脑卒中患者采用力反馈感知康复训练后手指运动功能障碍恢复效果评价

doi:10.13481/j.1671-587X.20240426

Abstract

Abstract:

Objective To discuss the effect of the force feedback perceptual rehabilitation training on finger motor function of the patients with finger motor dysfunction after stroke， and to provide the basis for the clinical application and promotion of the force feedback perceptual rehabilitation training. Methods A total of 86 patients with hand dysfunction after stroke were randomly divided into experimental group （n=43） and control group （n=43），and 3 cases in each group fell off from the experiment， and 80 cases were ultimately completed. On this basis， the patients in two groups received the conventional rehabilitation training for 40 min. The patients in control group received the conventional hand function training for 20 min， while the patients in experimental group received the force feedback perception rehabilitation training for 20 min， once per day， 5 days per week， for a total of 6 weeks. The hand function recovery of the patients were evaluated before and after treatment by Action Research Arm Test （ARAT），grip strength， modified Ashworth scale （MAS）， total active motion （TAM）， Fugl-Meyer motor function assessment-upper limb （FMA-UL） finger motor part score，and Barthel index （BI）. Results Before treatment， there were no statistically significant differences in ARAT total score， grip strength， MAS grade， TAM， FMA-UL finger motor part score， and BI score of the patients between two groups （P>0.05）. After treated for 6 weeks， the ARAT scores， grip strengths， TAM， FMA-UL finger motor part scores， and BI scores of the patients in two groups were all increased than those before treatment （P<0.05）， while the MAS grades of the patients had no significant differences （P>0.05）. After treated for 6 weeks， compared with control group，the grasp score and grip score in ARAT score， and the difference of total ARAT score of the patients in experimental group were increased （P<0.05）， the TAM after treatment and the differences of grip strength， TAM， and FMA-UL finger motor part score of the patients before and after treatment were increased （P<0.05）， while the pinch scores and gross movement scores in ARAT score， MAS grades， and the differences of BI score before and after treatment had no significant differences（P>0.05）. Conclusion Force feedback perceptual rehabilitation training is helpful in improving the finger motor function of the patients with finger motor dysfunction after stroke.

Key words: Force feedback perceptual, Stroke, Finger motor dysfunction, Rehabilitation treatment

CLC Number:

R743.3

Yawen LIAN,Yinghua LI,Guoxing XU,Xixi XIE,Zhenlan LI. Evaluation of recovery effect of finger motor dysfunction in patients with stroke after treated with force feedback perceptual rehabilitation training[J].Journal of Jilin University(Medicine Edition), 2024, 50(4): 1116-1122.

Figures/Tables 7

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References 21

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Group	Grasp score			Grip score
Group	Before treatment	After treatment	Difference value	Before treatment	After treatment	Difference value
Control	6.00(3.25,10.75)	10.00(9.00,13.00)^*	3.50(2.00,6.00)	5.00(2.00,8.00)	8.00(6.00,10.00)^*	2.00(0.25,4.00)
Experimental	8.00(5.00,11.00)	14.00(12.25,18.00)^*△	5.00(3.00,8.00)	7.00(3.00,9.00)	10.00(8.25,12.00)^*△	2.00(0.00,4.00)
Group	Pinch score			Gross movement score
Group	Before treatment	After treatment	Difference value	Before treatment	After treatment	Difference value
Control	2.00(0.25,6.00)	5.00(3.25,10.00)^*	2.50(2.00,4.00)	1.50(0.00,4.75)	5.00(3.00,6.75)^*	2.00(0.25,3.75)
Experimental	3.00(0.00,5.50)	7.00(4.00,10.00)^*	4.00(1.00,6.00)	2.50(0.00,4.75)	6.00(3.25,9.00)^*	2.50(0.00,5.75)
Group	Total score
Group	Before treatment		After treatment		Difference value
Control	14.50(6.25,29.25)		27.00(23.00,41.25)^*		11.50(7.25,17.75)
Experimental	19.50(9.00,31.25)		35.50(29.25,46.00)^*		14.50(9.00,22.50)^△

Group	Grip strength
Group	Before treatment	After treatment	Difference value
Control	0.20(0.00,2.70)	2.20(0.60,3.58)^*	0.75(0.50,1.45)
Experimental	0.25(0.00,3.20)	3.15(1.65,5.68)^*	1.95(1.30,2.68)^△

Group	TAM
Group	Before treatment	After treatment	Difference value
Control	187.50(138.25,527.25)	489.00(281.25,650.25)^*	113.00(60.75,213.00)
Experimental	180.00(112.00,575.50)	543.50(427.75,776.75)^*△	215.50(108.75,360.50)^△

Group	FMA-UL finger motor part score
Group	Before treatment	After treatment	Difference value
Control	3.50(2.00,7.00)	8.00(5.00,10.75)^*	3.00(1.25,4.00)
Experimental	3.00(2.00,8.00)	9.00(7.00,12.75)^*	4.50(3.00,6.00)^△

Group	BI
Group	Before treatment	After treatment	Difference value
Control	17.50(10.00,30.00)	25.00(20.00,35.00)^*	5.00(0.00,10.00)
Experimental	20.00(11.25,30.00)	30.00(20.00,35.00)^*	5.00(5.00,13.75)

Evaluation of recovery effect of finger motor dysfunction in patients with stroke after treated with force feedback perceptual rehabilitation training

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