运动想象疗法在单侧空间忽略患者中的应用  

Application of motor imagery therapy on the patients with unilateral spatial neglect

作　　者：张小冬[1] 赵燕娇[1] 刘杨[1] 

机构地区：[1]北京医院康复科,100730

出　　处：《中华现代护理杂志》2016年第23期3361-3364,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨运动想象疗法对单侧空间忽略患者跌倒效能的影响。方法抽取50例单侧空间忽略患者，按照入院的先后顺序随机分为试验25例和对照组25例；两组患者均接受常规康复治疗，试验组在此基础上进行运动想象疗法，采用中国行为性忽略测试-香港版（CBIT—HK）、修订版跌倒效能量表（MFES）、Berg平衡功能量表（BBS）及步态评估量表（TGA），比较两组的干预效果。结果治疗前两组患者的CBIT．HK、BBS、TGA、MFES评分差异无统计学意义（P〉0．05）；治疗8周后，两组患者的CBIT—HK、BBS、TGA、MFES评分均明显优于治疗前，差异有统计学意义（P〈0．05）；试验组各项评分均优于对照组，差异有统计学意义（P〈0．05）。结论运动想象疗法结合常规康复可改善患者单侧空间忽略问题，提高平衡、步态功能，提高跌倒效能，减少跌倒发生。Objective To explore the influence of motor imagery therapy oil fall efficacy of patients with unilateral spatiat neglect. Methods 50 patients with unilateral spatial neglect were selected and divided, according to time of their admission into the hospital, into experimental group and control group, each with 25 cases. Conventional rehabilitation therapy was conducted to both groups, and patients in the experimental group treated with extra motor imagery therapy. Intervention effect of the two groups was compared by Chinese behavioral inattention test-Hong Kong version （ CBIT-HK）, Modified fall efficacy scale （ MFES）, Berg Balance Scale （BBS） and Tinetti gait analysis （TGA）.Results Before the treatment, scores of patients in the two groups in CBIT-HK, BBS, TGA and MFES had no significant difference （P〉0.05）. After 8 weeks of treatment, scores of patients in the two groups were all higher than before the treatment （P〈0.05）, and scores of patients in the experimental group were significantly higher than that in the control group （P〈0.05）. Conclusions Combination of motor imagery therapy with routine rehabilitation can improve patients＇ unilateral spatial neglect, improve their function of balance and gait, improve their fall efficacy and reduce incidence of falling.

关 键 词：单侧空间忽略 跌倒效能 运动想象疗法 

分 类 号：R473.74[医药卫生—护理学]