音乐联合运动疗法对脑卒中患者运动功能和情绪的影响

Effects of music combined with exercise therapy on motor function and negative emotions in stroke patients

目的探讨音乐联合运动疗法对脑卒中患者运动功能及不良情绪的影响。方法本研究对象为我院2021年7月~2022年2月100例脑卒中患者,利用数字表法随机分为观察组与对照组。对照组采用常规运动疗法进行康复训练;观察组采用音乐联合运动疗法,两组患者均连续干预3个月。干预前后采用美国国立卫生研究院卒中量表(NIHSS)改良Barthel指数评分量表(MBI)、Berg平衡量表(BBS)、肢体运动功能量表Fugel-Meyer(FMA)分别评价患者神经功能、生活能力、平衡功能以及步行功能;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价患者焦虑、抑郁情绪。结果两组患者干预后NIHSS评分均降低,干预后观察组显著低于对照组(P<0.05);两组患者干预后MBI评分、BBS评分、FMA评分显著升高,干预后观察组3项评分显著高于对照组(P<0.05);两组患者干预后SDS评分、SAS评分均降低,干预后观察组显著低于对照组(P<0.05)。结论音乐联合运动疗法能够显著提升脑卒中患者神经功能、运动功能等的康复效果,并缓解焦虑、抑郁等不良情绪。

Objective To explore the effect of music combined with exercise therapy on motor function and negative emotions in stroke patients.Methods A total of 100 stroke patients in our hospital from July 2021 to February 2022 were the subjects of this study and randomly divided into observation group and control group by digital table method.The observation group was treated with music combined with exercise therapy,and both groups were intervened for 3 consecutive months.Before and after the intervention,the National Institutes of Health Stroke Scale(NIHSS),Modified Barthel Index(MBI),Berg Balance Scale(BBS),and Fugel-Meyer(FMA)were used to evaluate neurological function and life.Ability,balance function and walking function.Self-rating anxiety scale(SAS)and selfrating depression scale(SDS)were used to evaluate patients'anxiety and depression.Results The NIHSS scores of the two groups decreased after the intervention,and the observation group was significantly lower than the control group after the intervention(P<0.05).After the intervention,the MBI score,BBS score and FMA score in the two groups were significantly increased,and the three scores in the observation group were significantly higher than those in the control group after the intervention(P<0.05).After the intervention,the SDS and SAS scores of the two groups were decreased,and the observation group was significantly lower than the control group after the intervention(P<0.05).Conclusion Music combined with exercise therapy can significantly improve the rehabilitation effect of stroke patients'neurological and motor functions,and reduce anxiety,depression and other negative emotions.