CAJ | 학술논문

目的观察常规康复治疗联合运动想象疗法对脑卒中偏瘫患者步行能力的影响.方法采用随机数字表法将80例脑卒中偏瘫患者分为治疗组(40例)及对照组(40例).2组患者均给予对症药物治疗及常规康复干预,治疗组在此基础上辅以运动想象疗法.于治疗前、治疗6周后对2组患者10m最快步行速度(10 m MWS)、跨步长、步频进行检测,同时采用Fugl-Meyer运动功能量表(FMA)下肢部分、Holden步行功能分级(FAC)对2组患者步行功能进行评定.结果治疗前2组患者各项指标组间差异均无统计学意义(P＞0.05).分别经6周治疗后,发现2组患者各项指标均较治疗前明显改善(P＜0.05),并且治疗组各项指标[该组10 m MWS为(0.53±0.20)m/s,跨步长为(78.91±20.46)cm,步频为(78.10±12.03)步/分钟,FMA下肢评分为(24.13 ±5.77)分,FAC分级为(3.60±1.01)分]改善幅度均显著优于对照组水平[该组10mMWS为(0.42±0.15) m/s,跨步长为(69.75±18.31)cm,步频为(71.14 ±9.29)步/分钟,FMA下肢评分为(20.65±4.70)分,FAC分级为(2.93±0.89)分],组间差异均具有统计学意义(P＜0.05).结论常规康复干预联合运动想象疗法可进一步提高脑卒中偏瘫患者步行能力,该联合疗法值得临床推广、应用.
목적 관찰상규강복치료연합운동상상요법대뇌졸중편탄환자보행능력적영향.방법 채용수궤수자표법장80례뇌졸중편탄환자분위치료조(40례)급대조조(40례).2조환자균급여대증약물치료급상규강복간예,치료조재차기출상보이운동상상요법.우치료전、치료6주후대2조환자10m최쾌보행속도(10 m MWS)、과보장、보빈진행검측,동시채용Fugl-Meyer운동공능량표(FMA)하지부분、Holden보행공능분급(FAC)대2조환자보행공능진행평정.결과 치료전2조환자각항지표조간차이균무통계학의의(P＞0.05).분별경6주치료후,발현2조환자각항지표균교치료전명현개선(P＜0.05),병차치료조각항지표[해조10 m MWS위(0.53±0.20)m/s,과보장위(78.91±20.46)cm,보빈위(78.10±12.03)보/분종,FMA하지평분위(24.13 ±5.77)분,FAC분급위(3.60±1.01)분]개선폭도균현저우우대조조수평[해조10mMWS위(0.42±0.15) m/s,과보장위(69.75±18.31)cm,보빈위(71.14 ±9.29)보/분종,FMA하지평분위(20.65±4.70)분,FAC분급위(2.93±0.89)분],조간차이균구유통계학의의(P＜0.05).결론 상규강복간예연합운동상상요법가진일보제고뇌졸중편탄환자보행능력,해연합요법치득림상추엄、응용.
Objective To study the effect of motor imagery therapy combined with conventional rehabilitation treatment on walking ability in patients with post-stroke hemiplegia.Methods Eighty patients with post-stroke hemiplegia were randomly divided into a treatment group (40 cases) and a control group (40 cases).All the patients in both groups were given basic medication and conventional rehabilitation treatment.In addition,the patients in treatment group were given motor imagery therapy.The 10 m maximum walking speed (10 m MWS),stride length,cadence,Fugl-Meyer motor assessment (lower limb) (FMA-L) and Holden's functional ambulation classification (FAC) were used to evaluate walking ability before the beginning of training and at the end of six weeks of training.Results Before intervention there was no significant difference between the two groups in terms of all the assessment (P ＞0.05).At the end of training,all measurements in both groups [the treatment group:10 m MWS (0.53 ± 0.20)m/s,stride length (78.91 ± 20.46) cm,cadence (78.10 ± 12.03) min,FMA-L (24.13 ±5.77),FAC (3.60±1.01);the control group:10 m M WS (0.42 ±0.15)m/s,stride length (69.75 ± 18.31)cm,cadence (71.14±9.29)/min,FMA-L (20.65 ±4.70),FAC (2.93 ±0.89)] were significantly better than those before training (P ＜ 0.05),and the improvements in treatment group were significantly better than those in control group (P ＜ 0.05).Conclusion Motor imagery therapy combined with conventional rehabilitation treatment can distinctly improve the walking ability in patients with post-stroke hemiplegia.