运动表象训练对脑卒中患者手功能和运动表象能力的影响  

Effect of motor imagery therapy on hand function and motor imagery ability of patients after stroke

作　　者：李芳[1,2] 张通[1,2] 李冰洁[1,2] 赵军[1,2] 张豪杰 LI Fang;ZHANG Tong;LI Bingjie;ZHAO Jun;ZHANG Haojie(Department of Neurology,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China)

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

出　　处：《中国康复理论与实践》2023年第4期479-484,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家重点研发计划项目(No.2020YFC2007604,No.2020YFC2008503);中国康复研究中心青年基金项目(No.2018ZX-Q6,No.2019ZX-Q4)。

摘　　要：目的观察运动表象训练对脑卒中患者手功能及运动表象能力的影响。方法选择2018年3月至2020年3月北京博爱医院脑卒中患者41例,随机分为对照组(n=20)和观察组(n=21),两组均进行常规康复训练,观察组在此基础上进行运动表象训练。共4周。训练前后分别比较Fugl-Meyer评定量表手部分(FMA-H)评分、运动和视觉想象问卷-10(KVIQ-10)评分和心理旋转试验正确率。结果观察组1例脱落。训练前,两组FMA-H评分、KVIQ评分和心理旋转试验正确率均无显著性差异(P>0.05)。训练后,两组各指标均显著改善(t>6.611,P<0.001);观察组FMA-H评分(t=3.742,P<0.001)、KVIQ评分(t=4.122,P<0.001)、心理旋转试验正确率(t=2.075,P<0.05)均高于对照组。结论运动表象训练有利于改善脑卒中后手功能障碍和运动表象能力。Objective To observe the effect of motor imagery therapy on hand function and motor imagery ability of stroke patients.Methods From March,2018 to March,2020,41 stroke patients in Beijing Bo'ai Hospital were selected and randomly divided into control group(n=20)and observation group(n=21).Both groups received conventional rehabilitation training,and the observation group received motor imagery therapy in addition,for four weeks.Before and after training,the scores of Fugl-Meyer Assessment-Hand(FMA-H)and Kinesthetic and Visual Imagery Questionnaire-10(KVIQ-10),and the accuracy of mental rotation task were compared between two groups.Results One patient in the observation group dropped down.Before training,there was no significant difference in the scores of FMA-H and KVIQ,and the accuracy of mental rotation task between two groups(P>0.05).After training,all the indexes improved in both groups(t>6.611,P<0.001),and the scores of FMA-H(t=3.742,P<0.001)and KVIQ(t=4.122,P<0.001),and the accuracy of mental rotation task(t=2.075,P<0.05)were higher in the observation group than in the control group.Conclusion Motor imagery therapy could facilliate the recovery of hand dysfunction and improve the motor imagery ability of stroke patients.

关 键 词：脑卒中 手功能障碍 运动表象训练 心理旋转试验 运动表象能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]