改良强制性运动疗法联合个体化作业疗法对脑卒中偏瘫患者肢体障碍及认知功能影响

Abstract
Figure/Table
References (29)
Related Citation (15)

Download: PDF (570 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia. Methods Eighty patients with stroke and hemiplegia admitted to the Affiliated Huai’an First Hospital of Nanjing Medical University were selected from July 2018 to January 2020 as research objects. They were divided into the control group and the combined treatment group according to the treatment method, with 40 cases in each group. The control group was received individualized occupational therapy for rehabilitation, and the combined treatment group was combined with modified compulsory exercise therapy for rehabilitation based on the control group. The motor function of the two groups of limbs (Fugl-Meyer assessment scale [FMA] and Carroll upper extremities functional test [UEFT]), quality of life (the MOS 36-item short from health survey [SF-36]), ability of daily living (Barthel index), neurological function (national institutes of health stroke scale [NIHSS]), cognitive function (Montreal cognitive assessment scale [MoCA]) were compared after three months of treatment. Results Before treatment, there were no significant differences in upper limb FMA score, lower limb FMA score, UEFT score, BI score, NIHSS score and MoCA score between the two groups (P > 0.05). After three months of treatment, upper limb FMA score, lower limb FMA score, UEFT score, BI score and MoCA score in two groups were higher than those before treatment, and the combined treatment group was higher than the control group; NIHSS score of two groups were lower than that before treatment, and the combined treatment group was lower than the control group, and the differences were statistically significant (P < 0.05). Before treatment, there was no significant difference in SF-36 score between the two groups (P > 0.05). After three months of treatment, SF-36 score in two groups were higher than those before treatment, and the combined treatment group was higher than the control group, and the differences were statistically significant (P < 0.05). Conclusion Modified compulsory exercise therapy combined with individualized occupational therapy can improve limb disorders, cognitive function and neurological function in patients with stroke and hemiplegia, and can also improve the quality of life and daily activity ability.

Key words： Modified compulsory exercise therapy Individualized occupational therapy Stroke Hemiplegia

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHENG Zhida1 LIU Ya2

Cite this article:

ZHENG Zhida1 LIU Ya2. Effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia[J]. 中国医药导报, 2021, 18(20): 74-77.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I20/74

