Lee Han Suk, Kim Jin Ung
Department of Physical Therapy, Eulji University.
J Phys Ther Sci. 2013 Aug;25(8):963-7. doi: 10.1589/jpts.25.963. Epub 2013 Sep 20.
[Purpose] We evaluated the effect of self-directed exercise using a task board on function and pain in the upper extremities of stroke patients [Subjects and Methods] We used the one group pre-post test design. Seven stroke patients who were selected based on the inclusion criteria participated in the program once a week for 10 weeks. The self-directed exercise comprised 5 stages that were divided according to the level of difficulty. The exercise was performed for 60 minutes using a special task board that we designed. The FMA (Fugl-Meyer Motor Assessment), VAS (Visual Analogue Scale), and speed of stacking were assessed to evaluate the amount of use of the affected arm at before and after intervention. [Results] The scores of the VAS and FMA, but not that of the speed of stacking cups, were improved. There was no significant correlation between the changes in VAS, FMA, and the speed of stacking cups. [Conclusion] The findings suggest that self-directed exercise with the task board could improve the levels of function and pain in the upper extremities. We suggest that self-directed exercise can be utilized as a clinical rehabilitation program and improve therapeutic effects.
[目的]我们评估了使用任务板进行自主训练对中风患者上肢功能和疼痛的影响。[对象与方法]我们采用单组前后测设计。根据纳入标准选取的7名中风患者每周参加一次该训练项目,共持续10周。自主训练包括根据难度水平划分的5个阶段。使用我们设计的特殊任务板进行60分钟的训练。在干预前后,通过评估FMA(Fugl-Meyer运动评估)、VAS(视觉模拟评分法)和堆叠速度来评估患侧手臂的使用量。[结果]VAS和FMA评分有所改善,但堆叠杯子的速度评分未改善。VAS、FMA的变化与堆叠杯子速度之间无显著相关性。[结论]研究结果表明,使用任务板进行自主训练可提高上肢的功能水平和减轻疼痛。我们建议自主训练可作为一种临床康复项目加以利用,并提高治疗效果。