运动想象疗法在脑卒中偏瘫患者康复训练中的效果  

Effect of motor imagination therapy on rehabilitation training of stroke patients with hemiplegia

作　　者：寇洁[1] 高飞[1] 常淑莹[1] 张楠楠 张红梅[1] KOU Jie;GAO Fei;CHANG Shuying;ZHANG Nannan;ZHANG Hongmei Henan(Provincial People’s Hospital/Henan Provincial Key Medicine Laboratory of Nursing/Henan University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院河南省护理医学重点实验室河南大学人民医院,河南郑州450003

出　　处：《中国实用神经疾病杂志》2022年第1期103-106,共4页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关省部共建重点项目(编号:SBGJ202102003)。

摘　　要：目的分析运动想象疗在脑卒中偏瘫患者康复训练中的效果。方法前瞻性纳入117例脑卒中偏瘫患者,采用随机数字表法随机分为2组,对照组采取神经内科常规康复训练,研究组在对照组基础上采用运动想象疗法。采用简化Fugl-Meyer运动评分评估患者运动功能,改良Barthel指数评估患者生活活动能力。结果干预后研究组上肢运动功能得分(27.12±2.54)高于对照组(23.58±1.84),差异有统计学意义(t=8.63,P<0.05);研究组下肢运动功能得分(16.81±2.95)高于对照组(14.62±1.75),差异有统计学意义(t=4.89,P<0.05);干预后研究组生活活动能力得分(71.59±14.15)高于对照组(64.51±19.11),差异有统计学意义(t=2.27,P<0.05)。结论运动想象疗法能够显著改善脑卒中偏瘫患者肢体运动功能,提高患者生活活动能力。Objective To analyze the effect of motor imagination therapy on rehabilitation training for stroke patients with hemiplegia.Methods Totally 117 stroke patients with hemiplegia were prospectively included.They were randomly divided into two groups by random number table method.The control group received routine rehabilitation training in neurology,and the study group received motor imagination therapy on the basis of the control group.The simplified Fugl-Meyer motor score was used to evaluate the motor function of patients,and the modified Barthel index was used to evaluate the activity of life of patients.Results After the intervention,the upper limb motor function score of the study group(27.12±2.54)was higher than that of the control group(23.58±1.84),the difference was statistically significant(t=8.63,P<0.05),and the lower limb motor function score of the study group(16.81±2.95)was higher than that of the control group(14.62±1.75),with a significant difference(t=4.89,P<0.05).After the intervention,the score of living activity ability in the study group(71.59±14.15)was higher than that in the control group(64.51±19.11),and the difference was statistically significant(t=2.27,P<0.05).Conclusion Motor imagination therapy can significantly improve the limb motor function and life activity of stroke patients with hemiplegia.

关 键 词：脑卒中 偏瘫 运动想象疗法 康复 运动功能 生活活动能力 

分 类 号：R473.74[医药卫生—护理学]