运动想象疗法对脑卒中偏瘫患者下肢功能的影响

目的 探讨常规康复治疗结合运动想象疗法对脑卒中偏瘫患者偏瘫侧下肢运动功能的影响.方法 选取30例病情稳定且病程<6个月的脑卒中偏瘫患者,分为治疗组(13例)和对照组(17例).治疗组进行常规康复治疗和运动想象训练,对照组只进行常规康复治疗.分别在治疗前和治疗6周后进行偏瘫侧下肢最大负重百分比(%)、Barthel指数(BI)、5m最快折返速度、Berg平衡功能量表(BBS)和Fugl-Meyer运动功能评分法(FMA)(下肢部分)评定.结果 治疗组和对照组的各项指标较治疗前均有显著提高(P<0.01),且治疗组的偏瘫侧下肢最大负重百分比(%)和5m最快折返速度优于对照组(P<0.05).结论 常规康复治疗结合运动想象疗法能更有效地提高脑卒中偏瘫患者偏瘫侧下肢的运动功能.

The effect of motor imagery therapy on lower extremity function in stroke patients with hemiplegia

Objective To study the effect of motor imagery therapy combined with conventional physical training on hemiplegia lower extremity function in stroke patients with hemiplegia.Methods Thirty hemiplegic patients meeting the eligible criterions were randomly divided into two groups: a treatment group (n = 13 ) and a control group ( n = 17).All subjects accepted conventional rehabilitative treatment.Patients in treatment group were treated with motor imagery therapy after physical training, while the patients in control group were treated with physical training only.Motor function was measured by the percentages of changes in maximum loading on affected lower limb (PL%), Barthel index (BI), 5m maximum back and forth walking speed (5m MBFWS), Berg balance scale ( BBS), Fugl-Meyer motor assessment ( lower limb) (FMA-L) before the beginning of training and at the end of sixweek training.Results In both groups, all measurements at the end of training improved significantly ( P < 0.01 )compared to that at the beginning of training.After the whole training course, PL% and 5m MBFWS (m/s) in treatment group were significantly better compared to those in control group( P < 0.05 ), and the other measurements were not statistically significant between two groups( P > 0.05 ).Conclusion Motor imagery therapy had positive effect on hemiplegia lower extremity function of sub-acute stroke patients.