| 曲斯伟,宋为群.运动想象联合优化运动技能训练对脑卒中患者上肢运动功能的影响[J].中国康复医学杂志,2020,(2):151~155 |
| 运动想象联合优化运动技能训练对脑卒中患者上肢运动功能的影响 点此下载全文 |
| 曲斯伟 宋为群 |
| 首都医科大学宣武医院康复医学科，北京市，100053 |
| 基金项目：国家自然科学基金面上项目（81371194）；北京市新世纪百千万人才工程培养经费资助项目 |
| DOI：10.3969/j.issn.1001-1242.2020.02.005 |
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| 摘要： |
| 摘要
目的：探讨运动想象联合优化运动技能训练对脑卒中患者上肢运动功能改善的影响。
方法：将45例脑卒中患者按随机数字表分为联合组、运动想象组（MI）和优化运动技能组（OMP），每组各15例。三组患者均接受常规康复训练，30min/次，2次/d，5d/周，共4周。MI组常规康复训练的同时进行4周的运动想象疗法，20min/次，1次/d， 5d/周；OMP组常规康复训练的同时进行4周的优化运动技能训练，20min/次，1次/d， 5d/周；联合组则在常规康复训练的同时进行4周的运动想象疗法20min/次和优化运动技能训练20min/次，均1次/d， 5d/周。于治疗前及治疗4周后对患者进行功能评定，采用简Fugl-Meyer运动功能评分（FMA）和手臂动作调查测试量表（ARAT）评价上肢运动功能；改良Barthel指数量表(MBI)评价日常生活活动能力，比较三组的疗效。
结果：①治疗前，三组患者上肢FMA评分、ARAT评分和MBI评分无显著性差异（P>0.05）；治疗4周后，三组患者的上肢FMA评分、ARAT评分和MBI评分与治疗前比较均明显提高（P<0.01）。②治疗4周后联合组上肢FMA评分、ARAT评分和MBI评分均明显优于MI组和OMP组（P<0.05）；而MI组和OMP组之间评分的差异无显著性意义（P>0.05）。
结论：在常规康复治疗的基础上，运动想象和优化运动技能训练均能提高脑卒中患者上肢运动功能和日常生活活动能力，两者联合治疗效果更加显著。 |
| 关键词：脑卒中 上肢功能障碍 运动想象 优化运动技能 康复 |
| Effects of motor imagery combined with optimizing motor performance training on upper limb function in patients with stroke Download Fulltext |
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| Xuanwu Hospital Capital Medical University， Beijing， 100053 |
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| Abstract: |
| Abstract
Objective: To investigate effects of motor imagery combined with optimizing motor performance training on the recovery of upper limb motor function in stroke patients.
Method: Forty-five stroke patients were randomly divided into combined treatment group， motor imagery(MI) group and optimizing motor performance(OMP) group (n=15 in each group) according to the random number table. All groups received traditional rehabilitation， once for 30min， 2 times a day， 5 days a week for 4 weeks. On this basis， the MI group was treated with motor imagery therapy for 4 weeks， the OMP group was treated with optimizing motor performance training for 4 weeks， once a day for 20min， 5 days a week. The combined treatment group was also received MI therapy and received OMP training for 4 weeks at the same time， both were given once a day for 20min. All patients were assessed before and after treatment. The upper limb Fugl-Meyer Assessment (FMA) score and Action Research Arm Test (ARAT) were used to assess upper limb motor function. The modified Barthel index (MBI) was used to evaluate the activities of daily living.
Result: ①There were no significant differences in the upper limb FMA score， ARAT score and MBI score before treatment among the 3 groups of patients(P>0.05). After 4 weeks treatment， the upper limb FMA score， ARAT score and MBI score of the patients in the 3 groups were significantly improved compared with those before treatment (P<0.01). ②After 4 weeks treatment， the upper limb FMA score， ARAT score and MBI score in the patients of the combined treatment group were superior to those scores in MI group and OMP group (all P<0.05)， while there was no significant difference between those scores in MI group and OMP group (P>0.05).
Conclusion: The MI and OMP training may enhance the upper limb motor function and activity of daily living in stroke patients， and the effect of combined treatment would be more significant. |
| Keywords:stroke upper limb function disorder motor imagery optimizing motor performance rehabilitation |
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