肖少华,谢凌锋,代菁,等.动作观察配合作业治疗对脑卒中患者上肢功能及日常生活能力的影响[J].中华物理医学与康复杂志,2019,41(9):668-670
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| 动作观察配合作业治疗对脑卒中患者上肢功能及日常生活能力的影响 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.09.006 |
| 中文关键词: 脑卒中 动作观察 作业治疗 |
| 英文关键词: Stroke Action observation Occupational therapy |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨动作观察配合作业治疗对脑卒中患者上肢功能及日常生活能力的影响。 方法 将42例脑卒中偏瘫患者按照随机数字表法分为实验组和对照组，每组21例。所有患者均接受常规康复治疗，实验组在此基础上增加动作观察配合作业治疗，对照组增加常规作业治疗。在治疗前和治疗8周后（治疗后），采用Fugl-Meyer运动功能量表上肢部分（FMA-UE）、香港版偏瘫上肢功能测试（FTHUE-HK）和改良Barthel指数（MBI）评价患者的上肢运动功能和日常生活能力。 结果 治疗前，2组患者FMA-UE、FTHUE-HK、MBI结果比较，差异无统计学意义（P>0.05）。与组内治疗前比较，2组患者FMA-UE、FTHUE-HK、MBI均有所改善（P<0.05）。与对照组治疗后比较，实验组FMA-UE［（42.81±13.59）分］、FTHUE-HK［（5.00±1.38）级］、MBI［（73.86±18.83）分］较为优异（P<0.05）。 结论 动作观察配合作业治疗能更好地改善脑卒中患者的上肢功能及日常生活能力。 |
| 英文摘要: |
| Objective To observe the effect of action observation combined with occupational therapy on the upper limb function and ability in the activities of daily living after a stroke. Methods Forty-two stroke survivors were randomly divided into a treatment group and a control group, each of 21. Both groups were given conventional rehabilitation training and conventional occupational therapy. The treatment group additionally performed action observation. The Fugl-Meyer assessment (FMA-UE), a Hong Kong version of the functional test for the hemiplegic upper extremity (FTHUE-HK) and the Modified Barthel index (MBI) were used for assessment before and after 8 weeks of treatment. Results Before the treatment there were no significant differences between the two groups. Afterward, significant improvement was observed in all of the measurements in both groups. Compared with the control group, the treatment group showed more significant improvement in its average FMA-UE, FTHUE-HK and MBI scores. Conclusion Action observation can improve the effects of rehabilitation and occupational therapy after stroke. |
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