Đánh giá kết quả can thiệp vận động cưỡng bức bên liệt cường độ thấp trong phục hồi chức năng chi trên ở người bệnh nhồi máu não giai đoạn cấp=Evaluation of the results of low intensity forced lateral exercise intervention in upper extremity functional rehabilitation in people with acute cerebral infarction stroke

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Phương Tú Bùi, Thị Vân Quyên Lý, Thành Trung Nguyễn, Thị Minh Thanh Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.422-430

Bộ sưu tập: Metadata

ID: 477923

Thêm vào giỏ

Đánh giá kết quả can thiệp vận động cưỡng bức cường độ thấp (Modified Constraint-induced Movement Therapy - mCIMT) trong phục hồi chức năng (PHCN) chi trên ở bệnh nhân (BN) nhồi máu não (NMN) cấp tại Trung tâm Đột quỵ bệnh viện Đa khoa Tỉnh Phú Thọ. Đối tượng và phương pháp: Nghiên cứu tiến cứu, can thiệp ngẫu nhiên 104 BN liệt chi trên do NMN cấp, tại Trung tâm Đột quỵ Bệnh viện đa khoa tỉnh Phú Thọ từ 01/2023- 06/2024. Các BN được chia ngẫu nhiên làm hai nhóm: nhóm điều trị PHCN cơ bản (52BN) và nhóm điều trị PHCN cơ bản kết hợp với can thiệp vận động cưỡng bức cường độ thấp (52 BN). Các BN đều đáp ứng tiêu chuẩn lựa chọn và loại trừ trong PHCN sớm theo đánh giá của các bác sĩ chuyên khoa thần kinh - đột quỵ trước can thiệp. Kết quả: sau 03 tuần can thiệp, có sự khác biệt có ý nghĩa giữa 2 nhóm về kết quả cải thiện chức năng chi trên bằng điểm MAL (mức cải thiện điểm trung bình AOU và QOM của nhóm nghiên cứu lần lượt là +1,59 và +1,46 so với nhóm chứng là +0,51 và + 0.60, P<
0,05)
không có sự khác biệt có ý nghĩa giữa 2 nhóm về kết quả cải thiện chức năng chi trên theo điểm ARAT (điểm trung bình của nhóm nghiên cứu tăng + 19,8 so với nhóm chứng là +19,7, P>
0,05)
có sự khác biệt có ý nghĩa giữa 2 nhóm về sự phân bố BN theo khả năng thực hiện trắc nghiệm NHPT (nhóm nghiên cứu là +24 BN có thể thực hiện được trắc nghiệm NHPT so với nhóm chứng là +06 người, P<
0,05). Kết luận: Kỹ thuật “Vận động cưỡng bức bên liệt cường độ thấp” ở BN đột quỵ NMN giai đoạn cấp kết hợp với PHCN cơ bản giúp cải thiện chức năng chi trên.Evaluating the results of Modified Constraint-induced Movement Therapy (mCIMT) in upper limb rehabilitation in patients with acute cerebral infarction at the Stroke Center collapsed at Phu Tho Provincial General Hospital. Objects and methods: Prospective study, randomized intervention in 104 patients with upper limb paralysis due to acute myocardial infarction, at the Stroke Center of Phu Tho Provincial General Hospital from January 2023-June 2024. The patients were randomly divided into two groups: basic rehabilitation treatment group (52 patients) and basic rehabilitation treatment group combined with low-intensity forced movement intervention (52 patients). All patients met the inclusion and exclusion criteria in early rehabilitation according to the assessment of neurologists - stroke specialists before intervention. Results: after 3 weeks of intervention, there was a significant difference between the 2 groups in terms of improving upper limb function using MAL scores (the average improvement in AOU and QOM scores of the study group was +1, respectively). 59 and +1.46 compared to the control group +0.51 and + 0.60 , P<
0.05)
There was no significant difference between the 2 groups in terms of improving upper limb function according to ARAT score (the average score of the study group increased + 19.8 compared to the control group + 19.7 , P>
0, 05)
There was a significant difference between the 2 groups in the distribution of patients according to their ability to perform the NHPT test (the research group was +24 patients who could perform the NHPT test compared to the control group of +06 people, P<
0.05). Conclusion: The technique of "Low-intensity forced movement of the paralyzed side" in patients with acute stroke combined with basic rehabilitation helps improve upper limb function.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR