周艳平,王刚,张妍昭,等.运动想象疗法联合肌内效贴改善脑卒中患者上肢运动功能的疗效观察[J].中华物理医学与康复杂志,2022,44(2):126-130
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| 运动想象疗法联合肌内效贴改善脑卒中患者上肢运动功能的疗效观察 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.02.006 |
| 中文关键词: 运动想象疗法 肌内效贴 脑卒中 上肢 功能 |
| 英文关键词: Motor imagery therapy Kinesio taping Stroke Upper limbs Motor function |
| 基金项目:中央高校基本科研业务费资助(HUST2018KFYYXJJ100) |
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| 中文摘要: |
| 目的 探讨运动想象疗法（MIT）联合肌内效贴改善脑卒中患者上肢运动功能障碍的疗效。 方法 纳入92例脑卒中患者按随机数字表法分为对照组（31例）、MIT组（31例）和联合组（30例）。对照组仅行常规康复训练，以改善患者日常生活能力的任务导向性训练为主，每次治疗40 min；MIT组在常规康复训练的基础上增加MIT治疗，治疗师指导患者进行运动想象训练，想象患肢也在按步骤完成健侧上肢完成的指定动作；联合组则在常规康复训练的基础上增加MIT和肌内效贴治疗，选取个体化的贴扎方法，每次贴扎维持48 h，2 d换1次。3组患者均每日训练2次，每周训练6 d，共训练8周。分别于治疗前和治疗8周后（治疗后），采用Fugl-Meyer量表上肢部分（FMA-UE）、香港版偏瘫上肢功能测试（FTHUE-HK）、改良Barthel指数（MBI）及改良Ashworth量表（MAS）对3组患者的上肢运动功能、日常生活能力和肌张力进行评定。 结果 治疗后，联合组的FMA-UE和MBI评分分别为（38.70±15.55）和（58.97±11.18）分，MIT组的FMA-UE和MBI评分为（33.03±14.36)和（50.88±10.58）分，均明显高于对照组治疗后（P<0.05），且联合组较MIT组有明显提升，差异有统计学意义（P<0.05）；联合组和MIT组的FTHUE-HK分级显著高于对照组（P<0.05），且联合组明显优于MIT组（P<0.05）；联合组治疗后的MAS评级明显低于对照组（P＜0.05）。 结论 MIT联合肌内效贴可显著改善脑卒中患者的上肢运动功能和日常生活能力，且较常规治疗可降低患者异常上肢张力。 |
| 英文摘要: |
| Objective To explore the effect of combining motor imagery therapy (MIT) with kinesio taping in rehabilitating the upper limb motor function of stroke survivors. Methods Ninety-two stroke survivors were randomized into a control group (n=31), an MIT group (n=31), and a combination group (n=30). All were given 40 minutes of basic rehabilitation therapy daily, while the MIT group received additional MIT therapy, and the combination group received kinesio taping with the MIT therapy. The taping was applied according to a patient′s condition and changed every other day. The MIT was conducted twice a day. The experiment lasted 8 weeks, six days a week. Before and after the 8 weeks, the upper limb functioning, ability in the activities of daily living and muscle tension of each subject were assessed using the Fugl-Meyer assessment for the upper extremities (FMA-UE), the Hong Kong version of the functional test for a hemiplegic upper extremity (FTHUE-HK), the modified Barthel index (MBI) and the modified Ashworth scale (MAS). Results The average post-treatment FMA-UE and MBI scores of the combination group were significantly higher than those of the MIT group, and both were significantly higher than the control group′s averages. The average FTHUE-HK grading of the combination group and MIT group after the treatment was significantly higher than in the control group, with that of the combination group significantly superior to the MIT group′s average. After the intervention the average MAS rating of the combination group was significantly lower than that of the control group. Conclusion MIT combined with Kinesio taping can significantly improve the upper limb motor functioning of stroke survivors, and significantly reduce their abnormal muscle tone compared to traditional treatments. |
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