CAJ | 학술논문

目的：探讨运动想象疗法对脑胶质瘤术后放疗患者的影响。方法34例患者随机分为对照组(n=17)和观察组(n=17)。两组放疗期间接受低于常规强度的康复训练，每天45~60 min，每周5天，共4周。观察组在此基础上增加运动想象疗法训练，每天15 min，共4周。治疗前后采用Fugl-Meyer评定量表(FMA)、徒手肌力检查法(MMT)及改良Barthel指数(MBI)评定肢体运动功能、肌力及日常生活活动能力。术后1年采用远期生活质量评估(KPS)评价患者远期生存质量。结果治疗前两组FMA评分、MMT分级和MBI均无显著性差异(P>0.05)。治疗后两组患者FMA评分与治疗前比较均无显著性差异(P>0.05)；观察组治疗后MMT分级明显高于治疗前(P<0.01)；两组MBI评分均较治疗前改善(P<0.05)。两组治疗前后FMA评分、MMT分级和MBI差值均无显著性差异(P>0.05)。1年后随访，KPS评分显示观察组存活人数及生存质量均高于对照组(P<0.05)。结论运动想象疗法有助于提高脑胶质瘤术后放疗期间患者肌力、日常生活活动能力及远期的生存质量。
목적：탐토운동상상요법대뇌효질류술후방료환자적영향。방법34례환자수궤분위대조조(n=17)화관찰조(n=17)。량조방료기간접수저우상규강도적강복훈련，매천45~60 min，매주5천，공4주。관찰조재차기출상증가운동상상요법훈련，매천15 min，공4주。치료전후채용Fugl-Meyer평정량표(FMA)、도수기력검사법(MMT)급개량Barthel지수(MBI)평정지체운동공능、기력급일상생활활동능력。술후1년채용원기생활질량평고(KPS)평개환자원기생존질량。결과치료전량조FMA평분、MMT분급화MBI균무현저성차이(P>0.05)。치료후량조환자FMA평분여치료전비교균무현저성차이(P>0.05)；관찰조치료후MMT분급명현고우치료전(P<0.01)；량조MBI평분균교치료전개선(P<0.05)。량조치료전후FMA평분、MMT분급화MBI차치균무현저성차이(P>0.05)。1년후수방，KPS평분현시관찰조존활인수급생존질량균고우대조조(P<0.05)。결론운동상상요법유조우제고뇌효질류술후방료기간환자기력、일상생활활동능력급원기적생존질량。
Objective To observe the effect of motor imagery therapy on patients accepted radiotherapy after operation for cerebral glio-ma. Methods 34 patients were randomly divided into control group (n=17) and observation group (n=17). Both groups accepted routine physiotherapy during radiotherapy, 45~60 min/d, 5 times a week for 4 weeks, while the observation group underwent motor imagery addi-tionally, 15 min/d for 4 weeks. They were evaluated with Fugl-Meyer Assessment (FMA), Manual Muscle Test (MMT) and modified Barth-el Index (MBI) before and after treatment., and with Karnofsky Performance Scale (KPS) 1 year later. Results There was no significantly difference in the scores of FMA, MMT and MBI between 2 groups before treatment (P>0.05). There was no significantly difference in the score of FMA in both groups before and after treatment (P>0.05). The score of MMT improved in the observation group after treatment (P<0.01). The scores of MBI improved in both groups after treatment (P<0.05). And there was no significantly difference in the D-value score of FMA, MMT and MBI between 2 groups (P>0.05). After 1 year follow-up, KPS showed that the number of survival patients and their quality of life were better in the observation group than in the control group (P<0.05). Conclusion Motor imagery therapy can improve the muscle force, activities of daily living and long-term quality of life in patients during radiotherapy after neurosurgery for cerebral glioma.