早期偏瘫患者疼痛、功能和运动活动的关系

Burcu Talu, S. Kamışlı, Y. Talu
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引用次数: 1

摘要

目的:评价早期偏瘫患者上肢疼痛、功能和运动活动之间的关系。材料与方法:本研究纳入53例中风后1-3个月发生偏瘫的患者。采用视觉模拟量表评估疼痛,采用Fugl-Meyer上肢运动评定量表评估上肢功能,记录受试者人口统计学资料后采用运动活动日志-28量表评估运动活动。Brunnstrom分期用于识别、定义和量化脑卒中后的恢复阶段。结果:参与研究个体的平均年龄为54.56±8.10,身体质量指数为26.12±3.68。受试者静息痛评分为30.00±19.90分,活动痛评分为42.83±24.44分。Fugl-Meyer上肢运动Evaluatıon量表总分为18.84±17.08分,运动活动日志运动质量子参数得分为28 0.89±0.87分,使用量子参数得分为0.93±0.92分。观察患者上肢功能与运动活动的关系,各子参数呈中等正相关(r=0.539 ~ 0.779, p<0.001)。然而,疼痛、功能和运动活动之间没有相关性(r=0.054 ~ 0.238, p=0.086 ~ 0.700)。结论:本研究表明,早期偏瘫患者上肢运动活动和功能受到显著影响,且两者密切相关。然而,疼痛、功能和运动活动之间没有相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship among pain, function, and motor activity in early hemiplegic patients
Aim: Evaluation of the relationship among upper extremity pain, function, and motor activity in early hemiplegic patients Material and Methods: Fifty-three subjects, who had suffered hemiplegia between 1-3 months after stroke, were included in this study. Visual Analogue Scale was used for pain assessment, Fugl-Meyer Upper Extremity Motor Assessment Scale was used for upper extremity function evaluation, and Motor Activity Log-28 was used for evaluating motor activity after the demographic data of the subjects were recorded. Brunnstrom stages were used to identify, define, and quantify the recovery stages after stroke. Results: The average age of the individuals participating in the study was 54.56±8.10, and the Body Mass Index was 26.12±3.68. The subjects’ rest pain score was 30.00±19.90 and the activity pain score 42.83±24.44. The total score of the Fugl-Meyer Upper Extremity Motor Evaluatıon Scale was 18.84±17.08, the Quality of Movement sub-parameter score of the Motor Activity Log was 28 0.89±0.87, and the Amount of Use sub parameter score was 0.93±0.92. The relationship between the upper extremity function of the patients and motor activity was observed, which showed that all sub-parameters had a moderate correlation in the positive direction (r=0.539-0.779, p<0.001). However, there was no relationship between pain, function and motor activity (r=0.054-0.238, p=0.086-0.700). Conclusion: This study showed that upper extremity motor activity and function were significantly affected and closely related to each other in early hemiplegic patients. However, there was no correlation between pain, function and motor activity.
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