CAJ | 학술논문

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Fugl_Meyer（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。
목적：탐토운동상상요법결합사지련동대뇌졸중편탄환자하지운동공능적영향。방법장60례뇌졸중편탄환자분성관찰조30례화대조조30례，량조환자균접수기출질병약물치료급상규강복치료，대조조가이사지련동훈련，관찰조재사지련동기출상진행운동상상요법。대매례환자분별재치료전화치료4주후진행편탄측하지Fugl_Meyer（FMA_L）화공능독립성측정（FIM）적평고。결과치료4주후，매조치료전후하지공능비교차이유통계학의의（ P＜0.01），차관찰조FMA_L평분여FIM평분우우대조조，차이유통계학의의（ P＜0.05）。결론운동상상요법유조우개선뇌졸중편탄환자하지적운동공능。
Objective To investigate the effects of motor imaginary therapy combined with recumbent cross_training on lower limb mo-tor function among hemiplegic patients after stroke .Methods 60 hemiplegic patients after stroke were randomly divided into observa-tion 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 sig-nificantly increased after treatment in two groups ( P<0.01 ). The FMA_L 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 .