基于镜像神经元理论的动作观察疗法对脑卒中患者上肢运动功能和日常生活活动能力的影响  

Effects of action observation therapy based on mirror neuron theory on upper limb function and the activities of daily living of stroke survivors

作　　者：王春苑[1] 梁群林 崔尧[2] 朱美红[1] 顾旭东[1] 

机构地区：[1]浙江省嘉兴市第二医院康复医学中心,嘉兴314000 [2]首都医科大学康复医学院、中国康复研究中心北京博爱医院理疗科

出　　处：《中华物理医学与康复杂志》2015年第1期29-31,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家自然科学基金资助项目（81201504）;浙江省自然基金资助项目（LY12H17004）;浙江省嘉兴市科技计划项目（2014AY21031-9）

摘　　要：目的 观察基于镜像神经元（MNs）理论的动作观察疗法对早期脑卒中患者上肢运动功能和日常生活活动（ADL）能力的影响.方法 将81例脑卒中偏瘫患者按随机数字表法分为观察组（41例）和对照组（40例）.对照组采用常规康复治疗,观察组在对照组常规康复治疗方案的基础上增加动作观察疗法.2组疗程均为16周,每周治疗10次.于治疗前和治疗4、8、16周后,采用简式Fugl-Meyer运动功能评定量表（FMA）和Barthel指数（BI）分别评定2组患者的上肢运动功能和ADL能力,同时计算2组患者治疗4、8、16周后3个时间点的各项评分与组内治疗前的差值,并进行组间比较.结果 治疗4周、8周、16周后,观察组上肢FMA评分分别为（32.50 ±9.32）分、（36.35 ±8.32）分、（41.32±13.45）分,BI评分分别为（67.41±16.81）分、（78.74±15.63）分、（93.85±13.45）分,与组内治疗前及与对照组同时间点比较,差异均有统计学意义（P＜0.05）.治疗4、8、16周后,观察组各项评分与组内治疗前的差值与对照组的同时间点差值比较,差异均有统计学意义（P＜0.05）.结论 基于MNs理论的动作观察疗法可改善早期脑卒中后偏瘫患者的上肢运动功能和ADL能力.Objective To observe the effects of action observation therapy based on mirror neuron theory on upper-extremity motor function and performance in activities of daily living（ADL） after stroke.Methods Eightyone stroke patients were randomly assigned to an observational group （41 cases） or a control group （40cases）.Both groups received conventional rehabilitation,and the observational group also received action observation therapy for 16 weeks,10 times per week.Upper-extremity motor function and ADL performance were assessed before treatment using the Fugl-Meyer assessment （FMA） and the Barthel index （BI） and then again after 4,8 and 16 weeks of treatment.Results The average FMA scores and BI scores in the observational group at the 4th week （32.50 ± 9.32 and 67.41 ± 16.81）,the 8th week （36.35 ± 8.32 and 78.74 ± 15.63） and the 16 th week （41.32 ± 13.45 and 93.85 ± 13.45） had increased significantly compared with the pre-treatment assessment and were significantly better than at the same time point for the control group （P 〈 0.05）.Conclusion Action observation therapy based on mirror neuron theory can promote the recovery of upper-extremity motor function and ADL performance after stroke.

关 键 词：镜像神经元 动作观察疗法 脑卒中 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]