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运动再学习计划联合电刺激改善脑卒中患者上肢功能:一项半实验性研究。

Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study.

作者信息

Ullah Ikram, Arsh Aatik, Zahir Aneela, Jan Shafqatullah

机构信息

Ikram Ullah, BSPT, PP-DPT, MSPT. Physiotherapist, Saidu Group of Teaching Hospitals Swat, Pakistan.

Aatik Arsh, DPT, MSPT. Lecturer, Institute of Physical Medicine and Rehabilitation, Khyber Medical University Peshawar, Pakistan.

出版信息

Pak J Med Sci. 2020 Nov-Dec;36(7):1613-1617. doi: 10.12669/pjms.36.7.2351.

Abstract

OBJECTIVE

To determine the effectiveness of motor relearning program along with electrical stimulation for improving upper limb function in patients with sub-acute stroke.

METHODS

A quasi experimental study was conducted at Physiotherapy Department of SAIDU Group of Teaching Hospitals Swat Khyber Pakhtunkhwa from January to June 2019. Forty four subjects with post stroke duration of 3-9 months (sub-acute) participated in the study. Subjects received electrical stimulations for the effected arm for 15 minutes along with motor relearning programme for an hour five days a week for six weeks. The upper limb sub scales of motor assessment scale were used to collect pre and post treatment data. SPSS version 20 was used to analyze the data.

RESULTS

The mean age of the participants was 54.95±13.2 years. Out of 44 participants 31(70.5%) were male and 13 (29.5%) were female. Pretreatment upper arm function, hand movement and advance hand activities scores were 1.36 ± 0.49, 1.18 ± 0.39 and 1.04 ± 0.21 respectively while their post treatment scores were 5.18 ± 0.96, 4.77 ± 1.02 and 3.95 ± 1.21 respectively. There was significant differences (P<0.05) between pre and post treatment scores of upper arm function, hand movement and advance hand activities.

CONCLUSION

Motor relearning program along with electrical stimulation significantly improves upper limb function in patients with sub-acute stroke.

摘要

目的

确定运动再学习方案联合电刺激对改善亚急性脑卒中患者上肢功能的有效性。

方法

2019年1月至6月在开伯尔-普赫图赫瓦省斯瓦特市赛杜教学医院集团理疗科进行了一项准实验研究。44名脑卒中后病程为3 - 9个月(亚急性)的受试者参与了该研究。受试者每周五天,每天接受15分钟患侧手臂电刺激,并进行一小时的运动再学习方案,持续六周。使用运动评估量表的上肢子量表收集治疗前后的数据。采用SPSS 20版分析数据。

结果

参与者的平均年龄为54.95±13.2岁。44名参与者中,31名(70.5%)为男性,13名(29.5%)为女性。治疗前上臂功能、手部运动和手部高级活动得分分别为1.36±0.49、1.18±0.39和1.04±0.21,而治疗后得分分别为5.18±0.96、4.77±1.02和3.95±1.21。上臂功能、手部运动和手部高级活动的治疗前后得分存在显著差异(P<0.05)。

结论

运动再学习方案联合电刺激可显著改善亚急性脑卒中患者的上肢功能。

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