运动想像疗法对急性脑梗死患者上肢运动功能恢复的影响

Impact of motor imaginary therapy on recovery of upper limb function in patients with acute cerebral infarction

目的探讨运动想像疗法对急性期脑梗死偏瘫患者上肢功能恢复的影响。方法随机选取50例脑梗死偏瘫患者，采用单盲法分为对照治疗组（药物治疗＋早期运动疗法）和运动想像治疗组（药物＋早期运动疗法十运动想像疗法），每组各25例。治疗前和治疗40d时，采用Fugl-Meyer量表（FMA）评价患侧上肢运动功能，使用量角器测定患侧手腕主动活动范围（AROM），应用功能独立性评定量表（FIM）评价进食、梳洗、穿脱上衣等功能。结果2组患者FMA、AROM和FIM评分均较治疗前显著提高（P〈0．05），治疗后运动想像治疗组各项评分均优于对照组（P〈n05）（FMA28．33±8．63对15．93±5．39；AROM19．55±8．30对11．97±6．59；FIM16．83±5．43对12．51±3．36）。结论急性期常规运动康复训练＋运动想像疗法可促进脑梗死偏瘫患者的运动功能恢复。

Objective To investigate the impact of motor imaginary therapy on the recovery of upper limb function in acute cerebral infarction patients with hemiplegia, Methods Fifty cerebral infarction patients with hemiplegia were randomly divided into a control group （drug therapy ＋ early exercise therapy） and a motor imaginary therapy group （drug therapy ＋ early exercise therapy ＋ motor imaginary therapy） using single-blind method （n = 25 in each group）. Ipsilateral upper extremity function was assessed by the Fugl-Meyer assessment （FMA） before the treatment and at day 40. The active range of motion （AROM） of the ipsilateral wrist was measured by a conimeter. Eating, washing, dressing, and putting on and off clothes were assessed by the Functional Independence Measure （FIM） scale. Results The scores of FMA, AROM and FIM were increased more significantly than those before the treatment in both groups （P 〈0.05）. All the scores in the motor imaginary therapy group after the treatment were superior to those in the control group （P〈0.05） （FMA 28.33 ±8.63 versus 15, 93 ±5.39; AROM 19.55 ± 8.30 versusll. 97 ± 6.59; FIM 16.83 ± 5.43 versus 12.51 ± 3.36）. Conclusions Conventional motor rehabilitation training ＋ motor imaginary therapy during the acute phase may promote the motor function recovery in cerebral infarction patients with hemiplegia.