CAJ | 학술논문

目的观察运动想象疗法对脑卒中偏瘫患者上肢功能恢复的影响.方法共选取30例脑卒中偏瘫患者,将其随机分为治疗组及对照组.2组患者均给予常规康复治疗,其中治疗组患者在此基础上辅以运动想象疗法.分别于治疗前、治疗2周、4周及8周时采用Fugl-Meyer上肢运动功能评分(FMA)、运动功能评估量表(MAS)对患者上肢功能进行评定.结果治疗前2组患者上肢FMA及MAS评分组间差异均无统计学意义(P>0.05);治疗2周后,发现治疗组MAS评分较治疗前改善,但组问差异仍无统计学意义(P>0.05);治疗4周后,2组患者上肢FMA及MAS评分均较治疗前明显提高,并且治疗组上肢FMA评分明显优于对照组(P<0.05);治疗8周后,发现2组患者上肢FMA及MAS评分均较治疗前进一步改善(P<0.05),此时治疗组上述指标均显著优于对照组(P<0.05).结论在常规康复治疗脑卒中偏瘫患者基础上辅以运动想象治疗,可进一步改善患者肢体运动功能,提高康复疗效.
목적 관찰운동상상요법대뇌졸중편탄환자상지공능회복적영향.방법 공선취30례뇌졸중편탄환자,장기수궤분위치료조급대조조.2조환자균급여상규강복치료,기중치료조환자재차기출상보이운동상상요법.분별우치료전、치료2주、4주급8주시채용Fugl-Meyer상지운동공능평분(FMA)、운동공능평고량표(MAS)대환자상지공능진행평정.결과 치료전2조환자상지FMA급MAS평분조간차이균무통계학의의(P>0.05);치료2주후,발현치료조MAS평분교치료전개선,단조문차이잉무통계학의의(P>0.05);치료4주후,2조환자상지FMA급MAS평분균교치료전명현제고,병차치료조상지FMA평분명현우우대조조(P<0.05);치료8주후,발현2조환자상지FMA급MAS평분균교치료전진일보개선(P<0.05),차시치료조상술지표균현저우우대조조(P<0.05).결론 재상규강복치료뇌졸중편탄환자기출상보이운동상상치료,가진일보개선환자지체운동공능,제고강복료효.
Objective To explore the effects of mental practice on upper extremity function after stroke. Methods Thirty sub-acute stroke patients were randomly divided into a treatment group ( n=15 ) and a control group (n=15). The patients in the control group were treated with conventional therapy. The patients in the treat-ment group were treated with motor imagery therapy in addition. All patients were assessed using the Fugl-Meyer mo-tor assessment (FMA) and the motor assessment scale (bIAS) before treatment and after 2, 4 and 8 weeks of treat-ment. Results After 2 weeks of treatment, average MAS scores in the treatment group improved significantly com-pared with before treatment, but there was no significant difference between the two groups. After 4 weeks, FMA and MAS scores in the two groups had improved, and the FMA scores in the treatment group were significantly higher than those of the control group. After 8 weeks, the FMA and MAS scores of both groups had further improved significant-ly, but the average FMA and MAS scores in the treatment group were now significantly higher than those in the control group. Conclusions Mental practice can improve the functional performance of the upper extremities of stroke pa-tients.