运动想象疗法联合头皮针治疗对脑卒中偏瘫患者步行及平衡功能的影响  

Effects of motor imagery therapy combined with scalp acupuncture on balance and walking abilities in hemi- plegic stroke survivors

作　　者：王鹂[1] 马朝阳[1] 游菲[1] 熊修安[1] 

机构地区：[1]武汉市中心医院康复科,武汉430014

出　　处：《中华物理医学与康复杂志》2015年第5期357-360,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察运动想象疗法联合头皮针治疗对脑卒中偏瘫患者步行及平衡功能的影响。方法选取脑卒中偏瘫患者120例，按照随机数字表法将其分为头皮针组、运动想象组及综合治疗组，每组40例。3组患者均给予常规内科治疗及康复训练，头皮针组在此基础上辅以头皮针治疗，运动想象组辅以运动想象疗法，综合治疗组在头皮针组基础上增加运动想象疗法。治疗前、治疗6周后对患者进行10m最大步行速度（10mMWS）、Berg平衡量表（BBS）、Holden步行功能分级量表（FAC）、“起立一行走”计时测试（TUGT）评分。结果治疗前，3组患者10mMWS、BBS、FAC评分、TUGT之间比较，差异均无统计学意义（P〉0．05）。经6周治疗后，3组患者上述指标均较治疗前明显改善（P〈0．05），且综合治疗组10mMWS[（0．67±0．23）m／s]、BBS评分[（46．03±7．38）分]、FAC评分[（4．00±0．96）分]、TUGT[（16．73±7．62）s]改善幅度显著优于头皮针组及运动想象组（P〈0．05）。结论运动想象疗法联合头皮针治疗可以显著改善脑卒中偏瘫患者的下肢运动功能，且其疗效优于单纯头皮针治疗及运动想象疗法。Objective To investigate the effects of motor imagery therapy combined with scalp acupuncture on balance and walking abilities in hemiplegic stroke survivors. Methods A total of 120 patients with post-stroke hemiparesis were randomly divided into 3 groups, each of 40 cases. All patients were given basic medication and con- ventional rehabilitation treatment. In addition, the motor imagery group accepted motor imagery therapy, the scalp ac- upuncture group received scalp acupuncture, and the treatment group was provided with the above both for 6 weeks. The 10 m maximum walking speed （ 10 m MWS） , Berg balance scale （BBS） , functional ambulation classification （FAC） and timed ＂up and go＂ test （TUGT） were conducted to evaluate balance and gait abilities before and after the intervention. Results There were no significant differences among the 3 groups in any of the assessments （P 〉 0.05） before intervention （P 〉 0.05）. After six weeks＇ intervention, all measurements of the 3 groups were signifi- cantly better than those before that （P 〈0. 05） , and the effects of the treatment group were significantly better than those of the other 2 groups （P 〈 0.05）. Conclusion Motor imagery therapy combined with scalp acupuncture can distinctly improve the balance and walking abilities in hemiplegic stroke survivors, superior to the effect of solely mo- tor imagery therapy or scalp acupuncture.

关 键 词：运动想象 头皮针 脑卒中 平衡功能 步行功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]