强制性使用运动疗法结合运动想象疗法治疗脑卒中单侧空间忽略患者的疗效观察  

The effect of constraint-induced movement therapy combined with motor imagery on unilateral spatial neglect in stroke patients

作　　者：徐睿华[1] 胡翔[2] 刘琦[1] 彭金良[1] 谢作文[1] 

机构地区：[1]武汉市第一医院康复医学科,武汉430022 [2]武汉工业学院健康科学与护理系

出　　处：《中华物理医学与康复杂志》2010年第12期923-926,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 观察强制性运动疗法结合运动想象疗法治疗脑卒中单侧空间忽略患者的疗效.方法 将符合本研究入选标准的50例脑卒中单侧空间忽略患者分为治疗组27例和对照组23例.2组患者均于入院后接受常规康复治疗,治疗组在常规康复治疗的基础上加用强制性运动疗法及运动想象疗法.在治疗前和治疗8周后分别采用删除试验、平分直线法、画钟试验和临摹画图这4种常规单侧忽略检测方法和Barthel指数（BI）对患者进行评定.结果 治疗8周后,对照组患者的单侧忽略检测评分和BI评分较治疗前 改善,差异有统计学意义（P＜0.05）,治疗组较治疗前改善更为显著（P＜0.01）;2组间治疗后比较差异均具有统计学意义（P＜0.05）.结论 强制性运动疗法结合运动想象疗法能明显改善脑卒中患者单侧空间忽略,提高其日常生活活动能力.Objective To observe the effect of constraint-induced movement therapy combined with motor imagery on unilateral spatial neglect （USN） in stroke patients. Methods Fifty stroke patients with USN were randomly divided into a treatment group （ n = 27 ） and a control group （ n = 23 ）. Both groups received routine physical therapy training, including with the Bobath technique and low frequency electrotherapy, while the treatment group received constraint-induced movement therapy and motor imagery in addition. All the patients were assessed with 4 scales of the regular USN assessment （ cancellation tests, line bisection tests, clock drawing tests,copying drawing tests） and with the Barthel index （BI） before and after 8 weeks of treatment. Results After 8 weeks of treatment, both groups＇ average USN assessments and Barthel indices improved significantly. Furthermore, both the USN results and the Barthel index scores in the treatment group were, on average, significantly better than those in the control group. Conclusion For USN stroke patients, constraint-induced movement therapy combined with motor imagery improves the symptoms of USN and ADL ability significantly better than routine physical therapy treatment alone.

关 键 词：单侧空间忽略 强制性运动疗法 运动想象 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]