运动想象疗法对脑卒中患者运动功能康复的效果  

Effect of Motor Imagery on Motor Function in Hemiplegic Patients after Stroke

作　　者：杨帆[1,2] 桑德春[1,2] 张晓钰[1,2] 卢利萍[1,2] 褚宏宇[1,2] YANG Fan;SANG De-chun;ZHANG Xiao-yu;LU Li-ping;CHU Hong-yu(Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2017年第9期1081-1085,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-31)

摘　　要：目的探讨运动想象疗法对脑卒中患者运动功能康复的疗效。方法 2015年5月至2016年10月,40例脑卒中偏瘫患者随机分为对照组(常规康复疗法)和运动想象组(运动想象+常规康复疗法),每组20例。治疗前及治疗6周后,分别采用Fugl-Meyer评定量表(FMA)、改良Barthel指数(MBI)进行评定,采用磁共振弥散张量成像(DTI)测量患者各向异性分数(FA)。结果治疗后,两组患者FMA评分、MBI评分均较治疗前显著提高(t>5.088,P<0.001),运动想象组优于对照组(t>2.124,P<0.05)。治疗前,两组病灶侧FA均较对侧明显减小(t>3.892,P<0.01),两组间无显著性差异(t<1.144,P>0.05);治疗后,运动想象组有较多患者(5/5 vs.2/4)FA升高。结论运动想象疗法能促进脑卒中恢复期患者运动功能及日常生活活动能力恢复,对受损白质纤维的恢复可能有帮助。Objective To explore the effect of motor imagery on motor recovery in hemiplegic patients after stroke.Methods From May,2015to October,2016,40hemiplegic patients after stroke were randomly divided into control group(accepted routine rehabilitation,n=20)and motor imagery group(accepted motor imagery and routine rehabilitation,n=20).They were assessed with Fugl-Meyer Assessment(FMA),modified Barthel Index(MBI)before and six weeks after treatment.Fractional anisotropy(FA)of the focus was measured with diffusion tensor imaging(DTI).Results The scores of FMA and MBI improved in both groups after treatment(t>5.088,P<0.001),and improved more in the motor imagery group than in the control group(t>2.124,P<0.05).The FA reduced in the focus compared with the same site of unaffected side in both groups before treatment(t>3.892,P<0.01),and there was no significant difference between two groups(t<1.144,P>0.05).FA increased in more patients of the motor imagery group(5/5)than in the control group(2/4).Conclusion Motor imagery can promote the recovery of motor function and activities of daily living in stroke patients,and may help the recovery of fibers in white matter.

关 键 词：脑卒中 运动想象 运动 弥散张量成像 

分 类 号：R743.3[医药卫生—神经病学与精神病学]