| 李学茬,陈美伊,李春祥,等.不同强度任务导向性训练对脑卒中偏瘫病人上肢功能障碍评定量表评分、肘关节肌张力及日常生活活动能力的影响[J].安徽医药,2023,27(5):932-936. |
| 不同强度任务导向性训练对脑卒中偏瘫病人上肢功能障碍评定量表评分、肘关节肌张力及日常生活活动能力的影响 |
| Effects of different-intensity task-oriented training on DASH score, elbow joint muscle tension and activities of daily living in patients with stroke hemiplegia |
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| DOI：10.3969/j.issn.1009-6469.2023.05.018 |
| 中文关键词: 卒中 偏瘫 上肢 不同强度 任务导向性训练 日常生活活动能力 |
| 英文关键词: Stroke Hemiplegia Upper Extremity Different intensities Task-oriented training Activities of daily living |
| 基金项目:海南省医药卫生科研项目( 2001320141A2014) |
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| 中文摘要: |
| 目的探讨不同强度任务导向性训练对脑卒中偏瘫病人上肢功能障碍评定量表( DASH)评分、肘关节肌张力及日常生活活动能力的影响。方法选取 2019年 7月至 2021年 6月海南医学院第二附属医院收治的 80例脑卒中偏瘫病人，采用临床随机、对照、双盲的方法，将研究对象分为四组(每组均 20例)对照组进行常规作业治疗，观察组 A采用 50%强度的任务导向训练进行干预，观察组 B采用 75%强度的任务导向训练进行干预，，观察组 C采用 100%强度的任务导向训练进行干预。比较四组的 DASH评分、肘关节肌张力、日常生活活动能力。结果 DASH评分的时间变化与组别之间具有交互作用( P<0.05)；对照组、实验 A、B、C组治疗后 2周［( 79.32±9.09)、(76.14±8.24)、(72.06±7.32)、(69.11±7.13)分］、 4周［( 75.08±10.15)、(71.23±9.32)、(66.15±8.24)、(60.09±6.16)分］、 8周［(70.33±11.52)、(65.54±9.26)、(60.32±7.53)、(55.57±5.04)分］ DASH评分组间比较，差异有统计学意义(P<0.05)；四组组内不同时间的 DASH评分比较，差异有统计学意义( P<0.05)。改良 Ashworth量表( MAS)分布情况的时间变化与组别之间具有交互作用( P<0.05)；治疗后 2周、 4周、 8周四组 MAS分布情况组间比较，差异有统计学意义(P<0.05)；四组组内不同时间的 MAS分布情况比较，差异有统计学意义( P<0.05)。改良 Barthel指数( MBI)评分的时间变化与组别之间具有交互作用( P<0.05)；治疗后 2周、 4周、 8周四组 MBI评分组间比较，差异有统计学意义( P<0.05)；四组组内不同时间的 MBI评分比较，差异有统计学意义(P<0.05)。结论任务导向性训练能改善脑卒中偏瘫病人上肢功能、肘关节肌张力、日常生活活动能力，且以 100%强度的任务导向训练干预效果最佳。 |
| 英文摘要: |
| Objective To explore the effects of different-intensity task-oriented training on the Disabilities of Arm, Shoulder andHand (DASH) score,elbow joint muscle tension and activities of daily living in patients with stroke hemiplegia.Methods A total of 80 patients with stroke hemiplegia admitted to the Second Affiliated Hospital of Hainan Medical College from July 2019 to June 2021 wereselected.The subjects were divided into 4 groups (20 cases in each group) using a clinical randomized,controlled,and double-blind meth-od.The control group received routine occupational therapy, the experimental group A used 50% intensity task-oriented training for in-tervention, the experimental group B used 75% intensity task-oriented training for intervention, and the experimental group C used 100% intensity task-oriented training for intervention.The DASH scores, elbow joint muscle tension, and activities of daily living in the4 groups were compared.Results There was interaction between the time change of DASH score and groups (P<0.05);Comparison be-tween groups:there was significant difference in DASH score between groups 2 weeks,4 weeks and 8 weeks after treatment(P<0.05);Time comparison: there was significant difference in DASH scores at different times among the four groups[(79.32±9.09),(76.14±8.24),(72.06±7.32),(69.11±7.13)],[(75.08±10.15),(71.23±9.32),(66.15±8.24),(60.09±6.16)],[(70.33±11.52),(65.54±9.26),(60.32±7.53),(55.57±5.04)] (P<0.05).There was interaction between the time change of MAS distribution and groups(P<0.05);Comparison between groups:there was significant difference in the distribution of MAS between groups at 2, 4 and 8 weeks after treatment (P<0.05);Time compari-son:the distribution of MAS in the four groups at different times was statistically significant (P<0.05).There was an interaction between the time change of MBI score and groups (P<0.05);Comparison between groups: there was significant difference in MBI scores between groups at 2,4 and 8 weeks after treatment (P<0.05);Time comparison: there was significant difference in MBI scores at different times among the four groups (P<0.05).Conclusion Task-oriented training can improve upper limb function,elbow joint muscle tension,andactivities of daily living in patients with stroke hemiplegia,and 100%-intensity task-oriented training intervention has the best effect. |
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