| 吴海霞,林夏妃,潘晶晶,宋振华.运动想象联合优化运动技能训练干预脑卒中后上肢功能障碍的效果[J].中国康复,2021,36(6):327-330 |
| 运动想象联合优化运动技能训练干预脑卒中后上肢功能障碍的效果 |
| Effects of motor imagery combined with optimized motor skill training in the intervention of upper limb dysfunction after stroke |
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| DOI： |
| 中文关键词: 脑卒中 上肢功能障碍 康复 运动想象 优化运动技能训练 |
| 英文关键词: stroke upper limb dysfunction rehabilitation motor imagery optimized motor skill training |
| 基金项目:海南省卫生计生行业科研项目（19A200135） |
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| 中文摘要: |
| 目的：探讨运动想象联合优化运动技能训练干预脑卒中后上肢功能障碍的临床效果。方法：76例脑卒中后上肢功能障碍患者按照随机数字表法分为对照组和观察组各38例，2组均接受常规康复治疗，对照组在常规康复治疗后进行运动想象训练，观察组在常规康复治疗基础上予以运动想象联合优化运动技能训练。治疗前后用表面肌电信号（sEMG）测定患侧上肢三角肌、肱二头肌、肱三头肌、腕伸肌的均方根（RMS）和中位频率（MF），采用Fugl-Meyer上肢评定量表（FMA-UE）、布朗茨手部测试量表（BzH）、改良Barthel指数量表（MBI）对患者进行评定。结果：治疗4周后，2组患侧上肢三角肌、肱二头肌、肱三头肌、腕伸肌RMS和MF值较治疗前均明显增加（均P<0.01），且观察组以上指标均明显高于对照组（均P<0.01）；2组患肢FMA、BzH及MBI评分较治疗前均明显提高（均P<0.01），观察组以上评分均明显高于对照组（均P<0.01）。结论：运动想象联合优化运动技能训练可改善上肢肌肉sEMG指标，提高上肢和手功能，改善患者的日常生活活动能力，干预脑卒中后上肢功能障碍效果显著。 |
| 英文摘要: |
| Objective: To investigate the clinical effect of motor imagery combined with optimized motor skill training in the intervention of upper limb dysfunction after stroke. Methods: A total of 76 patients with post-stroke upper limb dysfunction were divided into control group (n=38) and treatment group (n=38) according to the random number table method. Both groups received routine rehabilitation treatment, the control group received motor imagery training after routine rehabilitation treatment, and the treatment group received motor imagery training combined with optimized exercise skills training on the basis of routine rehabilitation treatment. Before and after treatment, the surface electromyography (sEMG) of the two groups was done to compare the root mean square (RMS) and median frequency (MF) of deltoid, biceps, triceps and extentor carpi of the affected upper limb, and the patients were evaluated by Fugl-Meyer assessment-upper extremities (FMA-UE), Bronze hand test scale (BzH) and Modified barthel index scale (MBI). Results: After 4 weeks of treatment, the RMS and MF of the affected upper limb deltoid, biceps brachii, triceps brachii, extentor carpus in both groups were significantly higher than those before treatment (all P<0.01), and the above indexes in the treatment group were significantly higher than those in the control group (all P<0.01). The scores of FMA, BzH and MBI of the affected limbs in both groups were significantly higher than those before treatment (all P<0.01), and the scores in the treatment group were significantly higher than those in the control group (all P<0.01). Conclusion: Motor imagery combined with optimized motor skill training can improve the sEMG index of upper limb muscle, the function of upper limb and hand, the daily activity ability of patients, and have a significant effect on the dysfunction of upper limb after stroke. |
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