Department of Rehabilitation Medicine, Affiliated Hospital of Jilin Medical College, Jilin, China.
Afr Health Sci. 2022 Sep;22(3):375-382. doi: 10.4314/ahs.v22i3.40.
The recovery of coordination ability of both hands is conductive to improving the activity of daily living for hemiplegic patients.
To explore the influence and significance of bilateral upper-extremity training on recovery of upper-extremity motor function for hemiplegic patients with mild-moderate cerebral apoplexy.
Patients were divided into control group and experimental group. The patients in the control group only exercised the upper limbs on the affected side, while the patients in the experimental group exercised the upper limbs on both sides. The Fugl Mayer Assessment Upper Extremity Scale (FMA-UE), Upper Extermities Functional Test (UEFT), modified Barthel index (MBI) and Brunnstrom scores were evaluated in the two groups before and after treatment.
After four weeks, six weeks and eight weeks of treatment, scores of FMA-UE, UEFT, MBI and Brunnstrom for patients increased with the extension of training time, and FMA-UE, UEFT, MBI and Brunnstrom scores for patients of the two groups after four weeks six weeks and eight weeks of treatment showed a significant difference (P<0.05).
The improvement of upper-extremity motor function can be facilitated via relatively conventional training of bilateral upper-extremity training adopted by hemiplegic patients with mild-moderate cerebral apoplexy.
双手协调性的恢复有助于提高偏瘫患者的日常生活活动能力。
探讨双侧上肢训练对轻中度脑卒中偏瘫患者上肢运动功能恢复的影响及意义。
将患者分为对照组和实验组。对照组仅对患侧上肢进行运动，实验组对双侧上肢进行运动。治疗前后分别采用 Fugl-Meyer 上肢评定量表（FMA-UE）、上肢功能测试（UEFT）、改良巴氏指数（MBI）和 Brunnstrom 评分进行评定。
治疗 4 周、6 周、8 周后，患者 FMA-UE、UEFT、MBI 和 Brunnstrom 评分随训练时间的延长而增加，治疗 4 周、6 周、8 周后两组患者的 FMA-UE、UEFT、MBI 和 Brunnstrom 评分差异均有统计学意义（P<0.05）。
轻中度脑卒中偏瘫患者采用常规双侧上肢训练可促进上肢运动功能的改善。
