关键词: 作业治疗, 感觉刺激, 易化技术, 脑卒中, 上肢功能

Abstract: Objective To explore the influence of strengthening facilitation technique guided by sensory stimulation on the rehabilitation effect of upper limb function in stroke patients on occupational therapy. Methods Sixty patients with paraplegia and spasms during stroke that were treated in our department from June 2018 to May 2020 were selected as the subjects of the study. These patients were divided into therapy group(n=30)and control group(n=30). Both groups received routine rehabilitation on this basis. The therapy group were given strenghening facilitation techniques such as Brunnstrom technique, Bobath technique, Rood technique, PNF(propriceptive neuromuscular facilitation)technique, especially strengthening the application of the sense of stimulation ingredients to stimulate multi-sensory paths such as visual hearing, shallow sensations, ontogenal sensations, composite sensations and by password, brushing, tapping, pressing, extrusion, stretching, cold water, warm water, resistance, control and other measures, the treatment period was 12 weeks. Fugl-Meyer Assessmont Scnle(FMA)-upper limb was used to examine the rate the motor function of 2 groups of patients before and 6 weeks and 12 weeks after treatment. Ability of ADL(activities of daily living)was scored in 2 groups of patients before and 6 weeks and 12 weeks after treatment using an improved Barthel index scale(modified Barthel index, MBI). In strumental ADL ability 2 groups half a year after discharge using Functional Activity Questionnaires(FAQ), the Brunnstrom stage was used to determine the rate the proportion of partial separation exercise period and separation exercise period at 12 weeks of treatment in 2 groups. Results 2 groups after 6 weeks and 12 weeks had significant effects compared to pre-treatment,and the exercise ability and ADL ability of the therapy group were better than that of the control group, the exercise ability and ADL ability of the two groups after 12 weeks were better than those of the group after 6 weeks(all P<0.01). In strumental ADL ability of the therapy group was better than that of the control group(P<0.01). In 2 groups half a year after discharge, there were significantly more cases of patients with upper limb movement function recovery up to Brunnstrom 4 and above treatment group than in 2 groups(all P<0.01), it was shown that strengthening sensory stimulation in rehabilitation training could enable the patients to obtain better rehabilitation results. Conclusion The use of facilitation technique in occupational therapy, especially the strengthening of the sensational stimulation component of facilitation technique, can significantly promote the process of motor function rehabilitation in patients with paraplegia with stroke paraplegia, significantly improve the movement function of the upper limbs of patients, and improve ADL ability.

Key words: occupational therapy, sensory stimulation, facilitation technique, stroke, upper limb function