运动想像对脑梗死偏瘫患者下肢功能恢复的影响  

Effects of Motor Imagery on Lower Limb Function in Hemiplegic Patients after Cerebral Infarction

作　　者：刘惠宇[1] 朱丽芳[1] 谢冬玲[1] 

机构地区：[1]汕头大学医学院附属粤北人民医院康复医学科,广东韶关市512026

出　　处：《中国康复理论与实践》2010年第5期449-450,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨运动想像结合运动再学习方法对脑梗死偏瘫患者下肢功能恢复的影响。方法将62例脑梗死偏瘫患者分为运动想像组(32例)和对照组(30例),两组患者均接受神经内科常规药物治疗和运动再学习治疗,运动想像组同时采用运动想像训练。治疗前、后采用Fugl-Meyer运动功能评分法(FMA)、改良Barthel指数(MBI)进行评定。结果治疗前后运动想像组FMA评定分别为(17.43±5.98)、(27.22±6.18),对照组分别为(18.36±6.23)、(24.58±5.88);运动想像组MBI分别为(48.86±8.78)、(75.96±9.48),对照组分别为(47.98±6.65)、(67.52±9.54)。运动想像组患者FMA及MBI优于对照组(P<0.05)。结论运动想像结合运动再学习有利于提高脑梗死偏瘫患者下肢的综合能力。Objective To explore the effect of motor on functional recovery of the lower limb in hemiplegic patients after cerebral infarction.Methods 62 patients recovering from cerebral infarction were divided into the control group （30 cases） and motor imagery group （32 cases）.All patients received routine treatment and a motor relearning program.Patients in the motor imagery group were given mental practice in activities of the lower limb.They were assessed with Fugl-Meyer Assessments （FMA） and Modified Barthel Index （MBI） before and after treatment.Results The scores of FMA and MBI were improved in the motor imagery group compared with those in the control group （P0.05） after treatment.Conclusion Motor imagery can facilitate the recovery of lower limb function in patients with hemiplegia.

关 键 词：脑梗死 偏瘫 运动想像 运动再学习 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]