School of Rehabilitation Sciences, Hyogo University of Health Sciences, Kobe, Japan.
J Stroke Cerebrovasc Dis. 2013 May;22(4):364-70. doi: 10.1016/j.jstrokecerebrovasdis.2011.09.021. Epub 2011 Nov 10.
We sought to examine the effects of constraint-induced movement therapy on spasticity in patients with hemiparesis after stroke in 10 patients with chronic hemiparesis in their upper extremities.
Patients underwent a modified version of constraint-induced movement therapy (5 hours daily for 10 weekdays over 2 consecutive weeks). Motor function was assessed by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log. Spasticity was assessed by the modified Ashworth scale and electromyography (F frequency, mean F/M ratio). These assessments were obtained immediately before and after the 2-week intervention. Wilcoxon rank sum tests were performed on these data (P < .05).
Constraint-induced movement therapy significantly improved hand and arm function as indicated by the Fugl-Meyer Assessment, Wolf Motor Function Test, and the Motor Activity Log scores. Constraint-induced movement therapy also reduced spasticity as assessed by the modified Ashworth scale, F frequency, and mean F/M ratio.
Comparable to motor function, constraint-induced movement therapy effectively reduces spasticity as confirmed by electromyography.
我们旨在探讨强制性运动疗法对 10 例慢性上肢偏瘫患者脑卒中后偏瘫上肢痉挛的影响。
患者接受改良强制性运动疗法（连续 2 周，每天 5 小时，共 10 天）。运动功能采用 Fugl-Meyer 评估、Wolf 运动功能测试和运动活动日志进行评估。痉挛采用改良 Ashworth 量表和肌电图（F 频率、平均 F/M 比）进行评估。这些评估在 2 周干预前后进行。对这些数据进行 Wilcoxon 秩和检验（P <.05）。
强制性运动疗法显著改善了手和手臂功能，Fugl-Meyer 评估、Wolf 运动功能测试和运动活动日志评分均有改善。改良 Ashworth 量表、F 频率和平均 F/M 比评估也显示痉挛程度降低。
与运动功能类似，肌电图证实强制性运动疗法可有效降低痉挛。
