运动想象疗法对脑卒中偏瘫患者平衡功能恢复的影响

Effects of motor imaginary therapy on balance function recovery in hemiplegic patients after stroke

目的探讨运动想象疗法对脑卒中偏瘫患者平衡功能恢复的影响。方法 32例脑卒中偏瘫住院患者按入院顺序编号的奇、偶数分为A组和B组,第1～3周A组在常规康复训练的基础上辅以运动想象疗法,B组仅给予常规康复训练;第4～5周两组均不进行系统正规的康复训练及运动想象疗法(洗脱期);第6～8周B组在常规康复训练的基础上辅以运动想象疗法,A组仅给予常规康复训练。治疗前、治疗3周末、5周末和8周末采用Berg平衡量表对患者平衡功能进行评估。结果治疗前A、B组Berg平衡量表评分差异无统计学意义(P>0.05);治疗3周末,A、B组Berg平衡量表评分均较治疗前改善(P<0.01),且A组Berg平衡量表评分优于B组(P<0.05);治疗5周末,两组Berg平衡量表评分均较治疗3周末有所改善,但差异无统计学意义(P>0.05),组间Berg平衡量表评分差异也无统计学意义(P>0.05);治疗8周末,两组Berg平衡量表评分均较治疗5周末改善(P<0.01),且B组Berg平衡量表评分优于A组(P<0.01)。结论在常规康复训练基础上辅以运动想象疗法,可进一步改善脑卒中偏瘫患者的平衡功能,提高康复训练的疗效。

Objective To investigate the effects of motor imaginary therapy on the balance function recovery in hemiplegic patients after stroke. Methods A total of 32 hospitalized hemiplegic patients after stroke were divided into group A and group B based on the odd or even admission number. From the first to the third week, patients in group A were treated with conventional rehabilitation therapy combined with motor imaginary therapy, and those in group B only received conventional rehabilitation therapy. During the fourth and fifth week （ washout period）, both patients in group A and B did not accept formal conventional rehabilitation therapy and motor imaginary therapy. In the sixth to eighth week, patients in group B received conventional rehabilitation therapy combined with motor imaginary therapy, and those in group A only received conventional rehabilitation therapy. Berg balance scale scoring was employed to evaluate the balance function of patients before treatment and at the end of the third week, fifth week and eighth week after treatment. Results There was no significant difference in the Berg balance scale score before treatment between group A and group B （P 〉 0.05）. Three weeks after treatment, the Berg balance scale scores of group A and B were improved （P 〈0.01）, and Berg balance scale score of group A was superior to that of group B （P 〈 0.05）. Five weeks after treatment, the Berg balance scale scores of group A and B were better than those of two groups 3 weeks after treatment, while there was no significant difference between these two time points （P 〉 0.05）, and there was also no significant difference between two groups （ P 〉 0.05）. Eight weeks after treatment, the Berg balance scale scores of group A and group B were better than those of group A and group B 5 weeks after treatment （P〈0.01）, and the Berg balance scale score of group B was superior to that of group A （P 〈0.01）.Conclusion On the basis of conventional rehabilitation therapy, motor imaginary therapy can further improve the balance function in hemiplegic patients after stroke and improve the efficacy of rehabilitation training.