[1] Boursin P，Paternotte S，Dercy B，et al. Semantics，epidemiology and semiology of stroke [J]. Soins，2018，63（828）：24-27.
[2] Hong Z，Sui M，Zhuang Z，et al. Effectiveness of Neuromuscular Electrical Stimulation on Lower Limbs of Patients With Hemiplegia After Chronic Stroke：A Systematic Review [J]. Arch Phys Med Rehabil，2018，99（5）：1011-1022.
[3] 马玉萍，闫晓洁，李晓华，等.针刺结合康复训练对脑卒中偏瘫患者肢体运动功能及生活质量的影响[J].中国老年学杂志，2020，40（1）：25-28.
[4] 张超龙，何兆辉，袁国静，等.镜像反馈训练对脑卒中后偏瘫患者运动功能血清生化指标及神经功能的影响[J].中国实用神经疾病杂志，2020，23（3）：255-259.
[5] 李莹莹，符俏，吴薇薇，等.头针互动MOTOmed智能运动训练对脑卒中偏瘫患者肢体运动功能及血清NGF BDNF水平的影响[J].河北医学，2020，26（2）：222-226.
[6] 倪广晓，韩娟，王亚利，等.和血生络方联合早期康复训练对缺血性脑卒中偏瘫患者肢体功能的影响及机制探讨[J].河北中医药学报，2020，35（1）：8-11，15.
[7] Ikbali AS，Mirzayev I，Umit YO，et al. Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients：A Randomized Controlled Trial [J]. J Stroke Cerebrovasc Dis，2018，27（12）：3473-3478.
[8] 张丽，刘晓丹，薛炘，等.团体认知行为的作业训练对脑卒中后认知障碍的效果[J].中国康复理论与实践，2019， 25（9）：1070-1074.
[9] 沈惠，王光旭，王兴.改良强制性运动疗法对脑卒中偏瘫患者上肢运动功能影响的meta分析[J].中国康复医学杂志，2019，34（10）：1216-1223.
[10] 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志，2018，51（9）：666-682.
[11] 林艳.运动疗法联合Fugl-Meyer量表对大面积脑梗死功能预后评估[J].贵州医药，2016，40（11）：1208-1210.
[12] 吴媛媛.Wolf运动功能测试评定脑卒中偏瘫上肢的效度和信度研究[D].广州：中山大学，2006.
[13] 李莉，陈善佳，方云华，等.中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度[J].中国康复医学杂志，2017，32（5）：509-515.
[14] 王赛华，施加加，孙莹，等.简体版改良Barthel指数在脑卒中恢复期中的信度与效度研究[J].中国康复，2020， 35（4）：179-182.
[15] 朱亚芳.中文版FOIS量表在急性脑卒中住院患者中的信效度研究[D].广州：南方医科大学，2018.
[16] 翟雅莉，钞秋玲，沈明志，等.修订后的MoCA量表在老年人轻度认知功能障碍诊断中的信度和效度分析[J].中华神经医学杂志，2013，12（2）：179-182.
[17] Kumar P. Hemiplegic shoulder pain in people with stroke：present and the future [J]. Pain Manag，2019，9（2）：107-110.
[18] 彭娟，杨仕彬，李爱玲，等.镜像疗法改善脑卒中偏瘫患者上肢功能障碍的Meta分析[J].中华物理医学与康复杂志，2018，40（11）：844-853.
[19] 刘毅梅，何小辉，张娜，等.改良强制性运动疗法联合任务导向性训练对痉挛型偏瘫患儿的临床疗效观察[J].中国医药，2019，14（10）：1506-1510.
[20] 韩小燕，刘春雨.改良强制性诱导运动疗法对脑性瘫痪患儿上肢功能影响的系统评价[J].中国康复医学杂志，2019，34（3）：303-309.
[21] 贾亮，刘俊英，王贵玲.改良强制性运动疗法对脑卒中偏瘫患者上肢功能及日常生活能力的影响[J].中华保健医学杂志，2018，20（1）：51-53.
[22] 梁天佳.脑卒中偏瘫上肢功能障碍康复治疗研究进展[J].广西医科大学学报，2018，35（7）：1026-1028.
[23] 鲍青，卢艳.家属参与的强制性运动疗法对脑卒中后偏瘫患者运动能力、生活质量的影响[J].中外医学研究，2019，17（10）：151-153.
[24] 徐艳，王飞，成逸，等.改良强制性运动疗法结合针刺在痉挛型偏瘫患儿中的应用[J].中国现代医生，2020，58（34）：14-17，22.
[25] 区瑞庆，杨媛乐，林倩仪.虚拟现实技术结合改良强制性运动疗法对脑卒中偏瘫上肢功能恢复的临床研究[J].中国医药科学，2019，9（24）：233-236.
[26] 李志斌，冯尚武，叶锦萍，等.虚拟现实训练结合作业疗法对脑卒中患者偏瘫上肢功能的影响[J].中国康复，2019， 34（10）：532-534.
[27] 官娉，陈妍，张韶辉.作业疗法结合运动想象对脑卒中偏瘫患者的上肢与手功能的影响[J].临床和实验医学杂志，2018，17（6）：647-649.
[28] 欧阳胜璋，解斌，王丛笑，等.强制性运动疗法结合个体化作业疗法对脑卒中上下肢运动及认知障碍的康复效果[J].中国临床研究，2019，32（2）：202-206.
[29] 潘婷丽.强制性运动疗法联合作业治疗在偏瘫型脑瘫患儿中的应用效果[J].中国当代医药，2019，26（22）：120-122.