运动想象疗法联合平衡功能训练对缺血性脑卒中患者日常活动能力、平衡能力、步行功能的影响

Impact of Motor Imagination Therapy Combined with Balance Function Training on Ability of Daily Activities,Balance Ability and Walking Function in Patients with Ischemic Stroke

目的 探讨运动想象疗法联合平衡功能训练对缺血性脑卒中患者日常活动能力、平衡能力、步行功能的影响。方法 采用便利抽样法选取2015年8月—2018年8月天星桥社区卫生服务中心、双碑社区卫生服务中心、童家桥社区卫生服务中心、渝碚路社区卫生服务中心、新桥社区卫生服务中心收治的缺血性脑卒中患者84例,采用随机数字表法分为对照组与观察组,每组42例。对照组患者给予常规药物治疗、康复锻炼及运动想象疗法,观察组患者在对照组基础上给予平衡功能训练;两组患者连续干预2个月。比较两组患者干预前及干预1、3个月改良Barthel指数(mBI)评分、Berg平衡量表(BBS)评分及Holden步行功能分级。结果 (1)时间与方法在mBI评分、BBS评分上存在交互作用(P<0.05);时间、方法在mBI评分、BBS评分上主效应显著(P<0.05);观察组患者干预1、3个月mBI评分、BBS评分高于对照组(P<0.05)。(2)两组患者干预前Holden步行功能分级比较,差异无统计学意义(P>0.05);观察组患者干预1、3个月Holden步行功能分级优于对照组(P<0.05)。结论 运动想象疗法联合平衡功能训练可有效提高缺血性脑卒中患者日常活动能力、平衡能力,改善患者步行功能。

Objective To investigate the impact of motor imagination therapy combined with balance function training on ability of daily activities,balance ability and walking function in patients with ischemic stroke. Methods From August 2015 to August 2018,a total of 84 patients with ischemic stroke were selected by convenience sampling method in community health service centers of Tianxing Bridge,Shuangbei,Tongjia Bridge,Yubei Road and Xin Bridge,and they were divided into control group and observation group according to random number table method,with 42 cases in each group. Patients in control group received conventional medical treatment,rehabilitation exercise and motor imagination therapy, while patients in observation group received balance function training based on that of control group;both groups continuously intervened for 2 months. Modified Barthel index(mBI)score,Berg balance scale(BBS)score and Holden walking function grading were compared between the two groups before intervention,1 month and 3 months after intervention. Results (1) There was statistically significant interaction in mBI score and BBS score between time and method(P<0.05);main effects of time and method were statistically significant in mBI score and BBS score(P<0.05);mBI score and BBS score in observation group were statistically significantly higher than those in control group 1 month and 3 months after intervention(P<0.05).(2) No statistically significant difference of Holden walking function grading was found between the two groups before intervention (P>0.05),while Holden walking function grading in observation group was statistically significantly better than that in control group 1 month and 3 months after intervention(P<0.05).Conclusion Motor imagination therapy combined with balance function training can effectively improve the ability of daily activities,balance ability and walking function in patients with ischemic stroke.