改良强制性使用运动疗法对亚急性期脑卒中患者日常生活活动能力康复疗效的评价

doi:10.13481/j.1671-587x.20160626

Abstract

Abstract:

Objective: To observe the curative effects of modified constraint-induced movement therapy(CIMT) and task-oriented occupation therapy(OT) in the rehabilitation of activity of daily living (ADL) in the patients with sub-acute stroke,and to discuss whether the modified CIMT was suitable for the improvment of ADL.Methods: A total of 90 sub-acute stroke patients were divided into CIMT group(n=48) and control group(n=42),and there were 10 patients dripped out during the study,so there were 42 patients in CIMT group and 38 patients in control group at last.The patients in CIMT group were treated with CIMT,and the patients in control group were treated with task-oriented OT.The scores of Wolf Motor Function Test(WMFT),Fugl-Meyer assesment (FMA) and Barthel index(BI) of the patients in two groups were assessed before treatment and 21 d after treatment,and 30 d after the end of treatment.Results: Compared with before treatment,the WMFT,FMA, and BI scores of the patients in CIMT and control groups after treatment were improved significantly (P<0.05).Compared with control group,the WMFT, FMA,and BI scores of the patients 21 d after treatment in CIMT group were improved (P<0.05).Compared with 21 d after treatment,the WMFT and BI scores of the patients in CIMT group were increased 30 d after the end of treatment (P<0.05),but the FMA score had no change(P>0.05); there were no changes of WMFT,FMA,and BI scores of the patients in control group(P>0.05).Conclusion: The curative effect of modified CIMT in the rehabilitation of ADL in the patients with sub-acute-stroke is superior to task-oriented OT.CIMT could be applied in rehabilitation of the sub-acute stroke patients.

Key words: modified constraint-induced movement therapy, sub-acute stroke, activity of daily living, upper extremity motor function, rehabilitation

CLC Number:

R338.21

LIHe, CHAI Wengang, XU Guoxing, LI Zhenlan. Evaluation on curative effect of modified constraint-induced movement therapy in rehabilitation of activity of daily living in patients with sub-acute stroke[J].Journal of Jilin University Medicine Edition, 2016, 42(06): 1183-1188.

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Evaluation on curative effect of modified constraint-induced movement therapy in rehabilitation of activity of daily living in patients with sub-acute stroke

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