运动想象疗法在改善脑卒中患者跌倒效能中的临床研究

Clinical research of motor imagination therapy in improving fall efficacy of stroke patients

目的探讨运动想象疗法在改善脑卒中患者跌倒效能中的临床效果,以便为脑卒中患者的护理模式的选择提供依据。方法选择2019年1月至2020年1月就诊于湖州市第一人民医院的95例脑卒中患者作为研究对象,采用随机数字表法分为观察组(n=47)和对照组(n=48),观察组给予运动想象疗法干预,对照组给予常规康复护理干预,均干预12周。比较两组干预前、干预12周后的运动功能[Fugl-Meyer评定量表(FMA)]、平衡能力[Berg平衡量表(BBS)]、跌倒效能[修订版跌倒效能量表(MFES)]、6 min步行距离(6MWT)及步行功能[功能性步行分级(FAC)]。结果干预12周后,观察组FMA评分(73.39±5.25)分、BBS评分(47.20±4.17)分、MFES评分(130.21±10.10)分,高于对照组FMA评分(62.08±4.17)分、BBS评分(32.08±3.70)分、MFES评分(105.53±8.28)分,差异有统计学意义(P<0.05);干预12周后,观察组6MWT(305.25±7.89)m及FAC分级均高于对照组6MWT(238.15±7.66)m,差异有统计学意义(P<0.05)。结论脑卒中患者采用运动想象疗法可有效改善运动功能、平衡能力及跌倒效能,增加步行距离,提高步行功能。

Objective To investigate the clinical efficacy of motor imagination therapy in improving fall efficacy of stroke patients,so as to provide basis for the choice of nursing mode for stroke patients.Methods A total of 95 stroke patients diagnosed in the First People′s Hospital of Huzhou from January 2019 to January 2020 were selected as the research objects.They were divided into the observation group(n=47)and the control group(n=48)according to the random number table method.The observation group was intervened with motor imagination therapy,while the control group was intervened with the conventional rehabilitation nursing,both interventions lasted for 12 weeks.The motor function Fugl-Meyer assessment scale,FMA balance ability(Berg balance scale,BBS),fall efficacy(modified fall efficacy scale,MFES),6 min walk distance(6-min walk test,6MWT)and walking function(functional ambulation category scale,FAC)of the two groups were compared before and after the intervention of 12 weeks.Results After 12 weeks of intervention,the scores of FMA,BBS and MFES were(73.39±5.25)points,(47.20±4.17)points and(130.21±10.10)points in the observation group,which were higher than(62.08±4.17)points,(32.08±3.70)points and(105.53±8.28)points in the control group,with statistically significant differences(P<0.05).After 12 weeks of intervention,the 6MWT was(305.25±7.89)m in the observation group,which was higher than(238.15±7.66)m in the control group,and the FAC grade in the observation group was higher than that in the control group,all with statistically significant differences(P<0.05).Conclusion Motor imagination therapy for stroke patients can effectively improve motor function,balance ability and fall efficacy,increase walking distance and improve walking function.