应用镜像神经元理论的视觉反馈训练对脑卒中早期偏瘫患者肢体功能及日常生活活动能力的影响  

Effect of visual feedback training using mirror neuron theory on limb function and activities of daily living in patients with hemiplegia during early stroke

作　　者：王海华 江云芬 Wang Haihua;Jiang Yunfen(Department of Rehabilitation,the First People's Hospital of Wenling,Taizhou,Zhejiang 317500,China)

机构地区：[1]温岭市第一人民医院康复科,浙江省317500

出　　处：《中国基层医药》2019年第16期1995-1998,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨应用镜像神经元理论的视觉反馈训练应用于脑卒中早期偏瘫患者中的效果。方法选取温岭市第一人民医院2014年7月至2017年7月收治的脑卒中早期偏瘫患者122例作为研究对象,待患者病情稳定后均行基于镜像神经元理论的视觉反馈训练。采用简式Fugl-Meyer运动功能评定量评价患者治疗前后上肢功能状况;采用改良Ashworth量表评价患者治疗前后上肢肌张力状况。采用Barthel指数评价患者治疗前后日常生活活动能力。结果患者治疗后FMA评分为(35.74±11.24)分,明显高于治疗前的(28.81±9.68)分(t=5.160,P=0.000);治疗后BI评分为(76.24±14.77)分,明显高于治疗前的(52.93±12.28)分(t=13.404,P=0.000)。治疗后患者屈肘肌群肌张力分级为(1.57±0.76)级,明显低于治疗前的(3.24±0.72)级(t=17.619,P=0.000);前臂旋前肌群肌张力分级为(2.14±0.96)级,明显低于治疗前的(3.28±0.75)级(t=10.336,P=0.000)。结论基于镜像神经元理论的视觉反馈训练可有助于改善脑卒中早期偏瘫患者上肢功能,减轻痉挛症状,更好的提高患者日常生活活动能力,对促进其康复具有积极作用。Objective To explore the effect of visual feedback training using mirror neuron theory in patients with hemiplegia in early stroke.Methods From July 2014 to July 2017,122 early stroke patients with hemiplegic stroke in the First People's Hospital of Wenling were selected in the study.After the patients'condition was stable,visual feedback training based on mirror neuron theory was performed.The functional status of upper limbs before and after treatment was evaluated by the simplified Fugl-Meyer motor function evaluation.The modified Ashworth scale was used to evaluate the upper limb muscle tension before and after treatment.The Barthel index was used to evaluate the ability of daily living activities before and after treatment.Results The FMA score of patients after treatment was(35.74±11.24)points,which was significantly higher than that before treatment[(28.81±9.68)points,t=5.160,P=0.000].The BI score after treatment was(76.24±14.77)points,which was significantly higher than before treatment[(52.93±12.28)points,t=13.404,P=0.000].After treatment,the muscle tension of the flexor elbow muscle group was(1.57±0.76)grades,which was significantly lower than before treatment[(3.24±0.72)grades,t=17.619,P=0.000].The forearm pronation muscle group muscle tension grade was(2.14±0.96)grades,which was significantly lower than before treatment[(3.28±0.75)grades,t=10.336,P=0.000].Conclusion Visual feedback training based on mirror neuron theory can help improve the upper limb function of patients with hemiplegia in early stroke,alleviate the symptoms of paralysis,improve the ability of daily living activities of patients,and has positive effect on promoting their rehabilitation.

关 键 词：脑血管障碍 反馈 心理学 镜神经元 早期偏瘫 上肢功能 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]