Wongphaet Parit, Butrach Wijitra, Sangkrai Siriluck, Jitpraphai Chattaya
Department of Rehabilitation Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
J Med Assoc Thai. 2003 Jun;86(6):579-84.
Recovery of upper extremity functions after a severe stroke and traumatic brain injuries (TBI) have generally been less than satisfactory. The "cognitive sensory motor training therapy" is a relatively new method claimed to improve motor control using a specific type of repetitive sensory and motor re-learning protocol. There has been no previous study demonstrating the effectiveness of this method.
To investigate the value of the cognitive sensory motor training therapy to improve upper extremity motor function in chronic stroke and TBI patients.
Seven patients with persistent impaired upper extremity functions for over 6 months after a stroke or TBI were trained with the cognitive sensory motor training therapy program. Hand and arm functions were measured with Action Research Arm (ARA) test before the beginning of the study and once a month thereafter. Data were analyzed retrospectively.
There was improvement of ARA scores in all of the trained patients. On average there was an increase of the ARA score of 7.7 points during the average training time of 2.5 months.
The cognitive sensory motor training therapy may be an effective method for motor rehabilitation of chronic stroke or traumatic brain injured patients. Further prospective randomized control trials are justified and required.
严重中风和创伤性脑损伤（TBI）后上肢功能的恢复通常不尽人意。“认知感觉运动训练疗法”是一种相对较新的方法，据称可通过特定类型的重复性感觉和运动再学习方案来改善运动控制。此前尚无研究证明该方法的有效性。
探讨认知感觉运动训练疗法对改善慢性中风和TBI患者上肢运动功能的价值。
对7例中风或TBI后上肢功能持续受损超过6个月的患者进行认知感觉运动训练治疗方案训练。在研究开始前及之后每月一次，用动作研究臂（ARA）测试测量手和手臂功能。对数据进行回顾性分析。
所有接受训练的患者ARA评分均有改善。在平均2.5个月的训练时间内，ARA评分平均提高了7.7分。
认知感觉运动训练疗法可能是慢性中风或创伤性脑损伤患者运动康复的有效方法。进一步的前瞻性随机对照试验是合理且必要的。
