镜像神经元理论在脑梗死患者上肢关节运动康复治疗中的应用

目的探讨镜像神经元理论在脑梗死患者上肢关节运动康复治疗中的应用及对患肢功能的影响。方法选取2017年11月-2018年11月收治的脑梗死患者92例,按随机数字表法为对照组与观察组。在脑梗死上肢关节运动康复治疗中,对照组进行常规康复治疗,观察组在对照组上肢关节康复治疗的基础上加用镜像神经元理论。对比两组肢体功能评分、生活质量量表得分以及两组患肢关节活动度。结果治疗前两组肢体功能评分差异均不具可比性(P>0.05),经治疗,两组肢体功能评分均比治疗前提高,且观察组评分显著高于对照组(P<0.05);治疗前两组生活质量得分差异无可比性(P>0.05),治疗后2、3、4周观察组生活质量量表得分均高于对照组(P<0.05);治疗前两组上肢各关节活动度无明显差异(P>0.05),治疗后观察组肩关节前驱、肘关节伸展、腕关节背伸的关节活动度均优于对照组(P<0.05)。结论在脑梗死患者上肢关节运动康复治疗中应用镜像神经元理论,可以改善患者上肢运动功能,提高患者生活质量,应用效果良好,值得推广。

Application of mirror neuron theory in exercise rehabilitation of upper limb joints in patients with cerebral infarction

Objective To explore the application of mirror neuron theory in the rehabilitation of upper limb joint exercise in patients with cerebral infarction and its effect on limb function.Methods A total of92 patients with cerebral infarction who were admitted to our hospital for treatment from November2017 to November 2018 were selected and divided into control group and research group by random number table method.In the exercise rehabilitation treatment of upper limb joints in patients with cerebral infarction,the control group received conventional rehabilitation treatment,and the study group of patients added mirror neuron theory on the basis of upper limb joint rehabilitation treatment in the control group.Limb function scores,quality of life scale scores and upper limb range of motion were compared between the two groups.Results There was no comparable difference in limb function scores between the two groups before treatment(P>0.05).After treatment,limb function scores of the two groups were improved compared with that before treatment,and the score of the research group was significantly higher than that of the control group(P<0.05).There was no comparable difference in quality of life scores between the two groups before rehabilitation(P>0.05),and the quality of life scale scores of the study group at 2,3 and 4 weeks after treatment were all higher than those of the control group(P<0.05).Before treatment,there was no significant difference in the range of motion of upper limbs of the two groups of patients(P>0.05).After rehabilitation,the range of motion of shoulder joint anterior drive,elbow joint extension and wrist joint dorsal extension in the research group were all better than those in the control group(P<0.05).Conclusion The application of mirror neuron theory in the rehabilitation of upper limb joint exercise in patients with cerebral infarction can improve the upper limb exercise function of patients,improve the quality of life of patients,the application effect is good,and is worthy of promotion.