基于运动想象疗法的眼球运动训练对改善脑卒中患者单侧空间忽略及踩踏精确性的有效性

Effectiveness of eye movement training based on motion imagination therapy in improving unilateral spatial neglect and trampling accuracy of stroke patients

目的探究基于运动想象疗法的眼球运动训练对脑卒中单侧空间忽略及踩踏精确性的影响。方法选取2019年1月—2020年1月医院康复治疗的122例脑卒中患者作为研究对象。2019年1—6月入院患者61例作为对照组,2019年7月—2020年1月入院患者61例作为观察组。对照组实施常规护理,观察组在对照组基础上实施基于运动想象疗法的眼球运动训练。观察并比较两组干预前后患者单侧空间忽略恢复评分、视觉扫描能力以及踩踏精确性。结果干预前,两组删除试验、画钟试验、直线法评分比较差异无统计学意义(P>0.05);干预后,观察组删除试验、画钟试验、直线法评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组测试完成时间、错误连接提醒、抬笔提醒数比较差异无统计学意义(P>0.05)。干预后,观察组测试完成时间、错误连接提醒、抬笔提醒数均少于对照组,差异有统计学意义(P<0.05)。干预前,两组规避失败个数、踩踏失败个数、用时、步数比较差异无统计学意义(P>0.05);干预后,观察组规避失败个数、踩踏失败个数、用时、步数均低于对照组,差异有统计学意义(P<0.05)。结论对脑卒中单侧空间忽略患者实施基于运动想象疗法的眼球运动训练,有助于单侧空间忽略恢复,提高视觉扫描能力和踩踏精确性。

Objective To explore the eff ect of eye movement training based on motion imagination therapy on unilateral spatial neglect and trampling accuracy in stroke patients.Methods A total of 122 stroke patients who received rehabilitation treatment from January 2019 to January 2020 were selected as the study objects.A total of 61 patients admitted from January to June 2019 served as a control group,and another 61 patients admitted from July 2019 to January 2020 served as an observation group.The control group received routine nursing care,while the observation group received eye movement training based on motion imagination therapy on the basis of the control group.The recovery score of unilateral spatial neglect,visual scanning ability and trampling accuracy were observed and compared between the two groups before and after intervention.Results Before the intervention,there was no signifi cant diff erence in the scores of deletion test,clock drawing test and straight line method between the two groups(P>0.05).After the intervention,the scores of deletion test,clock drawing test and straight line method in the observation group were lower than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the test completion time,wrong connection reminders and pen lifting reminders between the two groups(P>0.05).After the intervention,the test completion time,wrong connection reminders and pen lifting reminders in the observation group were less than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Before the intervention,there was no signifi cant diff erence in the number of avoidance failure,stampede failure,time and steps between the two groups(P>0.05).After the intervention,the number of avoidance failure,stampede failure,time and steps in the observation group were lower than those in the control group,and the differences were statistically signifi cant(P<0.05).Conclusion The eye movement training based on motion imagination therapy for stroke patients with unilateral spatial neglect was helpful to the recovery of unilateral spatial neglect,improve the visual scanning ability and trample accuracy.