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病房-家庭嵌入式运动想象干预及上肢康复锻炼器在脑卒中偏瘫患者中的应用研究

Research on application of ward-family embeded motor imagery intervention and upper extremity rehabilitation training apparatus in stroke patients with hemiplegia
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摘要 目的观察病房-家庭嵌入式运动想象干预及上肢康复锻炼器在脑卒中偏瘫患者中应用效果。方法采用抽签法将100例脑卒中偏瘫患者分为对照组与试验组,各50例。对照组接受常规康复训练,试验组在对照组方法基础上予病房-家庭嵌入式运动想象干预及上肢康复锻炼器应用。比较两组患者干预前后上肢运动功能评分、日常生活能力评分、神经功能检查量表评分、上肢肌电积分差异。结果干预前后差值,运动力指数上肢部分评分试验组(30.08±1.38)分、对照组(25.54±1.24)分;Fugl-Meyer评定表上肢部分评分试验组(26.05±0.05)分、对照组(19.00±2.04)分;美国国立卫生研究院卒中量表评分试验组(6.87±0.60)分、对照组(4.10±0.44)分;Barthel指数试验组(40.67±4.59)分、对照组(23.92±4.42)分;上肢肌电积分三角肌试验组(32.85±3.00)μV、对照组(20.08±2.36)μV,肱三头肌试验组(16.29±3.75)μV、对照组(8.94±1.61)μV,前臂伸肌肌群试验组(19.00±3.80)μV、对照组(11.15±1.95)μV,经比较,差异均有统计学意义(P<0.05)。结论病房-家庭嵌入式运动想象干预及上肢康复锻炼器应用可改善脑卒中偏瘫患者的上肢功能和神经功能,并提高其日常生活活动能力。 Objective To observe the application effect of ward-family embeded motor imagery intervention and upper extremity rehabilitation training apparatus on stroke patients with hemiplegia.Methods Totally 100 stroke patients with hemiplegia were divided into control group(n=50)and observation group(n=50)by sampling method.Patients in control group received routine rehabilitation training.Patients in observation group received ward-family embeded motor imagery intervention and upper extremity rehabilitation training apparatus based on routine rehabilitation training.Scores on upper extremity motor function,scores on activity of daily living,scores on nervous function scale and integrated electromyogram(iEMG)of upper extremity were compared betwen two groups before and after intervention.Results For the difference before and after intervention,score on Motricity Index of Upper Extremities(MI-UE)was(30.08±1.38)in observation group and(25.54±1.24)in control group.Score on Fugl-Meyer Assessment-Upper Extremity(FMA-UE)was(26.05±0.05)in observation group and(19.00±2.04)in control group.Score on National Institutes of Health Stroke Scale(NIHSS)was(6.87±0.60)in observation group and(4.10±0.44)in control group.The Barthel Index was(40.67±4.59)in observation group and(23.92±4.42)in control group.The iEMG of deltoid muscle was(32.85±3.00)μV in observaton group and(20.08±2.36)μV in control group.The iEMG of musculus triceps brachii was(16.29±3.75)μV in observaton group and(8.94±1.61)μV in control group.The iEMG of extensor of forearm was(19.00±3.80)μV in observaton group and(11.15±1.95)μV in control group.The difference was significant(P<0.05).Conclusion Application of ward-family embeded motor imagery intervention and upper extremity rehabilitation training apparatus can improve upper extremity function and nervous function of stroke patients with hemiplegia and inprove their activity of daily living.
作者 任小萍 贺郁琳 徐月花 Ren Xiaoping;He Yulin;Xu Yuehua(Affiliated Hangzhou First People's Hospital,Zhejiang University School of Medicine,Hangzhou Zhejiang 310006,China)
出处 《护理与康复》 2023年第9期6-11,共6页 Journal of Nursing and Rehabilitation
基金 浙江省医药卫生科技计划项目,编号2019PY056。
关键词 脑血管疾病 上肢功能 运动想象 上肢康复锻炼器 cerebrovascular disease upper extremity function motor imagery upper extremity rehabilitation training apparatus
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  • 1各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量:33008
  • 2Rimmer JH. Use of the ICF in identifying factors that impact participation inphysical activity/rehabilitation among people with disabilities[J]. Disabil Rehabil, 2006,28 ( 17 ) : 1087-1095. 被引量:1
  • 3Collin C,Wade DT, Davies S, et al. The Barthel ADL Index: a reliability study [J]. Int Disabil Stud 1988,10(2):61-63. 被引量:1
  • 4Posner KL, Sampson PD, Caplan RA, et al. Measuring interrater reliability among multiple raters: an example of methods for nominal data [J ]. Star Med, 1990, 9 ( 9 ) : 1103-1115. 被引量:1
  • 5Cyr L, Francis K. Measures of clinical agreement for nominal and categorical data: the kappa coefficient [J]. Comput Biol Med, 1992,22(4) :239-246. 被引量:1
  • 6Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index[J]. Md State Med J, 1965,14:61-65. 被引量:1
  • 7Shinar D, Gross CR, Bronstein KS, et al. Reliability of the activities of daily living scale and its use intelephone interview [J]. Arch Phys Med Rehabil, 1987,68 ( 10), 723-728. 被引量:1
  • 8Dromerick AW, Edwards DF, Diringer MN. Sensitivity to changes in disability after stroke: a comparison of four scales useful in clinical trials [J]. J Rehabii Res Dev, 2003,40 ( 1 ) : 1-8. 被引量:1
  • 9Wojner-Alexander AW, Garami Z, Chernyshev OY, et al. Heads down: flat positioning improves blood flow velocity in acuteisehemie stroke [J]. Neurology,2005,64(8) : 1354-1357. 被引量:1
  • 10Granger CV, Hamilton BB, Greshann GE. The stroke rehabilitation outcome study-Part I: General description [J]. Arch Phys Med Rehabil,]988,69(7):506-509. 被引量:1

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