文章摘要
程永波,杨志军.运动想象疗法对中风偏瘫患者肢体康复效果的影响[J].中国康复,2017,32(3):189-191
运动想象疗法对中风偏瘫患者肢体康复效果的影响
Effect of motor imagery therapy on limb rehabilitation in patients with hemiplegia after stroke
  
DOI:
中文关键词: 运动想象  偏瘫  运动功能  生活能力
英文关键词: motor imagery  hemiplegia  motor function  life ability
基金项目:河北省中医药管理局科研项目(2013312)
作者单位
程永波 邯郸明仁医院河北 邯郸 056001 
杨志军 邯郸明仁医院河北 邯郸 056001 
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中文摘要:
  目的:探讨运动想象疗法对中风偏瘫患者肢体康复效果的影响。方法:将中风偏瘫患者110例分为对照组和观察组各55例。对照组给予常规康复治疗,观察组在此基础上给予运动想象疗法,疗程为4周。比较2组患者治疗前后偏瘫侧下肢最大负重百分比、5m最快折返速度、Fugl-Meyer下肢部分运动功能(FMA)评分和日常生活能力评分的差异。结果:治疗4周后,2组患者偏瘫侧下肢最大负重百分比、5m最快折返速度、下肢部分FMA及BI评分均较治疗前明显增高(均P<0.01),且观察组上述评分均高于对照组(均P<0.01)。结论:运动想象疗法对中风偏瘫患者肢体康复有较好的治疗效果,可明显提高患者的日常生活能力。
英文摘要:
  Objective: To explore the effect of motor imagery therapy on limb rehabilitation in patients with hemiplegia after stroke. Methods: Patients with hemiplegia treated in our hospital from March 2014 to October 2015 were selected, and divided into control group and observation group according to the wishes of the patients. The control group was treated with routine rehabilitation therapy, and the observation group was given exercise therapy on the basis of conventional rehabilitation therapy. The course of treatment was 4 weeks. The lower limb's maximum weight percentage, 5-m fastest return velocity, lower extremity motor function (Fugl-Meyer, FMA) score and the difference of daily life ability score [Barthel index (BI)] were compared in both two groups before and after treatment. Results: After treatment for 4 weeks, the hemiplegic lower limb maximum weight percentage, 5-m fastest return velocity, FMA and BI scores in two groups were significantly increased as compared with those before treatment (P<0.01), more significantly in observation group than in control group (P<0.01). Conclusion: Motor imagery therapy has good therapeutic effectiveness on limb recovery in patients with hemiplegia after stroke, and can obviously improve the daily life ability of patients.
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