运动再学习方案对急性脑卒中偏瘫患者运动功能恢复的影响

Min Guan, Si-wei Liu, Bao-jin Li, Cheng Li, Yun Qu
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引用次数: 6

摘要

目的探讨运动再学习计划(MRP)对急性脑卒中偏瘫患者运动功能恢复的影响。方法将64例急性脑卒中偏瘫患者(病程≤14d)随机分为2组:对照组(N=32)和观察组(N=32)。对照组采用常规药物治疗和常规康复训练,观察组采用常规治疗和MRP训练。采用Fugl-Meyer平衡评定量表(FMA-Balance)、改良Rivermead活动度指数(MRMI)和改良Barthel指数(mBI)对两组患者治疗前后的运动功能进行评定。结果所有患者均顺利完成康复训练,无严重不良事件发生。少数患者在训练后偶尔感到疲劳,休息后恢复。与治疗前相比,两组治疗后FMA Balance评分(P=0.000)、MRMI评分(P=0.0000)和mBI评分(P=0.00000)均显著升高。与对照组相比,观察组治疗后FMA-Balance评分(P=0.031)、MRMI评分(P=0.013)和mBI评分(P=0.049)显著升高。结论脑卒中早期MRP训练有利于患者运动功能的恢复。DOI:10.3969/j.issn.1672-6731017.03.007
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Effect of motor relearning programme on motor function recovery of acute stroke patients with hemiplegia
Objective To explore the effect of motor relearning programme (MRP) on motor function recovery of patients with hemiplegia after acute stroke.  Methods A total of 64 hemiplegic patients with acute stroke (duration ≤ 14 d) were randomly divided into 2 groups: control group (N = 32) and observation group (N = 32). Control group received routine drug therapy and conventional rehabilitation training, and observation group was treated by routine therapy and MRP training. Fugl-Meyer Assessment Scale - Balance (FMA - Balance), Modified Rivermead Mobility Index (MRMI) and modified Barthel Index (mBI) were used to assess the motor function of patients in both groups before and after treatment.  Results All patients successfully completed the rehabilitation training without severe adverse events. A few patients felt fatigue occasionally after training and recovered after rest. Compared to before treatment, the FMA-Balance score ( P = 0.000), MRMI score ( P = 0.000) and mBI score ( P = 0.000) after treatment in both groups were significantly increased. Compared to control group, the FMA-Balance score ( P = 0.031), MRMI score ( P = 0.013) and mBI score ( P = 0.049) after treatment in observation group were significantly increased.  Conclusions MRP training in the early stage of stroke is beneficial to the recovery of motor function of patients. DOI: 10.3969/j.issn.1672-6731.2017.03.007
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中国现代神经疾病杂志
中国现代神经疾病杂志 Medicine-Neurology (clinical)
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4914
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10 weeks
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