“运动想像”疗法对恢复期脑卒中患者功能恢复的影响

Effects of motor imaginary therapy on the functional outcomes in patients with convalescence stroke

目的:观察“运动想像”疗法对恢复期脑卒中偏瘫患者功能恢复的影响。方法:60例脑卒中偏瘫患者随机数字法分为治疗组(n=30)和对照组(n=30)。2组患者均行常规康复训练,采用神经发育促进技术,均为1次/日,45—60分钟/次,每周训练6次,共6周;治疗组加用“运动想像”疗法治疗。采用美国国立卫生研究院卒中量表(NIHSS)、简化Fugl-Meyer运动量表(FMA)和改良Barthel指数量表(MBI)于治疗前、治疗6周后评定2组患者的神经功能缺损程度、运动功能和日常生活活动能力(ADL),比较2组评分变化和疗效差异。结果:2组治疗后NIHSS、上肢、腕和手及下肢FMA和MBI评分均明显改善(P<0.01和P<0.05);治疗组比对照组改善更显著(P<0.05);治疗后治疗组和对照组总有效率分别为94.4%和83.3%,2组比较差异无显著性意义(P>0.05);优良率(治愈+显效)分别为73.3%和46.7%,2组比较差异有显著性意义(P<0.05)。结论:“运动想像”疗法结合常规康复训练可促进脑卒中偏瘫患者的功能恢复。

Objective：To study the effects of motor imaginary therapy on the functional outcomes in patients with convalescence stroke.Method： Sixty patients with convalescence stroke were divided into treatment group （n=30）and control group（n=30）.The treatment group were treated with motor imaginary therapy and routine rehabilitation training （use facilitation technique）;the control group were treated with routine rehabilitation training（facilitation technique）. The National Institutes of Health Stroke Scale （NIHSS）,Fugl-Meyer Assessment （FMA）and Modified Barthel Index （MBI）were used to assess the degree of neurological impairment,motor function and activities of daily living（ADL） before and after six months of treatment.Result：After treatment the NIHSS scales,FMA scales and MBI scales were significantly different in the two groups comparing with the score before treatment（P〈0.01and P〈0.05）,the treatment group were significantly different comparing with the control group after treatment （P〈0.05）. The total efficiency rates in the two groups were 94.4% and 83.3%,respectively. There were no significant difference in the two groups （x^2=0.81,P〉0.05）; In the treatment group,the cure rates and superior rates is 73.3%, while in control group was 46.7% ,there were significant difference between the two groups （x^2=4.44,P〈0.05）.Conclusion：Motor imaginary and rehabilitation training can effectively improve the functional outcomes in patients with convalescence stroke.