ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 >

2021 , Vol. 18 >Issue 12: 1106 - 1109

DOI: https://doi.org/10.3761/j.issn.1672-9234.2021.12.008

健康教育与健康促进专题

脑卒中患者双侧上肢训练的研究进展

  • 金琳娜 ,
  • 邹朝君 ,
  • 潘红英
展开
  • 310012 杭州市 浙江大学医学院附属邵逸夫医院
金琳娜:女,本科（硕士在读）,主管护师,E-mail: Jinln@srrsh.com

收稿日期: 2021-02-17

  网络出版日期: 2021-12-27

收起

A review of bilateral arm training in stroke patients

  • Lin-na JIN ,
  • Zhao-jun ZOU ,
  • Hong-ying PAN
Expand

Received date: 2021-02-17

  Online published: 2021-12-27

Fold

摘要

双侧上肢训练在脑卒中患者的康复中非常重要。研究者们关注患者健侧肢体功能,将健侧与患侧肢体同步训练的模式逐渐运用到脑卒中患者康复中,形式多样。该文对双侧上肢训练的适用对象、实施者、干预时期、训练时间、训练形式以及训练效果进行归纳总结,以期为临床康复护理实践工作提供指导。

关键词： 卒中; 运动疗法; 双侧上肢训练

本文引用格式

金琳娜 , 邹朝君 , 潘红英 . 脑卒中患者双侧上肢训练的研究进展[J]. 中华护理教育, 2021 , 18(12) : 1106 -1109 . DOI: 10.3761/j.issn.1672-9234.2021.12.008

Abstract

Bilateral arm training plays an important role in the rehabilitation of stroke patients. Researchers focus on the function of unaffected limb and apply the synchronous training of unaffected and affected limbs in stroke rehabilitation in various forms. This paper summarized the target subjects,practitioners,intervention period,training time,training form and training effects of bilateral upper limb training to provide reference for clinical nursing practitioners.

