善程度,并分析两者间的相关性。结果两组治疗8周、16周、24周后,与治疗前U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。两组U-FMA评分、FIM评分相比,差异有统计学意义(P<0.05)。相关性分析显示,U-FMA评分与FIM评分呈正相关。结论镜像治疗能够提高脑卒中偏瘫患者上肢运动功能,改善日常生活活动能力。U-FMA量表、FIM量表均能较好反映卒中患者康复后上肢运动功能、日常生活能力改善程度,两者具有良好的相关性。
Objective To evaluate the role of the upper Fugl Meyer motor function assessment(U-FMA)in the mirror therapy of stroke patients and its correlation with the functional independence measure(FIM).Methods A total of 80 patients with hemiplegia were randomly divided into the mirror therapy group(40 cases)and the routine rehabilitation group(40 cases).Patients in the routine rehabilitation group were given routine rehabilitation training,mirror treatment group were given the mirror therapy based on routine rehabilitation therapy.The treatment lasted 24 weeks.Before the treatment and after 8,16,and 24 weeks'treatment,the U-FMA was used to evaluate the motor function with the FIM to assess the daily independent activity ability in order to analyze the patient's motor function and daily life.The improvement degree of the patient's motor function and the daily living activities and the correlation between the two scales were analyzed.Results After 8,16 and 24 weeks'treatment,the scores of U-FMA and FIM in two groups were significantly different compared with before treatment(P<0.05).The scores in mirror treatment group were statistically significant than those in routine rehabilitation group(P<0.05).Correlation analysis showed that U-FMA score was positively correlated with FIM score.Conclusion The mirror treatment can improve the upper limb motor function and the activities of daily living in stroke patients with hemiplegia.U-FMA and FIM can better reflect the improvement of upper limb motor function and daily living ability of stroke patients after rehabilitation,and the two scores show positive correlation.
作者
胡国金
孙秀丽
张义发
孙李慧子
耿超
张丽
黄维
肖尧
Hu Guojin;Sun Xiuli;Zhang Yifa;Sun Lihuizi;Geng Chao;Zhang Li;Huang Wei;Xiao Yao(Department of Comprehensive Rehabilitation,the Second Rehabilitation Hospital of Shanghai,Shanghai 200441,China)
出处
《临床荟萃》
CAS
2019年第2期116-119,共4页
Clinical Focus
基金
2014年上海市宝山区科学技术委员会科技创新专项资金项目--脑卒中偏瘫患者上肢功能康复镜像治疗的研究(14-E-35)
