摘要
目的研究运动想象疗法对老年急性基底节区缺血性脑卒中患者的康复作用。方法入院患者在清醒状态下进行传统运动康复锻炼结合运动想象疗法,利用NIHSS量表评价卒中患者神经功能缺损程度,巴氏指数评估预后及生活质量,简化Fugl-Meyer(FM)量表评测上下肢肌力恢复程度,同时设立对照组。结果运动想象组(A组)基线期NIHSS量表得分4.90±3.61,随访期得分3.50±3.48,差异具有统计学意义(P<0.001),对照组(B组,传统康复锻炼组,运动疗法)基线期NIHSS量表得分4.47±2.62,随访期得分3.50±2.73,差异具有统计学意义(P=0.001),随访期两组NIHSS得分对比差异无统计学意义(P=0.725);A组基线期巴氏指数67.40±18.22,随访期76.57±16.69,差异有统计学意义(P<0.001),B组基线期巴氏指数71.53±15.52,随访期78.47±16.55,差异有统计学意义(P=0.001),两组随访期巴氏指数差异无统计学意义(P=0.524);A组基线期简化Fugl-Meyer量表得分75.87±16.82,随访期得分87.40±15.00,差异具有统计学意义(P<0.001),B组基线期简化Fugl-Meyer量表得分77.70±13.62,随访期得分82.53±14.54,差异具有统计学意义(P<0.001),两组随访期对比差异具有统计学意义(P=0.043)。结论运动想象疗法结合传统运动疗法与单纯运用传统运动疗法相比能更好的改善老年急性基底节区缺血性脑卒中患者肢体运动功能,但对于患者个人生活质量、自理能力及远期预后评估无差异。
Objective To investigate the effect ofmotor imagery therapy on extremity rehabilitation the elderlywith acute ischemic stroke of basal ganglia.Methods Combination of traditional exercise rehabilitation therapy and motor imagery therapy was performed on the hospitalized cases in awaking condition in group A;NIHSS was applied in evaluating the neurologic impairment,Barthel index in evaluating the prognosis and quality of life and the simplified version of Fugl-Meyer scale(FM)in evaluating the recovery ofmuscle strength of upper and lower limb;group B(traditional exercise rehabilitation therapy provided only)was set as a control.Results NIHSS score in groupAwas4.90±3.61at baseline and3.50±3.48at follow-up,the difference was of statistical significance(P<0.001)while that in group B was4.47±2.62at baseline and3.50±2.73at follow-up,there existed no statistical difference in NIHSS scores at follow-up between the 2 group(P=0.725);Barthel index in group A was67.40±18.22at baseline and76.57±16.69at follow-up,the difference was of statistical significance(P<0.001)while that in group B was71.53±15.52at baseline and78.47±16.55at follow-up,the difference was of statistical significance(P=0.001),there existed no statistical difference in Barthel index at follow-up between the 2 group(P=0.524);the FMscore in group A was75.87±16.82at baseline and87.40±15.00at follow-up,the difference was of statistical significance(P<0.001)while that in group B was 77.70±13.62at baseline and 82.53±14.54 at follow-up,the difference was of statistical significance(P<0.001),there existed a significant difference in FM scores at follow-up between the 2 groups(P=0.043).Conclusions The combined application of traditional exercise rehabilitation therapy and motor imagery therapy is of better effect than single application of traditional exercise rehabilitation therapy in improving the limb motor function of the elderly with acute ischemic stroke of basal ganglia but of no difference in quality of life,self care ability and long-term prognosi
作者
赵德豪
徐翔
刘桂冬
李晶
李亚健
Zhao Dehao;Xu Xiang;Liu Guidong;Li Jing;Li Yajian(Department of Neurology, Huadong Hospital Affiliated to Fudan University, Shanghai, 200040, P. R. China)
出处
《老年医学与保健》
CAS
2018年第6期643-645,658,共4页
Geriatrics & Health Care
关键词
运动想象疗法
脑梗塞
康复
motor imagery therapy
cerebral infarction
rehabilitation
