动作观察疗法在脑梗死患者康复治疗中的应用效果及对日常生活能力的影响

Application effect of action observation therapy in rehabilitation treatment of patients with cerebral infarction and its influence on daily living ability

目的探讨动作观察疗法在脑梗死患者康复治疗中的应用效果及对日常生活能力的影响。方法选取2019年1月至2020年12月本院收治的96例脑梗死患者为研究对象,根据随机数字表法将其分为对照组和观察组,各48例。对照组给予常规康复,观察组在对照组基础上给予动作观察疗法。比较两组的康复效果。结果康复后,两组的Fugl-Meyer运动功能评定量表(FMA)、Wolf运动功能评定量表(WMFT)评分均升高,且观察组高于对照组(P<0.05)。康复后,两组的腕关节背伸、肘关节伸展、肩关节前屈度均增大,且观察组大于对照组(P<0.05)。康复后,两组的运动前区及补充运动区激活体素均升高,且观察组高于对照组(P<0.05)。康复后,两组的运动诱发电位(MEP)潜伏期、中枢运动传导时间均缩短,MEP波幅均升高,且观察组优于对照组(P<0.05)。康复后,两组的Barthel指数及脑卒中专门化生存质量量表(SS-QOL)评分均升高,且观察组高于对照组(P<0.05)。结论动作观察疗法可有效提高脑梗死患者的肢体运动功能及关节活动度,改善MEP及生活质量,增加运动前区及补充运动区激活体素。

Objective To explore the application effect of action observation therapy in rehabilitation treatment of patients with cerebral infarction and its influence on daily living ability.Methods A total of 96 patients with cerebral infarction admitted in our hospital from January 2019 to December 2020 were selected as the research objects and divided into control group and observation group according to the random number table method,with 48 cases in each group.The control group was given routine rehabilitation,and the observation group was given action observation therapy on the basis of the control group.The rehabilitation effects of the two groups were compared.Results After rehabilitation,the scores of Fugl-Meyer Assessment(FMA)and Wolf Motor Function Test(WMFT)in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After rehabilitation,the wrist dorsiflexion,elbow extension and shoulder flexion of the two groups increased,and those of the observation group were greater than the control group(P<0.05).After rehabilitation,the activation voxels in the premotor area and supplementary motor area of the two groups increased,and those in the observation group were higher than the control group(P<0.05).After rehabilitation,the motor evoked potential(MEP)latency and central motor conduction time of the two groups shortened,the MEP amplitude increased,and those in the observation group were better than the control group(P<0.05).After rehabilitation,the Barthel index and Stroke Specific Quality of Life Scale(SS-QOL)scores of the two groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion Action observation therapy can effectively improve the limb motor function and joint activity of patients with cerebral infarction,improve MEP and quality of life,increase the activation voxels of premotor area and supplementary motor area.