摘要
目的:探讨使用运动想象疗法联合双侧肢体训练对脑卒中偏瘫患者下肢功能的影响.方法:将在朝阳市中心医院康复医学科收治的60例脑卒中偏瘫患者按随机数字表法随机分为对照组(A)20例、运动想象组(B)20例和联合治疗组(C)20例,3组患者均给予常规康复训练,B组在此基础上加用运动想象治疗,C组则在常规康复治疗的基础上加用运动想象联合双侧肢体训练进行治疗;分别于治疗前及治疗4周后对患者采用简化Fugl-Meyer量表下肢部分,ADL评分(改良Barthel指数),Berg(BBS)平衡量表和Holden步行功能分级(FAC)对各组患者的下肢功能进行评定.结果:(1)组内比较.治疗4周后,3组患者的各项指标包括FMA评分、ADL评分、BBS评分及FAC分别较组内治疗前有明显改善,差异均有统计学意义(P<0.05).(2)组间比较.治疗后,B组的各指标与A组相比,差异均有统计学意义(P<0.05);C组的各指标与A、B2组比较,差异亦有统计学意义(P<0.05).结论:运动想象疗法结合双侧肢体训练对脑卒中偏瘫患者下肢功能的恢复疗效更显著.
Objective:To verify the effectiveness of lower limb function recovery of hemiplegic stroke patients using motor imagery therapy combined with bilateral limbs rehabilitation training.Methods:60 stroke patients with hemiplegia were randomly divided into three groups:control group (A)(n =20 cases),motor imagery group (B)(n =20 cases)and combined-treatment group (C)(n =20 cases).All patients participated in routine rehabilitation training.Meanwhile,group B additionally received motor imagery therapy,and group C additionally received bilateral limbs rehabilitation trining.Patient's recovery level was assessed by Fugl -Meyer Assessment, ADL scores (modified Barthel index),Berg Balance Scale (BBS)and Functional Ambulation Category (FAC)before and after the 4 - week treatment.Results:○1 Comparison within a group:after the 4 -week training,three groups'indieators including FMA grade,ADL scores,BBS and FAC had been significantly improved (P <0.05 ).○2 Comparison among groups:after treatment,all indicators in group B were significantly improved compared with group A (P <0.05 ).The indieators of group C were compared with those of A and B,and the differences were also statistically significant (P <0.05 ).Conclusion:The motor imagery therapy combined with bilateral limbs rehabilitation training on the recovery of lower limb function of stroke patients was verified effective.
作者
孟洋洋
徐立伟
MENG Yang -yang;XU Li -wei(The Graduate School of Chengde Medical College,Chengde 067000,China;Rehabilitation Medicine Department,Central Hospital of Chaoyang City Affiliated to Chengde Medical College,Chaoyang 122000,China)
出处
《中国伤残医学》
2019年第4期11-14,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
运动想象
双侧肢体训练
脑卒中
康复
Motor imagery therapy
Bilateral limbs rehabilitation training
Stroke
Rehabilitation
