中风患者手部感觉功能再训练的对照试验。
A controlled trial of the retraining of the sensory function of the hand in stroke patients.
作者信息
Yekutiel M, Guttman E
机构信息
Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-sheva, Israel.
出版信息
J Neurol Neurosurg Psychiatry. 1993 Mar;56(3):241-4. doi: 10.1136/jnnp.56.3.241.
Abstract
A controlled trial of retraining of the sensory function of the hand was undertaken in hemiplegic patients after the period of spontaneous recovery. Twenty hemiplegic patients with sensory deficit in the hand, two or more years after stroke, received systematic retraining three times a week for six weeks. Sensation in the plegic hand was tested before and after this period in these patients and in 19 untreated control patients. The treated group showed large and significant gains on all sensory tests (P < 0.001), while no change occurred in the control group. It is concluded that somatosensory deficit can be alleviated even years after stroke and that rehabilitation for stroke patients should include sensory retraining for those with sensory deficit.
摘要
在自发恢复阶段过后，对偏瘫患者手部感觉功能再训练进行了一项对照试验。20名手部存在感觉缺陷的偏瘫患者，在中风两年或更长时间后，接受了为期六周、每周三次的系统再训练。在此期间前后，对这些患者以及19名未经治疗的对照患者的瘫痪手部感觉进行了测试。治疗组在所有感觉测试中均有大幅且显著的改善（P < 0.001），而对照组则无变化。得出的结论是，即使在中风数年之后，躯体感觉缺陷仍可得到缓解，并且中风患者的康复治疗应包括对存在感觉缺陷者进行感觉再训练。
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