改良约束诱导运动疗法、本体感觉训练和任务导向训练对脑卒中患者上肢功能的影响比较

IF 0.1 Q4 ORTHOPEDICS
Jibi Paul, T. Yamini, Sathya P, G. Rajalakshmi
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引用次数: 0

摘要

背景:中风会导致各种损害,从而影响生活质量。约束诱导运动疗法(CIMT)是康复医学中用于治疗上肢功能减退的一种技术。本研究比较了改良约束诱导运动疗法(mCIMT)、本体感觉训练和任务导向训练对脑卒中患者上肢功能的影响。方法:采用前后型实验研究。该研究在金奈ACS医学院和医院进行。从脑卒中人群中选取60例男性和女性样本,采用随机抽样方法分为三组。A、B、C组每组20个样本。研究时间为6个月,干预时间为每天30分钟/每周隔天,持续4周。FMA-UE和运动活动日志评估上肢功能和疼痛作为主要结局指标。使用相关t检验来找出组内的影响。采用方差分析比较两组间的疗效。结果:A组、B组、C组脑卒中患者在运动功能、感觉功能、ROM、关节疼痛、肌肉使用、运动质量等方面的疗效比较,差异均有统计学意义,P值为0.0001。结论:改良约束运动疗法对脑卒中患者上肢功能的改善效果优于本体感觉训练和任务导向训练。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Comparative Effect of Modified Constraint Induced Movement Therapy, Proprioceptive Training and Task-Oriented Training on Functions of Upper Extremity among Stroke Patients"
Background: Stroke causes a variety of impairments that compromise the quality of life. Constraint Induced Movement Therapy (CIMT) is a technique used in rehabilitation medicine to treat individuals with decreased upper extremity functions. The study compares the effectiveness of modified constraint-induced movement therapy (mCIMT), proprioceptive training, and task-oriented training on upper extremity functions among stroke patients. Methods: This study was an experimental study of pre and post-type. The study was carried out in ACS Medical College and Hospital, Chennai. Sixty male and female samples from the stroke population were selected and allocated to three groups by random sampling method. Group A, B & C were allocated with twenty samples in each group. The study duration was six months with an intervention duration of 30 minutes per day/alternate days of a week for four weeks. The FMA-UE and Motor Activity Log assessed upper extremity function and pain as the main outcome measures. Dependent t-tests were used to find out the effects within the group. ANOVA was used to compare the effectiveness between the groups. Results: Comparative study between Groups A, Group B, Group C showed a significant difference in the effectiveness of Motor Function, Sensory Function, ROM, Joint Pain, Muscle use, and Quality of Movement with a P value of 0.0001 on functions of upper extremity among stroke patients. Conclusion: The study concluded that modified constraint-induced movement therapy got more improvement than proprioceptive and task-oriented training on upper extremity functions among stroke patients.
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