摘要:
目的:观察MOTOmed运动系统对脑梗死患者肢体运动功能改善和生活能力提高的临床疗效。方法:选择急性脑梗死偏瘫患者 61例,随机分为研究组30例,对照组31例。对照组只进行药物治疗和常规康复治疗,研究组在对照组基础上,采用MOTOmed letto2和viva 2运动系统进行肢体重复性运动训练。治疗前后采用Fugl-Meyer(FMA)量表、 Barthel指数日常生活能力(ADL)及改良痉挛评定量表(Asworth)、汉密顿抑郁量表(HAMD)对2组患者的症状改善情况进行评价。结果:经8周治疗后,研究组总有效率 93.33%,对照组70.97%,2组临床疗效差异有统计学意义(P<0.01)。研究组治疗后FMA及ADL评分均高于对照组(P<0.01),Asworth评分较对照组降低(P<0.05)。2组治疗后Asworth和HAMD评分均较治疗前下降(P<0.05和P<0.01),且研究组均明显优于对照组(P<0.01)。结论:MOTOmed运动系统对脑梗死患者的偏瘫肢体运动能力和日常生活能力以及抑郁症状的改善有较好的促进作用。
Abstract:
Objective:To observe the effects of MOTOmed system treatment on improving the limb motor function and life skills in patients with cerebral infarction.Methods:Sixty-one patients with acute cerebral infarction complicated with hemiplegia were randomly divided into the study group(30 cases) and control group(31 cases).The control group were treated with only conventional drug and rehabilitation,the study group were treated with the repetitive exercise of MOTOmed letto2 and viva 2 based on the control group.The symptoms improvement in two groups were evaluated using Fugl-Meyer(FMA) scale,Barthel's ADL index,improved spasticity rating scale(Asworth) and HAMD before and after treatment.Results:After 8 weeks of treatment,the total effective rates of study group and control group were 90.65% and 61.33%,respectively,the difference of which was statistically significant(P<0.01).After treatment,the scores of FMA and ADL in study group were higher than those in control group(P<0.01),the score of Asworth in study group was lower than that in control group(P<0.05).Compared with that before treatment,the scores of Asworth and HAMD decreased after treatment(P<0.05 and P<0.01),which in study group was better than that in control group(P<0.01).Conclusions:MOTOmed system can significantly improve the limb motor function,life skills and depression symptom in patients with cerebral infarction complicated with hemiplegia.
百度学术
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