运动想象结合运动再学习疗法对脑梗死偏瘫患者上肢功能恢复的影响

Application of mental imagery in combination with a motor relearning program for the recovery of upper limb function in hemiplegic patients

目的探讨运动想象结合运动再学习方法对脑梗死偏瘫患者上肢功能恢复的影响。方法将132例脑梗死偏瘫患者随机分为运动想象组(68例)和对照组(64例),2组患者均接受神经内科常规药物治疗和运动再学习治疗,运动想象组同时采用运动想象训练。以Fugl-Meyer运动功能评分法(FMA)、改良Barthel指数法(MBI)对2组患者治疗前、后上肢功能及日常生活活动能力进行评定。结果运动想象组FMA和MBI 2次评定分别为(12．37±5．42)分、(43．24±5．27)分和(41．93±8．86)分、(75．86±9．45)分,对照组分别为(13．29±6．13)分、(32．28±5．54)分和(42．98±6．49)分、(57．89±16．52)分,2组相比,运动想象组患者上肢功能及日常生活活动能力改善优于对照组,差异有统计学意义(P<0．01)。结论运动想象结合运动再学习有利于提高脑梗死偏瘫患者上肢的综合能力。

Objective To explore the effectiveness of mental imagery in combination with a motor relearning program in promoting functional recovery of the upper limb in hemiplegic patients. Methods One hundred and thirty-two patients recovering from cerebral infarction were randomly divided into a control group （ sixty-four cases） and a mental imagery group （ sixty-eight cases）. All patients received routine treatment and a regular motor relearning program. Patients in the imagery group were given mental practice in activities of the upper limb. Fugl-Meyer movement assessments and Barthel Index scores were calculated and compared between the two groups. Results The upper limb function of the patients in the mental imagery group was significantly better wherl compared with the control group （ P 〈 0. 01 ）. The patients trained with mental imagery showed better ability in the activities of daily living. Conclusion Mental imagery in combination with a motor relearning program cart promote recovery of upper limb function in patients with hemiplegia.