运动想象结合运动再学习疗法对脑卒中患者肢体功能和生存质量的影响  

Effection of Motor imagize with Motor Relearm Therapy on Stroke patients limb Functional Recovery and Quality of Life

作　　者：高晓艳[1] 谷艳[1] 夏彩秋[1] 周萍萍[1] 杨青兰[1] 王代誉[1] 

机构地区：[1]大庆石油管理局油田总院集团脑血管医院,黑龙江大庆163113

出　　处：《中国伤残医学》2011年第5期18-20,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨运动想象结合运动再学习疗法对脑卒中偏瘫患者肚体功能恢复和生存质量改善的治疗价值。方法:将60例急性脑卒中偏瘫患者随机分为治疗组(30例)和对照组(30例),2组患者均接受神经内科常规药物治疗和运动再学习(MRP)治疗,治疗组同时采用运动想象训练。采用Fugl-Meyer运动功能评分法(FMA)、改良Barthel指数法(MBI)和WHOQOL-BREF中文版对2组患者治疗前、后肢体功能及日常生活活动能力和生活质量进行评定。结果:(1)2组患者治疗前肢体运动功能差异无统计学意义;治疗后1个月、3个月肢体运动功能差异有统计学意义(分别P<0.05,P<0.01)。(2)2组患者治疗前日常生活活动能力差异无统计学意义;治疗1个月、3个月差异有统计学意义(分别P<0.05,P<0.01)。(3)ⅣHOQOL-BREF中文版评分:治疗前治疗组和对照组无差异(P>0.05),3个月后冶疗组显着高于对照组(P<0.01)。结论:运动想象结合运动再学习疗法可以有效地改善急性脑卒中偏瘫患者的肢体运动功能,提高日常生活活动能力,提高患者生存质量。Objective：To investigate motor imagize with motor relearning therapy on stroke in patients with limb functional recovery and quality of life improved therapeutic value.Methods：60 patients with acute stroke patients with hemiplegia were randomly divided into treatment group（30 cases）and control group（30 cases）,group 2 patients received conventional drug treatment,and neurological motor relearning program（MRP）treatment,the treatment group at the same time using motor imagize training.Using Fugl-Meyer Motor Function Assessment Act（FMA）.modified Barthel Index（MBI）and the Chinese version of WHOQOL-BREF on two patients before and after treatment limb function and activities of daily 1iving and quality of 1ife to be assessed.Results：（1）The two groups before treatment 1imb motor function in patients with no significant difference：1 month after treatment.3 monthst extremity motor function was significantly（respectively P0.05,P0.01）.（2）The two groups before treatment in patients with activities of daily living was no signifleant difference：treatment of 1 month,3 months.the difference was statistically significant（respectively P 0.05,P0.01）.（3）WHOQOL-BREF English score：before treatment the treatment group and the control grouD no significant difference（P0.05）,3 months after the treatment group were significantly higher（P0.01）.Conclusion：The combination of motor relearning motor imagize therapy can be effective in improving acute stroke in patients with limb motor function,improve activities of daily living capacity,improve Datient quality of life.

关 键 词：运动想象 脑血管意外 功能恢复 运动再学习 

分 类 号：R49[医药卫生—康复医学]