运动想象疗法结合四肢联动治疗脑卒中偏瘫患者的疗效观察

目的探讨运动想象疗法结合四肢联动对脑卒中偏瘫患者下肢运动功能的影响。方法将60例脑卒中偏瘫患者分成观察组30例和对照组30例,两组患者均接受基础疾病药物治疗及常规康复治疗,对照组加以四肢联动训练,观察组在四肢联动基础上进行运动想象疗法。对每例患者分别在治疗前和治疗4周后进行偏瘫侧下肢FuglMeyer（FMA-L）和功能独立性测定（FIM）的评估。结果治疗4周后,每组治疗前后下肢功能比较差异有统计学意义（P〈0.01）,且观察组FMA-L评分与FIM评分优于对照组,差异有统计学意义（P〈0.05）。结论运动想象疗法有助于改善脑卒中偏瘫患者下肢的运动功能。

Effects of Motor Imaginary Therapy Combined with Recumbent Cross_training on Lower Limb Motor Function among Hemiplegic Patients after Stroke

Objective To investigate the effects of motor imaginary therapy combined with recumbent cross_training on lower limb motor function among hemiplegic patients after stroke .Methods 60 hemiplegic patients after stroke were randomly divided into observation group（n=30）and control group（n=30） .Patients in each group were given drug therapy and regular physical therapy ,recumbent cross_training was conducted in control group ,and motor imaginary therapy was performed after recumbent cross-training in observation group .All patients were evaluated by Fugl-Meyer motor assessment （1ower limb）（FMA-L）and functional independent measurement （FIM ） before treatment and 4 weeks after treatment .Results Compared with those before treatment ,the FMA-L and FIM scores significantly increased after treatment in two groups （ P〈0.01 ）. The FMAL and FIM scores in observation group were significantly higher than those in control group （ P〈0.05 ）.Conclusions Motor imaginary therapy can improve the lower limb motor function in hemiplegic patients after stroke .