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任务导向性心理练习对慢性卒中患者上肢功能和协调性的影响——随机对照试验设计

The effects of task-oriented mental practice on upper limb function and coordination in chronic stroke patients-Randomized controlled trial design.

作者信息

Park JuHyung

机构信息

Department of Occupational Therapy, College of Health and Medical Sciences, Cheongju University, Cheongju, Korea.

出版信息

Br J Occup Ther. 2022 Mar;85(3):164-171. doi: 10.1177/03080226211057838. Epub 2022 Mar 8.

Abstract

OBJECTIVE

This study is a randomized experimental design study conducted to investigate the effect of task-oriented mental practice (TOMP) on upper limb function and coordination in chronic stroke patients.

METHODS

A total of 34 chronic stroke patients participated in this study and were randomly divided into an experimental group (EG) of 17 patients (TOMP) and a control group (CG) of 17 patients (task-oriented training). To measure the subject's upper extremity function and coordination, the results of Fugl-Meyer assessment (FMA) of motor function (U/E) and co-coordination ratio (CCR) values calculated from the measurements of the BTS FreeEMG 300 were used.

RESULTS

In the comparison before and after group intervention in terms of FMA, the EG showed significant changes in all items of FMA, but the CG showed significant changes only in the shoulder items ( < 0.05). In the comparison between groups, significant differences were observed only in the total score of FMA ( < 0.05). In terms of the CCR value, positive changes were found in the EG in all items except for the shoulder flexion, but negative changes were observed in all items in the CG.

CONCLUSION

It was confirmed that the TOMP applied in this study can have a positive effect on upper limb function and coordination in chronic stroke patients.

摘要

目的

本研究是一项随机实验设计研究,旨在调查任务导向性心理练习(TOMP)对慢性中风患者上肢功能和协调性的影响。

方法

共有34名慢性中风患者参与本研究,随机分为实验组(EG,17例患者,接受TOMP)和对照组(CG,17例患者,接受任务导向性训练)。为测量受试者的上肢功能和协调性,使用了运动功能(上肢)的Fugl-Meyer评估(FMA)结果以及根据BTS FreeEMG 300测量值计算得出的协同协调率(CCR)值。

结果

在FMA方面进行组间干预前后比较时,实验组FMA的所有项目均有显著变化,而对照组仅在肩部项目有显著变化(<0.05)。在组间比较中,仅在FMA总分上观察到显著差异(<0.05)。在CCR值方面,实验组除肩部屈曲外所有项目均有正向变化,而对照组所有项目均有负向变化。

结论

证实本研究中应用的TOMP可对慢性中风患者的上肢功能和协调性产生积极影响。

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