符 俏,陈文远,喻锦成,曾育山,曹贤畅.运动想象疗法对脑卒中偏瘫患者上肢运动功能的影响[J].中国康复医学杂志,2010,25(1):53~55 |
运动想象疗法对脑卒中偏瘫患者上肢运动功能的影响 点此下载全文 |
符 俏 陈文远 喻锦成 曾育山 曹贤畅 |
海南省人民医院复康中心,海口,570102 |
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摘要: |
目的:探讨运动想象疗法对脑卒中偏瘫患者上肢运动功能和日常生活活动(ADL)能力的影响。
方法:采用随机病例对照方法。经运动想象问卷(KVIQ)评定后,入选的39例脑卒中患者随机分为治疗组(n=20)和对照组(n=19),治疗组用运动想象疗法进行干预。入选时和治疗8周后,用Fugl-Meyer运动功能评分法和改良巴氏指数评定患者的上肢运动功能和ADL能力。
结果:同组间治疗前后比较,FMA和MBI均有明显改善,差异有显著性意义(P<0.01),治疗后治疗组与对照组之间的FMA和MBI值比较差异有显著性意义(P<0.01)。
结论:运动想象疗法可明显地促进脑卒中偏瘫患者上肢运动功能和ADL能力。 |
关键词:运动想象疗法 脑卒中 康复 上肢功能 认知 |
The effects of motor imagery therapy on the upper limb motor function in hemiplegic stroke patients Download Fulltext |
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Rehabilitation Center, Hainan Provincial People′s Hospital, Haikou, 570105 |
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Abstract: |
Objective: To investigate the effects of motor imagery therapy on the upper limb motor function and activity of daily living(ADL) in hemiplegic stroke patients.
Method: A randomly case control study approach was conducted. After assessment with kinesthetic and visual imagery questionnaire(KVIQ), 39 patients with hemiplegic stroke were randomly divided into two groups:experiment group(n=20) and control group(n=19). All patients were treated with routine rehabilitation training. In experiment group patients were treated with motor imagery therapy additionaly. All patients were assessed with Fugl-Meyer assessment (FMA) and Modified Barthel Index(MBI) before and after 8-week treatment.
Result: After 8-week treatment in both groups the scores of FMA and MBI improved significantly compared with before treatment (P<0.01). After 8-week treatment, the scores of FMA and MBI in experiment group increased significantly compared with control group(P<0.01).
Conclusion: Motor imagery therapy can significantly improve the upper limb motor function and ADL in patients with hemiplegic stroke. |
Keywords:motor imagery therapy stroke rehabilitation upper limb function cognition |
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