运动想象训练对脑卒中偏瘫患者上肢促分离运动的影响

Promoting effect of sports imagination training on separation movement in stroke hemiplegia patients

目的:探讨运动想象训练对脑卒中偏瘫患者上肢(含手部)Brunnstrom III期促分离运动的影响。方法:将102例Brunnstrom分期为III期的脑卒中偏瘫患者随机分为观察组和对照组各51例,对照组给予常规康复训练和上肢作业训练进行康复训练,观察组在此基础上加以运动想象训练,治疗前后,采用简式Fugl-Meyer上肢运动功能评价量表(FMA-U)、Lovett分级、改良Ashworth分级(MAS)、上肢Brunnstrom分期来评价疗效。结果:治疗8周后,2组FMA-U及Lovett分级评分均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05);2组MAS评分均较治疗前明显降低(P<0.05),且观察组更低于对照组(P<0.05)。治疗后,观察组上肢肩臂及手部BrunnstromIV^VI期人数明显多于对照组(P<0.05)。结论:运动想象训练对脑卒中偏瘫患者上肢(含手部)Brunnstrom III期促分离运动效果显著,值得临床推广应用。

Objective：To explore the promoting effect of sports imagination training on separation movement in the upper limb（containing hand）Brunnstrom III stroke hemiplegia patients.Methods：102cases of stroke were selected and randomly divided into observation group and control group（n=51each）.The control group was treated with conventional rehabilitation exercise program,and the observation group was given sport imagination training besides the conventional rehabilitation training.The two groups were evaluated by the improvement of Fugl-Myeer Assessment of upper limb（FMA-U）,Lovett rating,modified Ashworth scale（MAS）,and Brunnstrom rating of upper limb.Results：After 8weeks of treatment,FMA-U,Lovett rating,MAS and Brunnstrom rating of the two groups were all improved compared to pretreatment（P〈0.05）,and those in observation group were more significantly improved than in control group（P〈0.05）.Conclusion：Sports imagination training can promote the separation movement of the upper limb（containing hand）Brunnstrom III stroke hemiplegia patients in clinical practice.