摘要
目的:观察头皮针结合任务导向性训练对脑卒中患者痉挛上肢运动功能恢复的影响。方法:选择42例脑卒中偏瘫上肢痉挛患者,随机分成两组,每组21例,观察组患者在行头皮针留针同时进行任务导向性训练,对照组患者采用神经促进技术治疗,治疗前、治疗4周后分别采用改良Ashworth痉挛量表(MAS)评定患者上肢痉挛情况、Fugl-Mayer上肢功能量表评定患者上肢运动功能、改良Barthel指数评定患者日常生活能力(ADL)。结果:治疗4周后两组患者的U-FMA、MBI及MAS均优于治疗前(P<0.05);观察组患者各项指标明显优于对照组(P<0.05)。结论:头皮针结合任务导向性训练能更好的促进脑卒中患者痉挛上肢功能恢复,提高日常生活能力。
Objective：To observe the effects of scalp acupuncture combined with task-oriented training on the spasticity upper extremity motor function recovery for post-stroke patients. Methods：Forty-two patients with upper extremity spasticity after stroke were randomly divided into observation group and control group with 21 cases in each group. The patients in observation group were treated with scalp acupuncture and task-oriented training, while those in control group were treated with neuromuscular facilities. Before and four weeks after the treatment, the spasm was assessed with modified Ashworth Scale （MAS）, the upper extremity motor function was evaluated with Fugl-Meyer motor assessment Scale （U-FMA）, and the activity of daily living was assessed with modified Barthel index （MBI）. Results： The U-FMA, MBI and MAS scores of the two groups four weeks after the treatment were better than those before the treatment （P〈0. 05）, and indicators of observation group were significantly better than those of control group （P〈0. 05）. Conclu-sions： The scalp acupuncture combined with task-oriented training can improve the spasticity upper extremity function recovery and the activities of daily living for the post-stroke patients.
出处
《中国民康医学》
2014年第11期77-79,共3页
Medical Journal of Chinese People’s Health
基金
安徽省卫生厅中医药科研课题基金资助(编号2012zy06)
关键词
头皮针
任务导向性训练
痉挛
上肢
脑卒中
Scalp-acupuncture
Task-oriented-training
Spasm
Upper-extremity
Stroke
作者简介
朱宗俊（1983-），男，本科，住院医师，从事神经系统疾患的临床康复。E-mail：azyxhp@126．com，手机号码：13956037657，办公电话：0551-62850032。
通讯作者：肖洪波，本科，副主任医师，研究方向为骨关节系统及神经系统疾患临床康复。E-mail：zyfyxhb@sohu：com，手机号码：13505696689，办公电话：0551-62850031。
