Effects of intensive repetition of a new facilitation technique on motor functional recovery of the hemiplegic upper limb and hand
Effects of intensive repetition of a new facilitation technique on motor functional recovery of the hemiplegic upper limb and hand
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DOI：
10.3109/02699052.2010.506855
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发表时间：
2010-01-01
期刊：
影响因子：
1.9
通讯作者：
Tanaka, Nobuyuki
中科院分区：
文献类型：
--
作者：
Kawahira, Kazumi;Shimodozono, Megumi;Tanaka, Nobuyuki
目的：使用一种新型促进技术研究重复促进练习（RFE）对偏瘫上肢的影响，其中患者移动偏瘫上肢或手指的意图随后使用多种感觉刺激实现运动。方法：23例卒中患者参加了一项交叉研究，其中2周RFE治疗（每天重复100次，每次5 - 8种促进运动）与2周的常规康复（CR）课程交替进行，共4次。治疗开始与2周的RFE会议在一组和2周的CR会议在第二group.Results：第一个2周的RFE会议后，两组显示改善Brunnstrom阶段的上肢和手，在第一CR会议期间观察到的小的改善。评估手功能的简单测试（STEF）评分，评估操纵物体的能力，在两个阶段中，两组都有所改善。在第二个2周RFE和CR会议后，两组都没有进一步改善，除了在STEF scores.Conclusion：新RFE促进偏瘫上肢和手的功能恢复在更大程度上比CR会议。
Objective: To study the effects on the hemiplegic upper limb of repetitive facilitation exercises (RFEs) using a novel facilitation technique, in which the patient's intention to move the hemiplegic upper limb or finger was followed by realization of the movement using multiple sensory stimulations.Methods: Twenty-three stroke patients were enrolled in a cross-over study in which 2-week RFE sessions (100 repetitions each of five-to-eight types of facilitation exercise per day) were alternated with 2-week conventional rehabilitation (CR) sessions, for a total of four sessions. Treatments were begun with the 2-week RFE session in one group and the 2-week CR session in the second group.Results: After the first 2-week RFE session, both groups showed improvements in the Brunnstrom stages of the upper limb and the hand, in contrast to the small improvements observed during the first CR session. The Simple Test for Evaluating Hand Function (STEF) score, which evaluates the ability of manipulating objects, in both groups improved during both sessions. After the second 2-week RFE and CR sessions, both groups showed little further improvement except in the STEF score.Conclusion: The novel RFEs promoted the functional recovery of the hemiplegic upper limb and hand to a greater extent than the CR sessions.