音乐疗法对脑卒中偏瘫患者肢体运动功能的影响

摘要

Objective To investigate the effects of music therapy on the limbs motor function and activity of daily living(ADL) in the hemipLegic patients with stroke. Methods A randomly case control study approach was conducted. Thirty nine hemiplegic patients with storke were randomly divided into experiment group(n=20) and control group (n=19).All patients were treated with routine rehabilitatinon training. Those patients In experiment group were treated with music therapy additionally. All patients were assessed by Fugl-Meyer assessment(FMA) and Modified Barthel Index(MBI) before and after 4-week therapy. Result After 4 weeks treatment in both groups, FMA and MBI scores improved significantly compared with anterior treatment(P<0.01). Meanwhile, FMA and MBI scores in experimental group increased outstanding higher than control group(P<0.01). Conclusion Music therapy can improve the limbs motor function and ADL in the hemiplegic patients with stroke.%目的：探讨音乐疗法对脑卒中偏瘫患者肢体运动功能和日常生活活动（ADL）能力的影响。方法采用随机病例对照方法，将入选的39例脑卒中患者随机分为治疗组（n=20）和对照组（n=19），治疗组音乐疗法进行干预。入选时和治疗4周后，用Fugl-Meyer运动功能评分方法和改良巴氏指数评定患者的肢体运动功能和ADL能力。结果同组间治疗前后比较，FMA和MBI均有明显改善，差异有显著性意义（P＜0.01），治疗后治疗组与对照组之间的FMA和MBI值比较差异有显著性意义（P＜0.01）。结论音乐疗法可明显地促进脑卒中偏瘫患者肢体运动功能和ADL能力恢复。