曹克勇,祝腊香,王其勋,王颍,赵琴,郝萍,朱曼蕾,李雪芹.镜像疗法结合运动想象疗法对脑卒中偏瘫患者上肢功能的影响[J].中华物理医学与康复杂志,2018,40(6):418-420 |
镜像疗法结合运动想象疗法对脑卒中偏瘫患者上肢功能的影响 |
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DOI: |
中文关键词: 镜像疗法 运动想象疗法 脑卒中 偏瘫 上肢功能 |
英文关键词: Mirror therapy Exercise imagination therapy Stroke Hemiplegia Upper limb function |
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中文摘要: |
目的 观察镜像疗法(MT)结合运动想象疗法(MI)对脑卒中偏瘫患者上肢功能的影响。 方法 选取脑卒中偏瘫上肢功能障碍患者90例,采用随机数字表法分成运动想象组(A组)、镜像疗法组(B组)和综合治疗组(C组),每组患者30例。所有患者均接受常规康复治疗,A组在此治疗的基础上增加运动想象疗法,B组在此治疗基础上增加镜像疗法,C组在此治疗基础上增加运动想象和镜像疗法,3组患者均治疗8周。于治疗前和治疗4、8周后采用Fugl-Meyer运动功能评定(FMA)、Carroll手功能评定(UEFT)以及改良的Barthel指数评定(MBI)对3组患者进行疗效评定。 结果 治疗4、8周后,3组患者FMA评分、UEFT评分、MBI评分较组内治疗前均明显改善,差异均有统计学意义(P<0.05)。治疗4、8周后,B组患者的FMA、UEFT、MBI评分均优于A组同时间点,差异均有统计学意义(P<0.05);治疗4、8周后,C组患者的FMA[(30.03±4.06)分和(42.67±3.54)分]、UEFT[(58.03±3.76)分和(65.17±2.78)分]、MBI评分[(59.57±3.34)分和(66.93±3.35)分]均优于A组和B组同时间点,差异均有统计学意义(P<0.05)。 结论 镜像疗法优于运动想象疗法,但镜像疗法结合运动想象疗法则能更有效地促进脑卒中偏瘫患者上肢功能的改善,提高患者的日常生活活动能力,且疗程越长疗效越佳。 |
英文摘要: |
Objective To observe the effect of mirror therapy (MT) combined with movement imagination therapy (MI) on the upper limb function of hemiplegic stroke patients. Methods Ninety stroke survivors with hemiplegia were randomly divided into three groups: A, B and C. Their routine rehabilitation was supplemented with MI in group A, with MT in group B and in group C with both for 8 weeks. The evaluations used the Fugl-Meyer motor function assessment (FMA), Carroll′s upper extremity function evaluation (UEFT) and the modified Barthel index (MBI). Results After 4 and 8 weeks of treatment, significant improvement was observed in the average FMA, UEFT and MBI scores of all three groups compared with before the treatment. After 4 and 8 weeks all of the average scores in group B were significantly higher than those of group A at the same time point. For group C, their average scores were significantly better than those of both of the other groups. Conclusion Mirror therapy is superior to exercise imagination therapy, but their combination is more effective in promoting upper limb function and improving ability in daily activities than either alone. Longer treatment has better effects. |
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