镜像视频示范训练对脑卒中后执行功能障碍的效果  

Effects of Instructional Video Modeling on Executive Dysfunction after Stroke:Implication of Human Mirror Neuron System

作　　者：张春华[1] 顾莹[1] 刘敏[1] 

机构地区：[1]山东省交通医院康复科,山东济南市250031

出　　处：《中国康复理论与实践》2016年第1期79-83,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：山东省医药卫生科技发展计划项目(No.2014WSB35005)

摘　　要：目的探讨基于镜像神经元理论指导的视频示范训练对脑卒中后执行功能障碍患者的效果。方法 2014年7月~2015年7月40例住院脑卒中后执行功能障碍患者分为对照组（n=20）和观察组（n=20）。对照组予常规执行功能康复训练,观察组先看相应训练动作的示范视频,再进行训练。治疗前后两组采用执行功能缺陷综合征行为学评价（BADS）进行评定。结果治疗后,观察组除规则转换卡片测验、找钥匙测验外,其余各分项评分及测验总分均较对照组提高（t〉2.9,P〈0.05）。结论基于镜像神经元理论的镜像视频示范训练对脑卒中执行功能障碍患者有效。Objective To explore the effect of a training based on instructional video modeling designed from the mirror neuron theory on executive dysfunction after stroke.Methods 40 stroke inpatients with executive dysfunction from July,2014 to July,2015 were divided into control group（n=20） and observation group（n=20）.The control group accepted executive rehabilitation training,while the observation group were asked to see the video of executive rehabilitation task before training.They were assessed with Behavioral Assessment of the Dysexecutive Syndrome（BADS） before and after intervention.Results The total score and scores of subtests except Rule Shift Cards and Key Search increased more in the observation group than in the control group（t〉2.9,P〈0.05）.Conclusion Rehabilitation video as a visual stimulus for exercise training based on the mirror neuron theory could improve executive function recovery of stroke patients with executive dysfunction.

关 键 词：脑卒中 执行功能障碍 镜像神经元理论 镜像视频示范训练 

分 类 号：R749.94[医药卫生—神经病学与精神病学]