目的观察和分析早期康复干预对改善重型颅脑损伤(sTBI)患者生活能力的影响。方法选取98例sTBI患者作为研究对象,根据其接受康复训练的时间分为观察组和对照组。观察组患者48例均在发病1个月内开始接受康复训练;对照组50例均在发病1个月后开始接受康复训练。应用Fugl-Meyer量表、改良巴氏指数(MBI)对2组患者康复治疗前和治疗3个月后的运动功能和日常生活活动能力进行评价和比较。结果在康复治疗前,2组患者的Fugl-Meyer量表评分和BMI评分差异无统计学意义(P0.05);治疗后,2组患者的Fugl-Meyer量表评分和BMI评分均较治疗前显著上升(P0.05),且观察组患者的Fugl-Meyer量表评分和BMI评分均显著高于对照组(P0.05)。结论早期康复治疗可显著改善sTBI患者的肢体运动功能和生活自理能力,有利于改善患者的预后情况。

Objective To observe and analyze of the effects of early rehabilitation intervention on living ability of patients with severe traumatic brain injury (sTBI).Methods Ninety-eight cases of sTBI patients were selected as the research objects and were divided into the observation group and the control group according to the time of employment of the rehabilitation training. Forty-eight cases were included into the observation group who were treated with rehabilitation training from the time point within 1 month of onset ,while 50 cases were included into the control group who were treated with rehabilitation training from the time point after 1 month of onset. The Fugl-Meyer scale ,modified Barthel Index (MBI) were employed to evaluate and compare the motor functions and the ability of daily living activities of the patients in the two groups before treatment and after 3 months of rehabilitation training.Results Before rehabilitation treatment ,there was no significant differences of the F

目的观察Motomed训练系统对于脑卒中下肢功能障碍训练的疗效。方法将84例脑卒中康复期住院患者随机分为对照组和观察组。两组患者均给予常规康复训练,观察组增加Motomed训练。采用Fugl-Meyer运动功能量表(Fugl-Meyer Assessment,FMA)和改良Barthel指数(Modified Barthel index,MBI)进行下肢功能的疗效评定。结果实施Motomed训练后,观察组患者肢体运动功能、日常活动能力功能等指标均优于对照组(P0.001)。结论 Motomed训练能加速肢体功能恢复。

Objective To observe the curative effect of Motomed training system on lower limb dysfunction training in stroke sufferers . Methods 84 hospitalized patients with stroke rehabilitation were randomly divided into control group and observation group . Two groups of patients were given routine rehabilitation training , while the observation group were given additional Motomed training . The Fugl-Meyer As-sessment ( FMA ) and Modified Barthel index ( MBI ) were adopted to assess the curative effect of lower limb function . Results After Motomed training , the indexes of the patients'' limb movement function and daily activity ability function of the observation group were better than those of the control group ( P<0 . 001 ) . Conclusion Motomed training system can accelerate the recovery of limb function .

目的探讨互动体感游戏对脑卒中患者下肢运动功能和平衡功能康复的有效性。方法脑卒中后下肢和平衡功能障碍患者40例分为实验组（n=20）和对照组（n=20）,均接受常规康复训练治疗,实验组另加互动体感游戏Kinect。分别于干预前和干预4周后对患者进行Fugl-Meyer下肢运动功能评定（FMA）和Berg平衡量表评定。结果干预后,实验组FMA的屈肌协同运动、伸肌协同运动和坐位伴有协同运动的活动和总成绩以及Berg平衡量表成绩较对照组提高（P〈0.05）。结论互动体感游戏Kinect可以进一步改善脑卒中患者的下肢运动功能和平衡功能。

Objective To observe the effect of interactive somatic game Kinect on motor of lower limbs and balance function in patients with stroke. Methods 40 inpatients were divided into experimental group (n=20) and control group (n=20). All the patients received routine rehabilitations, while the experimental group received the interactive game Kinect in addition. They were assessed with Fugl-Meyer assess-ment of lower limb (FMA) and Berg balance scale (BBS) before and after intervention. Results The scores of flexor synergy, extensor syner-gy, movement combining synergies (in sitting), lower limb total score of FMA, and the score of BBS increased more in the experimental group than in the control group (P<0.05) after intervention. Conclusion The interactive somatic game Kinect can further improve the motor of lower limb and balance function of patients with stroke.

