文章摘要
骆丽,陈绿叶,邹晶晶,朱炫玮,储雨菲,徐丹丹,张国栋,董宏利.分级运动想象疗法对脑卒中偏瘫患者下肢运动功能的影响[J].中国康复,2023,38(10):585-588
分级运动想象疗法对脑卒中偏瘫患者下肢运动功能的影响
Effect of graded motor imagination therapy on lower limb motor function in stroke hemiplegia patients
  
DOI:
中文关键词: 脑卒中  分级运动想象  下肢运动功能
英文关键词: stroke  graded motor imagination  lower limb motor function
基金项目:江苏省重点研发计划(社会发展)重点项目(BE2021661);苏州市科技局(医工结合)指令性课题项目(SLJ2021020)
作者单位
骆丽 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
陈绿叶 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
邹晶晶 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
朱炫玮 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
储雨菲 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
徐丹丹 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
张国栋 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
董宏利 南京中医药大学附属苏州市中医医院康复科江苏 苏州 215000 
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中文摘要:
  目的:观察分级运动想象疗法(GMI)对脑卒中偏瘫患者下肢运动功能的疗效。方法: 将符合标准的32例脑卒中偏瘫患者随机分为对照组和观察组(n=16)。对照组患者仅行常规康复治疗,观察组在常规康复治疗的基础上增加每日30min的分级运动想象治疗。于治疗前、治疗4周后,采用改良Ashworth量表(MAS)评价患侧小腿三头肌肌张力,采用下肢Brunnstrom分期量表、改良Fugl-Meye下肢运动评估量表(mFMA-LE)评价患者的下肢运动功能,采用步行相关改良Barthel指数(wr-MBI)评定患者日常生活活动能力。结果:治疗4周后,2组患者的MAS评分较治疗前均无明显变化;观察组患者的下肢Brunnstrom分期有明显提高(P<0.05),对照组较治疗前无变化,治疗后2组间比较差异具有统计学意义(P<0.05);2组患者的mFMA-LE、wr-MBI较治疗前均有提高(均P<0.05),且观察组高于对照组(均P<0.05)。结论:分级运动想象疗法可有效改善脑卒中患者下肢运动功能。
英文摘要:
  Objective: To observe the effect of graded motor imagery (GMI) on lower limb motor function in patients with hemiplegia after stroke. Methods: Totally, 32 patients with hemiplegia who met the criteria were randomly divided into control group (n=16) and GMI group (n=16). Control group and GMI group received conventional rehabilitation treatment, and GMI group was subjected to 30-min graded exercise imagination therapy every day. Before and 4 weeks after treatment, the modified Ashworth Scale (MAS) was used to evaluate the muscle tone of the affected side of the lower leg triceps, and the lower limb motor function was evaluated by the lower limb Brunnstrom staging scale and the modified Fugl-Meye Lower limb Motor Assessment Scale (mFMA-LE). The walk-related Modified Barthel Index (wr-MBI) was used to assess the ability in activities of daily living. Results: Before treatment, MAS score, Brunnstrom stage of lower limbs, mFMA-LE score and wr-MBI score showed no significant difference between 2 groups. After 4 weeks of treatment, there was no significant difference in the MAS score in 2 groups before and after treatment. The Brunnstrom stage of lower limbs in GMI group was significantly increased (P<0.05), and there was no change in control group as compared with that before treatment, and there was significant difference between the two groups (P<0.05). mFMA-LE and wr-MBI scores in 2 groups were improved as compared with those before treatment, the difference was statistically significant (P<0.05), and those in the GMI group was more significantly improved than in control group (P<0.05). Conclusion: GMI therapy can effectively improve lower limb motor function in stroke patients.
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