康复治疗对脑卒中后单侧空间忽略病人运动功能及日常生活活动能力的影响
Effect of rehabilitation therapy on motor function and activities of daily living in patients with unilateral spatial neglect after stroke
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摘要: 目的：探讨康复治疗对脑卒中后单侧空间忽略病人运动功能及日常生活活动能力的影响。方法：对36例脑卒中后单侧空间忽略病人采取视觉感官、肢体运动及心理等多方面的康复治疗，比较治疗前后病人运动功能及日常生活活动能力的恢复情况。结果：病人康复治疗1个月、2个月及3个月后NIHSS评分均显著低于治疗前（P<0.01），治疗时间越长，NIHSS评分越低（P<0.01）。治疗后病人BI评分亦显著高于治疗前水平（P<0.01），但治疗后不同时间点间差异无统计学意义（P>0.05）。左侧空间忽略病人治疗后的BI指数评分与右侧空间忽略病人比较差异无统计学意义（P>0.05）。结论：对脑卒中后单侧空间忽略病人采用视觉感官、肢体运动及心理等多方面的康复治疗明显改善运动功能及日常生活活动能力，有效提高病人生活质量，值得推广。Abstract: Objective:To investigate the effects of rehabilitation therapy on motor function and activities of daily living in patients with unilateral spatial neglect after stroke.Methods:Thirty-six patients with unilateral spatial neglect after stroke were treated with visual sensory,physical exercise and psychological rehabilitation.The recovery of motor function and activities of daily living between before and after treatment were compared.Results:The NIHSS scores after 1 month,2 months and 3 months of rehabilitation therapy were significantly lower than that before treatment(P<0.01),and the longer the rehabilitation treatment time,the lower the NIHSS score was(P<0.01).The BI score after treatment was significantly higher than that before treatment(P<0.01),but the difference of which at different time-points after treatment was not statistically significant(P>0.05).The difference of BI index between left-side and right-side spatial neglect patients was not statistically significant(P>0.05).Conclusions:The visual sensory,physical exercise and psychological rehabilitation in the treatment of unilateral spatial neglect can significantly improve motor function and activities of daily living,and effectively improve the quality of life in patients with stroke,which is worthy of promotion.
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Key words:
- stroke /
- unilateral spatial neglect /
- rehabilitation therapy /
- motor function
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