病房-家庭嵌入式运动想象训练对脑卒中患者上肢运动功能恢复的影响  

Effect of ward-family embedded motor imagery therapy on functional recovery of upper limb of patients with stroke

作　　者：曹湾 陈启波[1] 沈印[2] 吴赞华[1] 韦汶伽 

机构地区：[1]广西壮族自治区人民医院康复医学科,南宁市530021 [2]广西壮族自治区人民医院急诊科,南宁市530021

出　　处：《广西医学》2015年第4期489-491,共3页Guangxi Medical Journal

基　　金：广西医药卫生科研课题(Z2012307)

摘　　要：目的观察病房-家庭嵌入式运动想象训练对脑卒中上肢偏瘫患者运动功能恢复的影响。方法将32例脑卒中偏瘫患者,随机分为两组,A组16例患者给予常规康复训练并进行病房-家庭嵌入式运动想象疗法,B组16例患者仅给予病房-家庭常规康复训练。观察两组治疗前后运动功能Fugl-Meyer评分、日常生活能力改良Barthel指数、患侧上肢肌力评分变化。结果 A组在治疗8周、治疗12周时Fugl-Meyer评分、改良Barthel指数、患侧上肢肌力评分均高于B组(P<0.05),两组治疗8周、治疗12周时上述指标均高于治疗前(P<0.05)。结论病房-家庭嵌入式运动想象疗法联合常规康复训练可以显著改善脑卒中上肢偏瘫患者的上肢运动功能、日常生活能力和上肌肌力,值得临床推广应用。Objective To observe the effect of ward-family embedded motor imagery therapy on functional recovery of upper limb of hemiplegia patients with stroke.Methods Thirty-two hemiplegia patients with stroke were randomly divided into two groups,16 patients in Group A were given routine rehabilitation training and ward-family embedded motor imagery therapy,and 16 patients in Group B were given ward-family routine rehabilitation training.The motor function（Fugl-Meyer score）,activity of daily living（modified Barthel index） and muscle strength of the affected upper limb were observed before and after treatment in two groups.Results The Fugl-Meyer scores, modified Barthel index and muscle strength score of patients in Group A were higher than those of patients in Group B 8 and 12 weeks after treatment（ P〈0.05） .All of the indexes mentioned above were higher 8 and 12 weeks after treatment compared with those before treatment in two groups（P〈0.05）.Conclusion Ward-family embedded motor imagery therapy in combination with routine rehabilitation training can significantly improve the motor function,activity of daily living and muscle strength of upper limb in hemiplegia patients with stroke.It is worthy of popularization.

关 键 词：脑卒中 偏瘫 嵌入式运动想象 康复训练 上肢 

分 类 号：R743.3[医药卫生—神经病学与精神病学]