Research on the application of constraint-induced movement therapy in the rehabilitation treatment of hemiplegia after stroke
强制性运动疗法应用于脑卒中偏瘫康复治疗中的研究

摘要

目的 将强制性运动疗法（CIMT）用于脑卒中偏瘫康复治疗中，对其应用价值进行探究。方法 选取2024年3月-2025年6月本院收治的88例脑卒中偏瘫患者，随机分组，对照组44例行常规康复疗法，观察组44例在此基础上行CIMT，对两组干预结果进行比较。结果 两组总有效率比较，观察组95.45%更高（P<0.05）；干预前，两组BI、FAC、FMA、MWS评分比较，不具显著差异（P>0.05），干预后，观察组各评分更高（P<0.05）；干预前，两组NIHSS评分比较，不具显著差异（P>0.05），干预后，观察组该评分更低（P<0.05）。结论 对脑卒中偏瘫患者来说，应用强制性运动疗法可获得满意干预效果，一方面可提高患者日常生活能力、改善步行功能及肢体功能，一方面可减轻神经功能缺损，具有较高应用价值。

Abstract

Objective To explore the application value of Constraint-Induced Movement Therapy (CIMT) in the rehabilitation treatment of hemiplegia after stroke.
Methods A total of 88 patients with hemiplegia after stroke admitted to our hospital from March 2024 to June 2025 were selected and randomly divided into two groups. The control group of 44 patients received conventional rehabilitation therapy, while the observation group of 44 patients received CIMT on this basis. The intervention results of the two groups were compared.
Results The total effective rate of the observation group was 95.45%, which was higher than that of the control group (P < 0.05). Before the intervention, there was no significant difference in BI, FAC, FMA, and MWS scores between the two groups (P > 0.05). After the intervention, the scores of the observation group were higher (P < 0.05). Before the intervention, there was no significant difference in NIHSS scores between the two groups (P > 0.05). After the intervention, the score of the observation group was lower (P < 0.05).
Conclusion   For patients with hemiplegia after stroke, the application of Constraint-Induced Movement Therapy can achieve satisfactory intervention results. It can not only improve the patients' daily living ability, walking function, and limb function, but also reduce neurological deficits, demonstrating high application value.