运动反馈训练对脑卒中后偏瘫上肢痉挛状态的影响

摘要

Objective:To investigate the effects of motional feedback training on spasticity of hemiplegic upper limb after stroke. Methods:Forty-three stroke patients with hemiplegia were randomly assigned into two groups receiving motional feedback training and routine rehabilitation therapy,or only normal rehabilitation therapy respectively. Clinical assessments including E-Link Evaluation system (EES) and Modified Ashworth Scale (MAS) were performed before and 4 weeks after treatment. Results: After treatment for two weeks,elbow and forearm rotation degrees,and pronation of the forearm muscular tension were significantly increased as compared with those before treatment, more significantly in experimental group than in control group (P<0. 05). At 4th week after the treatment,the muscular tension of the forearm in experimental group was significantly reduced as compared with control group (P< 0. 05). Conclusion:Motional feedback system to provide entertaining and educational rehabilitation method can improve the training fun and enthusiasm. Motional feedback training can significantly alleviate spasticity of the hemiplegic upper limb due to stroke.%目的:观察运动反馈训练对脑卒中后偏瘫上肢痉挛状态的影响.方法:脑卒中偏瘫患者43例随机分为观察组21例和对照组22例,2组患者均按常规的物理治疗和作业治疗,观察组在此基础上接受运动反馈训练.治疗前后采用E-LINK评估系统评定肘关节屈伸活动度及前臂旋转活动度,并采用改良Ashworth分级评定屈肘肌群及前臂旋前肌群肌张力.结果:治疗4周后,2组患者的肘关节屈伸活动度、前臂旋转活动度均较治疗前明显增加(P＜0.05),且观察组更高于对照组(P＜0.05)；屈肘肌群、前臂旋前肌群肌张力均较治疗前明显下降(P＜0.05),且观察组更低于对照组(P＜0.05).结论:运动反馈系统提供的寓教于乐的康复方法能提高训练的趣味性、积极性,对脑卒中后偏瘫上肢痉挛状态具有明显的改善作用,对偏瘫患者治疗效果的提高具有重要意义.