摘要
目的：从残损水平观察脑卒中患者上下肢运动功能的恢复程度有无差别。方法：对５８ 例急性完全性脑卒中偏瘫患者，采用ＦｕｇｌＭｅｙｅｒ 评测法（ＦＭＡ） 评测上下肢的运动功能，比较康复治疗前后（４ 周）的运动功能，并按运动障碍严重程度分层，比较上下肢运动功能恢复的程度。结果：康复治疗前５８ 例患者ＦＭＡ平均值上肢为最大程度的１０－４２％ ，下肢为２３－２８％ ，Ｐ＜ ０－０５ ；治疗后上下肢功能提高程度分别为３０－０％ 和３１－０ ％ ，Ｐ＝０－２０ 。分别对上、下肢首末次ＦＭＡ结果进行ｔ 检验，Ｐ值均＜ ０－００１ 。按运动障碍程度分层分析，末次ＦＭＡ 上下肢比较，严重障碍组Ｐ＝ ０－０４９ 处于临界水平，轻中度障碍组Ｐ值分别为０－２１ 和０－６８ 。３ 组上下肢ＦＭＡ提高程度经ｔ 检验，Ｐ值均＞ ０－０５。结论：大脑前、中动脉供血区病损引起的偏瘫，其上下肢运动障碍第１ 个月恢复程度是相同的；治疗后上下肢运动功能均有显著改善。
Objective:To observe whether motor function recovery of upper and lower extremities is different.Method:Fifty eight cases of acute complete stroke with hemiplegia were observed. Upper and lower extremity motor functions were measured by the Fugl Meyer assessment (FMA).Motor function between pre treatment and post treatment (4 weeks) was compared,and classified upon measured pre treatment motor function.Degree of motor function improvement between upper and lower extremity were compared.Result:The mean of first measured motor function of total 58 cases: upper extremity means 10.42%(percentage of maximal motor scores), lower extremity 23.2%( P <0.05). There was improvement in motor function of both upper and lower extremity at 4 weeks after onset ( P <0.001). However, the degree of motor recovery between upper and lower extremity is similar, 30.0% and 31.0%, respectively, P =0.20.Daviding the patients into 3 groups: there was no significant difference between measured post treatment motor scores of the upper and lower extremity in the mild ( P =0.21) and the moderate group ( P =0.68) except the severe group ( P =0.049). However, the degree of motor recovery between upper and lower extremity in each group wss similar ( P >0.05).Conclusion:In hemiplegic patients with anterior and middle circulation stroke, degree of improvement in upper and lower extremity is similar and motor function of both upper and lower extremity are significantly improved in the first month after onset at the impairment level. Actions are needed to intensify upper extremity rehabilitation treatment in early stage. Author′s address\ Dept. of Rehabil. Beijing Hospital,100730
出处
《中国康复医学杂志》
CAS
CSCD
2000年第1期23-25,共3页
Chinese Journal of Rehabilitation Medicine
