摘要
目的 探讨手指精细动作训练对脑卒中恢复期偏瘫手功能障碍患者手功能的影响。方法 60例脑卒中恢复期偏瘫手功能障碍患者,随机信封法分为对照组和试验组,每组30例。对照组给予常规康复治疗,试验组在对照组基础上加手指精细动作训练。在治疗前、20次训练后第2次(治疗7周后)、40次训练后第3次(治疗14周后)评估两组Brunnstrom运动功能分期、偏瘫手功能分级以及Lindmark腕手功能评分,并进行比较。结果 治疗7周后,两组Brunnstrom运动功能分期比较无显著差异(P>0.05);治疗14周后,试验组Brunnstrom运动功能分期高于对照组,组间比较有显著差异(P<0.05)。治疗7周后,两组偏瘫手功能分级组间比较无显著差异(P>0.05);治疗14周后,试验组偏瘫手功能分级显著高于对照组,组间比较有显著差异(P<0.05)。治疗7、14周后,试验组Lindmark腕手功能评分分别为(10.68±3.30)、(17.48±5.17)分,均高于对照组的(8.70±2.58)、(14.75±4.89)分,组间比较有显著差异(P<0.05)。结论 手指精细动作训练可以有效改善脑卒中恢复期偏瘫手功能障碍患者的手功能。
Objective To explore the influence of finger dexterity training on hand function of hemiplegic patients in convalescent period of stroke.Methods 60 hemiplegic patients in convalescent period of stroke were divided into a control group and an experimental group by random envelope method,with 30 cases in each group.The control group received conventional rehabilitation treatment,while the experimental group received finger dexterity training on the basis of the control group.The Brunnstrom motor function rating,hemiplegic hand function grading and Lindmark wrist-hand function score were evaluated and compared between the two groups before treatment,at the second time after 20 training sessions(7 weeks of treatment),and at the third time after 40 training sessions(14 weeks of treatment).Results After 7 weeks of treatment,there was no significant difference in the Brunnstrom motor function rating between the two groups(P>0.05).After 14 weeks of treatment,the Brunnstrom motor function rating of the experimental group was higher than that of the control group,and there was a significant difference between groups(P<0.05).After 7 weeks of treatment,there was no significant difference in the hemiplegic hand function grading between the two groups(P>0.05).After 14 weeks of treatment,the hemiplegic hand function grading in the experimental group was significantly higher than that in the control group,and there was a significant difference between groups(P<0.05).After 7 and 14 weeks of treatment,the Lindmark wrist-hand function score of the experimental groups were(10.68±3.30) and(17.48±5.17) points,which were higher than(8.70±2.58) and(14.75±4.89) points of the control group,and there was a significant difference between groups(P<0.05).Conclusion Finger dexterity training can effectively improve hand function in hemiplegic patients in convalescent period of stroke.
作者
许加云
周丽萍
XU Jia-yun;ZHOU Li-ping(Xinjing Community Health Service Center of Changning District,Shanghai 200335,China)
出处
《中国现代药物应用》
2024年第17期156-159,共4页
Chinese Journal of Modern Drug Application
基金
2020年度上海市长宁区医疗卫生科研专项课题(项目编号:CNKW2020Y54)。
关键词
手指精细动作训练
脑卒中恢复期偏瘫
手功能障碍
Finger dexterity training
Hemiplegia in convalescent period of stroke
Hand dysfunction
