运动想象疗法对脑卒中偏瘫患者上肢运动功能的影响  

The effects of motor imagery therapy on the upper limb motor function in hemiplegic stroke patients

作　　者：符俏[1] 陈文远[1] 喻锦成[1] 曾育山[1] 曹贤畅[1] 

机构地区：[1]海南省人民医院复康中心,海口570102

出　　处：《中国康复医学杂志》2010年第1期53-55,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨运动想象疗法对脑卒中偏瘫患者上肢运动功能和日常生活活动(ADL)能力的影响。方法:采用随机病例对照方法。经运动想象问卷(KVIQ)评定后,入选的39例脑卒中患者随机分为治疗组(n=20)和对照组(n=19),治疗组用运动想象疗法进行干预。入选时和治疗8周后,用Fugl-Meyer运动功能评分法和改良巴氏指数评定患者的上肢运动功能和ADL能力。结果:同组间治疗前后比较,FMA和MBI均有明显改善,差异有显著性意义(P<0.01),治疗后治疗组与对照组之间的FMA和MBI值比较差异有显著性意义(P<0.01)。结论:运动想象疗法可明显地促进脑卒中偏瘫患者上肢运动功能和ADL能力。Objective： To investigate the effects of motor imagery therapy on the upper daily living（ADL） in hemiplegic stroke patients. Method： A randomly case control study approach was conducted. After assessment with kinesthetic and visual imagery questionnaire （KVIQ）, 39 patients with hemiplegic stroke were randomly divided into two groups ：experiment group （n=20） and control group （n=19）. All patients were treated with routine rehabilitation training. In experiment group patients were treated with motor imagery therapy additionaly. All patients were assessed with Fugl-Meyer assessment （FMA） and Modified Barthel Index（MBI） before and after 8-week treatment. Result： After 8-week treatment in both groups the scores of FMA and MBI improved significantly compared with before treatment （P〈0.01）. After 8-week treatment, the scores of FMA and MBI in experiment group increased significantly compared with control group（P〈0.01 ）. Conclusion： Motor imagery therapy can significantly improve the upper limb motor function and ADL in patients with hemiplegic stroke.

关 键 词：运动想象疗法 脑卒中 康复 上肢功能 认知 

分 类 号：R743.3[医药卫生—神经病学与精神病学]