中国康复2013，Vol.28Issue(2)：103-105,3.DOI:10.3870/zgkf.2013.02.007
强制诱导运动对脑卒中患者运动功能及胰岛素抵抗的影响
Influence of CIMT on motor function and insulin resistance of stroke patients
摘要
Abstract
Objective:To explore the influence of constraint-induced movement therapy (CIMT) on motor function and insulin resistance of stroke patients with normal fasting glucose. Methods: Thirty hospitalized patients with stroke were randomly divided into CIMT group and control group (n = 15 each). Patients in two groups received routine rehabilitation therapies including the treadmill exercise training,walking,walking up and down the stairs,motor relearning therapy. In CIMT group,uninvolved extremities wore modified knee splint on no less than 90% sober time daily. Two groups of patients were assessed respectively to lower extremity motor function, ability of activities of daily living, and balance function using Fugl-Meyer motor function scale, activities of daily living (ADD, and Berg balance scale respectively. Meanwhile HOMA-IR value changes in two groups of patients before and after treatment were assessed. Results:There was no significant difference in HOMA-IR values before and after treatment in two groups. After treatment, the FMA,BBS and BI scores were significantly increased (P<0. 05) as compared with those before treatment,and those in CIMT group were significantly higher than in control group (P<0. 01). Conclusion: CIMT is effective in improving lower limb motor function,ability of activities of daily living and balance ability in stroke patients,but had no positive effects on insulin resistance in stroke patients with normal fasting glucose level.关键词
强制诱导运动治疗/脑卒中/胰岛素抵抗Key words
CIMT/ stroke/ insulin resistance分类
医药卫生引用本文复制引用
尹婵,刘新福,曾明安..强制诱导运动对脑卒中患者运动功能及胰岛素抵抗的影响[J].中国康复,2013,28(2):103-105,3.
