视觉反馈训练对脑卒中患者日常生活活动能力的影响  

Effect of visual feedback therapy on activities of daily living in patients with stroke

作　　者：朱美红[1] 王晶[1] 顾旭东[1] 时美芳[1] 曾明[1] 王春苑[1] 陈峤鹦[1] 傅建明[1] 

机构地区：[1]嘉兴市第二医院康复医学中心,嘉兴市314000

出　　处：《中华护理杂志》2015年第5期577-581,共5页Chinese Journal of Nursing

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

摘　　要：目的探讨基于镜像神经元理论的视觉反馈训练对脑卒中患者日常生活活动能力(Activities of Daily Living,ADL)的影响。方法将61例脑卒中患者随机分为实验组(31例)和对照组(30例)。对照组采用常规康复治疗,实验组在对照组基础上采用视觉反馈训练,即在进行上肢运动功能训练前,先仔细观看即将训练的动作及在日常生活中使用该动作的录像,要求患者仔细观看电视中所播放的上肢ADL动作视频,告知患者在看完后尽最大努力模仿练习,所有录像均由同一模特演示;两组疗程均为8周,每周治疗6次,每次30min。两组患者在治疗前及治疗后分别采用Fugl-Meyer运动功能评分法(上肢部分)(Fugl Meyer Assessment,FMA)评估上肢功能、Barthel指数(Barthel Index,BI)评估日常生活活动能力、改良Ashworth量表(Modified Ashworth Scale,MAS)评定患者屈肘肌群及前臂旋前肌群肌张力。结果治疗前两组患者的各项评价指标评定差异无统计学意义(P>0.05);治疗8周后,两组患者上述指标较治疗前均有所改善(P<0.05),且与对照组相比,实验组的FMA评分、BI评分、MAS评分的改善程度较对照组显著(P<0.05)。结论基于镜像神经元理论的视觉反馈训练能改善脑卒中早期偏瘫患者的上肢运动功能、减轻痉挛,提高日常生活活动能力。Objective To evaluate the effect of visual feedback therapy based on mirror neuron theory on activities of daily living（ADL） in patients with stroke. Methods Sixty-one patients with stroke were randomly divided into two groups. Patients in the control group received routine rehabilitation treatment and nursing. In addition, patients in the experimental group received visual feedback therapy for 8 weeks,6 times per week,30mins per time. The patients watched videos of the actions would be trained and their applications in daily life environment before upper extremity exercises. All the videos were demonstrated by a same model. All patients were assessed using the Fugl-Meyer assessment（FMA）,Barthel index（BI） and the modified Ashworth scale（MAS） at baseline and 8 weeks after treatment. Results After 8-week treatment,all the outcomes were improved in both groups （P〈 0.05）. The patients＇ FMA score,BI score and MAS score were significantly higher in the experimental group than those of the control group （P〈0.05）. Conclusion The visual feedback therapy based on mirror neuron theory can improve the upper extremity motor function and activities of daily living,and alleviate upper limb spasticity in patients with stroke.

关 键 词：视觉反馈训练 镜像神经元 卒中 日常生活活动能力 

分 类 号：R473.74[医药卫生—护理学]