探讨不同强度运动想象疗法对单侧空间忽略患者恢复的影响

目的 探讨不同强度下运动想象疗法对脑卒中单侧空间忽略患者的康复效果。方法 选取2019年7月-12月收治的单侧空间忽略患者45例,将其随机分为常规训练组、强化训练组和对照组,每组15例。3组均给予常规脑卒中康复护理,常规训练组每天在护士指导下增加1次运动想象疗法,每次30 min;强化训练组则每天增加2次运动想象疗法,上午、下午各1次,每次30 min;整个治疗周期为8周。康复护理前后采用凯瑟琳-波哥量表(Catherine Bergego scale,CBS)、Barthel指数(Barthel index, BI)和Berg平衡量表(Berg balance scale,BBS)评估3组单侧空间忽略的程度、生活活动能力和平衡功能。结果 经过8周的康复护理,3组CBS、Barthel指数、BBS评分比较,差异有统计学意义(F=5.462,P=0.018;F=111.700,P<0.001;F=222.955,P<0.001),强化训练组CBS评分低于常规训练组和对照组,Barthel指数和BBS评分高于常规训练组和对照组(P＜0.05)。讨论 运动想象疗法能改善脑卒中偏瘫患者单侧空间忽略的程度,高强度的运动想象疗法在单侧空间忽略的程度、日常生活活动能力和平衡功能改善方面效果更显著。

Effects of the motor imagery therapy of different intensities on the recovery of stroke survivors with unilateral spatial neglect

Objective To explore the effect of the motor imagery therapy of different intensities on the rehabilitation of stroke survivors with unilateral spatial neglect. Methods In the second half of 2019, forty-five patients with unilateral spatial neglect were selected, and randomly divided into a conventional training group, an intensive training group and a control group, each of 15. Three groups were given routine stroke rehabilitation care, the conventional training group was additional given 30-minute motor imagery therapy every day, while the intensive training group underwent 30-minute motor imagery therapy every morning and afternoon, for 8 weeks. Before and after the intervention, the Catherine Bergego scale (CBS), Barthel index and the Berg balance scale(BBS)were used to evaluate the unilateral spatial neglect, the activities of daily living and balance function for the three groups. Results After 8-week intervention, significant differences were observed in the CBS, ADL and BBS scores of all the 3 groups (F=5.462, P=0.018; F=111.700, P<0.001; F=222.955, P<0.001). The CBS score of the intensive training group was significantly lower than that of the other 2 groups, while the ADL and BBS scores were significantly higher than the latter (P＜0.05). Conclusion The motor imagery therapy can relieve unilateral spatial neglect of stroke survivors. Moreover, the motor imagery therapy of high intensity is superior to that of low intensity in improving unilateral spatial neglect, activities of daily living and balance function of patients.