改良强制性运动疗法在脑卒中后上肢功能恢复中应用的研究进展.pdf

中国康复理论与实践2016年12月第22卷第12期ChinJRehabilTheoryPract,Dec.,2016,Vol.22,No.12 - 1395 - DOI: 10.3969/j.issn. 1006-9771.2016.12.006 ·专题 · 改良强制性运动疗法在脑卒中后上肢功能恢复中应用的研究进展① 张情，潘世琴，王丽 [摘要] 改良强制性运动疗法(mCIMT)是在强制性运动疗法(CIMT)基础上改进而来，用于偏瘫患者功能训练与康复的方法。 它对适用对象有功能和年龄方面的要求，训练方案较CIMT 更灵活。训练动作、强度、训练及限制时间与频率构成训练方案的主 要内容。mCIMT 也被用来与其他康复手段联合使用。上肢运动功能评定方法很多；可采用 “行为合同”和 “运动日志”等方法保 证mCIMT 疗效。 [关键词] 脑卒中；偏瘫；改良强制性运动疗法；上肢；塑性训练；综述 Advance in Modified Constraint- induced Movement Therapy for Upper Extremity Function Recovery after Stroke (review) ZHANG Qing, PAN Shi-qin, WANG Li School of Nursing, Soochow University, Suzhou, Jiangsu 215006, China Correspondence to WANG Li. E-mail: li-wang- 1@ Abstract: Modified constraint-induced movement therapy (mCIMT), which is modified from constraint-induced movement therapy (CIMT), is used in hemiplegics for rehabilitation. It may be used in the selected patients in certain function and age. mCIMT is more flexible than CIMT, which is mainly consisted of intervention movement, intensity, and the time of training and limitation. mCIMT is also used with other rehabilitation methods. There are various assessment for the evaluation of upper extremity motor function. By using Contract and Mo- tor Activity Log, researchers can better guarantee the curative effect. Key words: stroke; hemiplegia; modified constraint-induced movement therapy; upper extremity; shaping; review [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2016) 12-1395-04 [本文著录格式] 张情，潘世琴，王丽. 改良强制性运动疗法在脑卒中后上肢功能恢复中应用的研究进展[J]. 中国康复理论与 实践, 2016, 22(12): 1395-1398. CITED AS: Zhang Q, Pan SQ, Wang L. Advance in modified constraint-induced movement therapy for u