Key words： Stroke; Exercise Therapy; Bilateral arm training

参考文献

[1] Omar NH, Mohd Nordin NA, Chai SC, et al. Functionality among stroke survivors with upper limb impairment attending com-munity-based rehabilitation[J]. Med J Malays, 2020, 75(2):146-151.
[2] van der Vliet R, Selles RW, Andrinopoulou ER, et al. Predicting upper limb motor impairment recovery after stroke:a mixture model[J]. Ann Neurol, 2020, 87(3):383-393.
[3] Pundik S, McCabe J, Skelly M, et al. Association of spasticity and motor dysfunction in chronic stroke[J]. Ann Phys Rehabil Med, 2019, 62(6):397-402.
[4] Yi YB, Shim JS, Oh BM, et al. Grip strength on the unaffected side as an independent predictor of functional improvement after stroke[J]. Am J Phys Med Rehabilitation, 2017, 96(9):616-620.
[5] Cho TH, Jeong YJ, Lee HJ, et al. Manual function of the unaffected upper extremity can affect functional outcome after stroke[J]. Int J Rehabil Res, 2019, 42(1):26-30.
[6] Chen PM, Kwong PWH, Lai CKY, et al. Comparison of bilateral and unilateral upper limb training in people with stroke:a systematic review and meta-analysis[J]. PLoS One, 2019, 14(5):e0216357.
[7] Kim RK, Kang N. Bimanual coordination functions between paretic and nonparetic arms:a systematic review and meta-analysis[J]. J Stroke Cerebrovasc Dis, 2020, 29(2):104544.
[8] 李贞晶, 孟宪忠, 瞿昱, 等. 双侧手功能训练对卒中患者手功能及手屈伸肌群表面肌电的影响[J]. 中华物理医学与康复杂志, 2019, 41(8):584-587.
[8] Li ZJ, Meng XZ, Qu Y, et al. Bilateral hand function training can significantly improve the hand function of stroke survivors[J]. Chin J Phys Med Rehabil, 2019, 41(8):584-587.
[9] Cunningham DA, Knutson JS, Sankarasubramanian V, et al. Bilateral contralaterally controlled functional electrical stimulation reveals new insights into the interhemispheric competition model in chronic stroke[J]. Neurorehabil Neural Repair, 2019, 33(9):707-717.
[10] Mehrholz J, Pohl M, Platz T, et al. Electromechanical and robot-assisted arm training for improving activities of daily living,arm function,and arm muscle strength after stroke[J]. Cochrane Database Syst Rev, 2018, 9:CD006876.
[11] Renner CIE, Brendel C, Hummelsheim H. Bilateral arm training vs unilateral arm training for severely affected patients with stroke:exploratory single-blinded randomized controlled trial[J]. Arch Phys Med Rehabil, 2020, 101(7):1120-1130.
[12] 邹朝君, 叶志弘, 胡皓, 等. 日常生活活动能力护理对脑卒中患者日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2015, 37(10):752-753.
[12] Zou ZJ, Ye ZH, Hu H, et al. The effect of daily living ability nursing on the ability of daily living in stroke patients[J]. Chin J Phys Med Rehabil, 2015, 37(10):752-753.
[13] Kim SH, Park JH. The effect of occupation-based bilateral upper extremity training in a medical setting for stroke patients:a single-blinded,pilot randomized controlled trial[J]. J Stroke Cerebrovasc Dis, 2019, 28(12):104335.
[14] Stoykov ME, King E, David FJ, et al. Bilateral motor priming for post stroke upper extremity hemiparesis:a randomized pilot study[J]. Restor Neurol Neurosci, 2020, 38(1):11-22.
[15] Hsu HY, Chiu HY, Kuan TS, et al. Robotic-assisted therapy with bilateral practice improves task and motor performance in the upper extremities of chronic stroke patients:a randomised controlled trial[J]. Aust Occup Ther J, 2019, 66(5):637-647.
[16] Meng G, Meng X, Tan Y, et al. Short-term efficacy of hand-arm bimanual intensive training on upper arm function in acute stroke patients:a randomized controlled trial[J]. Front Neurol, 2017, 8:726.
[17] Easow A, Chippala P. Effects of bilateral upper limb task training on upper limb function in acute stroke:a randomized controlled trial[J]. Indian J Physiother Occup Ther, 2019, 13(4):218-222.
[18] Hordacre B, Austin D, Brown KE, et al. Evidence for a window of enhanced plasticity in the human motor cortex following ischemic stroke[J]. Neurorehabil Neural Repair, 2021, 35(4):307-320.
[19] Lee SH, Song BK, Kim HN. The effect of bilateral upper limb training on recovery of upper limb function in patients with acute stroke[J]. Medico-Leg Updat, 2019, 19(1):515-520.
[20] Kaur G, Kulkarni PS, Hazari A. Comparison of motor relearning program with bilateral arm training on upper-extremity control in subacute stroke survivors[J]. Crit Rev Phys Rehabil Med, 2019, 31(4):353-361.
[21] 王磊, 邱玲, 彭金林, 等. 镜像疗法结合上肢双侧运动训练治疗脑卒中后肩手综合征的临床疗效观察[J]. 中华物理医学与康复杂志, 2020, 42(6):533-535.
[21] Wang L, Qiu L, Peng JL, et al. The effect of mirror therapy combined with bilateral training on upper limb with shoulder hand syndrome after stroke[J]. Chin J Phys Med Rehabil, 2020, 42(6):533-535.
[22] Han P, Zhang W, Kang L, et al. Clinical evidence of exercise benefits for stroke[J]. Adv Exp Med Biol, 2017, 1000: 131-151.
[23] Cantero-Téllez R, Naughton N, Algar L, et al. Outcome measurement of hand function following mirror therapy for stroke rehabilitation:a systematic review[J]. J Hand Ther, 2019, 32(2):277-291.
[24] Fong KNK, Ting KH, Chan CCH, et al. Mirror therapy with bilateral arm training for hemiplegic upper extremity motor functions in patients with chronic stroke[J]. Hong Kong Med J, 2019, 25 Suppl 3(1):30-34.
[25] Ghai S. Effects of real-time(sonification) and rhythmic auditory stimuli on recovering arm function post stroke:a systematic review and meta-analysis[J]. Front Neurol, 2018, 9:488.
[26] Wu JY, Cheng H, Zhang JQ, et al. The modulatory effects of bilateral arm training(BAT) on the brain in stroke patients:a systematic review[J]. Neurol Sci, 2021, 42(2):501-511.
[27] Woytowicz EJ, Westlake KP, Whitall J, et al. Handedness results from complementary hemispheric dominance,not global hemispheric dominance:evidence from mechanically coupled bilateral movements[J]. J Neurophysiol, 2018, 120(2):729-740.
[28] Keerthi TB, Kumar KS, Kumar AK, et al. Effectiveness of repe-titive bilateral arm training with rhythmic auditory cueing in hemiparetic stroke[J]. JMSCR, 2017, 5(5):22591-22597.
[29] 何斌, 张超. 双侧训练在脑卒中急性期康复中的临床效果观察[J]. 中国康复, 2016, 31(5):342-344.
[29] He B, Zhang C. Effects of bilateral movement training on up-per limb function in acute stroke patients[J]. Chin J Rehabil, 2016, 31(5):342-344.
[30] Gandolfi M, Formaggio E, Geroin C, et al. Quantification of upper limb motor recovery and EEG power changes after robot-assisted bilateral arm training in chronic stroke patients:a prospective pilot study[J]. Neural Plast, 2018, 2018:8105480.
[31] Payton H, Soundy A. The experience of post-stroke pain and the impact on quality of life:an integrative review[J]. Behav Sci, 2020, 10(8):128.
[32] Chuang LL, Chen YL, Chen CC, et al. Effect of EMG-triggered neuromuscular electrical stimulation with bilateral arm training on hemiplegic shoulder pain and arm function after stroke:a randomized controlled trial[J]. J Neuroeng Rehabil, 2017, 14(1):122.
Options
文章导航

/

〈 〉