Ghatak R K, Ballav A, Mukherjee S C
Department of Physical Medicine, Medical College, Calcutta.
J Indian Med Assoc. 1998 Jun;96(6):179-80, 189.
Thirty patients having hemiplegia arising out of stroke were considered for the study. There were 15 patients each of cerebral infarction and cerebral haemorrhage. The patients were evaluated initially and 6-8 weeks after the first visit for neuromuscular function and activity of daily living following the schedule of Feldman et al and Barthel index respectively. After determining neuromuscular function the patients were graded as 'not impaired', 'mild to moderately impaired' and 'moderate to severely impaired' taking into account of muscular function, spasticity and disabling contracture. In determining activity of daily living the patients were divided into 'A' to 'E' categories depending on the score (0 to 100) they obtained on assessment. The patients were put to standard physiotherapeutic measures in addition to standard medical therapy. At the end of the study it was found that haemorrhagic stroke patients showed better improvement both in neuromuscular function and activity of daily living.
本研究纳入了30例因中风导致偏瘫的患者。其中脑梗死和脑出血患者各15例。分别按照费尔德曼等人的方案和巴氏指数，在患者初次就诊时以及首次就诊后6 - 8周对其神经肌肉功能和日常生活活动能力进行评估。在确定神经肌肉功能后，综合肌肉功能、痉挛状态和致残性挛缩情况，将患者分为“未受损”、“轻度至中度受损”和“中度至重度受损”。在确定日常生活活动能力时，根据患者评估得分（0至100分）将其分为“A”至“E”类。除了标准药物治疗外，患者还接受了标准物理治疗措施。研究结束时发现，出血性中风患者在神经肌肉功能和日常生活活动能力方面均有更好的改善。
