中国康复理论与实践2024，Vol.30Issue(7)：823-830,8.DOI:10.3969/j.issn.1006-9771.2024.07.011
作业技能再学习策略对脑卒中偏瘫上肢功能效果的随机对照试验
Effect of occupational skills relearning on hemiplegic arm function after stroke:a randomized controlled trial
摘要
Abstract
Objective To explore the effect of occupational skills relearning programme on hemiplegic arm motor function and ac-tivities of daily living(ADL)in stroke patients. Methods From February,2022 to August,2023,74 stroke patients in Guangdong Work Injury Rehabilitation Hospital were enrolled and randomly divided into control group(n=37)and experimental group(n=37).The control group received conventional rehabilitation training,and the experimental group received additional occupational skills relearning programme,for three weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremi-ties(FMA-UE),Functional Test for the Hemiplegic Upper Extremity-Hong Kong(FTHUE-HK),Motor Activity Log(MAL)-amount of use(AOU)and MAL-quality of movement(QOM),modified Barthel Index(MBI),and Stroke Impact Scale(SIS)-Hand and SIS-ADL before and after treatment. Results The scores in all assessments improved significantly in both groups(|t|>3.597,P<0.05)after treatment,while the scores of FMA-UE,FTHUE-HK,MAL-AOU,MAL-QOM were higher in the experimental group than in the control group(|t|>2.352,P<0.05). Conclusion Occupational skills relearning programme could promote the recovery of hemiplegic arm motor and activity,and facilitate the use of the hemiplegic arm in daily life in stroke patients.关键词
脑卒中/作业技能再学习/上肢/运动功能/日常生活活动/随机对照试验Key words
stroke/occupational skills relearning/upper limb/motor function/activities of daily living/randomized controlled trial分类
医药卫生引用本文复制引用
何爱群,黎景波,何茂莉,叶思媚,宋秋爽,刘海鸥,谢有书..作业技能再学习策略对脑卒中偏瘫上肢功能效果的随机对照试验[J].中国康复理论与实践,2024,30(7):823-830,8.基金项目
广东省医学科学技术研究基金项目(No.B2021192) Guangdong Medical Research Fund(No.B2021192) （No.B2021192）
