摘要
目的探讨运动想像疗法对脑卒中上肢瘫痪病人上肢功能和日常生活活动（ADL）功能影响。方法将21例脑卒中瘫痪病人随机分成治疗组（n=11）和对照组（n=10）,对照组病人给予常规康复训练。治疗组在对照组常规康复训练的基础上联合运动想像训练。采用Fugl-Meyer评定法（FMA）、BARTHEL指数（BI）对两组病人治疗前后上肢功能和ADL进行评定。结果两组病人治疗后FMA评分治疗前后均明显改善（t=2.629~5.445,P〈0.05）;BI评分治疗组治疗后较治疗前明显改善（t=2.803~3.977,P〈0.05）,而对照组治疗后较治疗前无明显改善（P〉0.05）;治疗组FMA评分和BI评分治疗前后的改善幅度均明显优于对照组,差异有显著性（t=2.111~2.657,P〈0.05）。结论常规康复联合运动想像训练可提高脑卒中上肢瘫痪病人ADL和上肢功能。
Objective To explore the effect of movement imagery therapy on motor function in daily activities in patients with paralysis of the upper extremities due to stroke. Methods Twenty-one paralytic patients were randomly divided into treatment group（11 cases） and a control group（10 cases）.All the patients in both groups received routine rehabilitation training,while those in the treatment group an imagery therapy was added.Fugl-Meyer movement assessment（FMMA） and Barthel Index（BI） were evaluated and compared between the two groups. Results The score of FMMA after treatment was significantly better than that before treatment in both groups（t=2.629-5.445,P0.05）,The score of BI after treatment obviously impoved compared with that before treatment in the treatment group（t=2.803-3.977,P0.05）,while that of BI in the control showed no difference between before and after treatment（P0.05）.After treatment,the FMMA and BI in the treatment group showed the extent of improvement was greater than those in the control（t=2.111-2.657,P0.05）. Conclusion The combination of movement imagery therapy and rehabilitation training can effectively improve the functional performance of the upper extremities in stroke patients.
出处
《青岛大学医学院学报》
CAS
2010年第3期244-246,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
运动想像
脑血管意外
麻痹
上肢
movement imagery
cerebrovascular accident
paralysis
upper extremity
