指导性强化作业疗法对脑卒中患者上肢功能疗效研究

【】目的探讨指导性强化作业疗法对脑卒中患者上肢运动功能障碍的疗效，旨在提高患者的生活质量。方法2007年6月-2009年6月将68例脑卒中偏瘫患者随机分成治疗组及对照组。治疗组进行指导性强化作业疗法，对照组采用传统康复训练。分别于治疗前、治疗后和治疗后1、3个月应用MAL和Bathel指数对其进行评定。结果两组MAL评分及Bathel指数在治疗后均有所提高，治疗组在治疗后1、3个月的MAL评分及Bathel指数较治疗前增加，有统计学意义（P<0.05）；对照组无差异。治疗后1、3个月，两组MAL评分及Bathel指数比较有统计学意义（P<0.05）。结论指导性强化作业疗法作为一种新型的康复治疗技术，能够改善患者上肢运动功能及日常生活能力，提高生活质量，具有较高的临床应用价值。【Abstract】ObjectiveToexploretheefficacyofguidingintensifiedoccupationaltherapyforischemicstrokepatientswithuppermotordysfunction,aimingatimprovingthequalitylifeofthepatients.MethodsFromJune2007toJune2009,sixty-eightpatientswithstrokewererandomlydividedintotreatmentgroupandcontrolgroup.Treatmentgroupwastreatedwithguidingstrengthenoccupationaltherapyandcontrolgroupwithtrandionaltherapy.TheMALandtheBathelindexwereusedtoevaluatebeforetreatment,aftertreatmentand3monthsaftertreatmentrespectively.ResultsTheMALscoreandBathelindexwereimprovedaftertreatment.TheMALscoreandBathelindexofthetreatmentgroupimmediatelyandin3monthsaftertreatmentincreasedgreatly,andtherewerestatisticalsignificance(P<0.05).TherewasnodifferenceintheMALscoreandBathelindexinthecontrolgroupbeforeandaftertreatment.TheMALscoreandBathelindexoftwogroupswerestatisticallysignificantafter3monthstreatment(P<0.05).ConclusionGuidingintensifiedoccupationaltherapyasanewkindofrehabilitationtechniques,canimprovethefunctionofuppermovementanddailylife,andimprovethequalitylife.Ithadhighvalueofclinicalapplications.？