目的比较成年重度脑外伤患者不同年龄段康复的近期效果和长期预后的不同。方法 18~65岁重度颅脑创伤患者116例,依发病年龄将患者分为18~44岁组和45~65岁组。康复治疗前和康复治疗3个月后分别采用简易智能状态检查(MMSE)、残疾等级量表(DRS)、简化Fugl-Meyer运动功能评分、Fugl-Meyer平衡功能评分和改良Barthel指数(MBI)对患者进行评估。出院1年后对所有患者进行1次电话随访,进行DRS的评估。结果康复治疗3个月后两组MMSE评分、DRS评分、简化Fugl-Meyer运动功能评分、Fugl-Meyer平衡功能评分和MBI评分均较康复治疗前明显改善(P0.01)。1年后随访,两组患者DRS评分均继续下降,但18~44岁组更明显(P0.01)。结论早期康复可提高重度脑外伤成年人患者肢体功能和日常生活活动能力,年轻人的预后效果更好。

Objective To compare short-and long-term outcome of rehabilitation in different age patients with severe traumatic brain in-jury. Methods 116 patients with severe traumatic brain injury aged 18~65 years were divided into 18~44 years old group and 45~65 years old group. They were assessed with Mini-Mental Status Examination (MMSE), simplified Fugl-Meyer Motor Functional Assessment, Fugl-Meyer Balance Assessment, modified Barthel Index (MBI) and Disability Rating Score (DRS) before and 3 months after rehabilitation. And they were followed up with DRS 1 year after discharge. Results All the indexes improved 3 months after rehabilitation (P<0.01). After 1 year of follow-up, the DRS scores continued to decline in both groups, especially in the 18~44 years old group (P<0.05). Conclusion Early rehabilitation can improve the limb function and activities of daily living of adult patients with severe traumatic brain injury, especially in younger people.

目的观察互动式头针治疗对脑卒中患者运动功能障碍的效果。方法 36例脑卒中患者被随机分为对照组(n=19)和治疗组(n=17)。对照组采用传统头针结合康复训练,治疗组采用互动式头针结合康复训练。共1个月。采用Fugl-Meyer评定量表(FMA)、Wolf运动功能测试量表(WMFT)、改良Barthel指数(MBI)评定治疗前后运动功能、日常生活活动能力。结果治疗后,两组FMA、WMFT、MBI评分均明显提高(P0.01)。两组间FMA下肢运动功能评分、MBI评分治疗前后差值比较均有显著性差异(P0.05);而FMA上肢运动功能评分、WMFT评分治疗前后差值均无显著性差异(P0.05)。结论互动式头针治疗对脑卒中患者下肢运动功能、日常生活活动能力的改善优于传统头针治疗。

Objective To investigate the effect of complementary dynamic scalp acupuncture on motor function in stroke. Methods 36 stroke patients were randomly allocated to control group (n=19) and treatment group (n=17). The control group received traditional scalp acupuncture and rehabilitation training, while the treatment group received scalp acupuncture and rehabilitation training in the same time, for one month. Their motor function and activities of daily living (ADL) were assessed with the Fugl-Meyer Assessment (FMA), Wolf Mo-tor Function Test (WMFT) and modified Barthel Index (MBI) before and after treatment, respectively. Results The scores of FMA, WMFT and MBI increased significantly in both groups after treatment (P 0.05). Conclusion Complementary dynamic scalp acupuncture is more effective on lower limbs motor function and activities of daily living in stroke patients.