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运动想象疗法对脑卒中患者运动功能康复的效果

杨帆 桑德春 张晓钰 卢利萍 褚宏宇

中国康复理论与实践2017,Vol.23Issue(9):1081-1085,5.
中国康复理论与实践2017,Vol.23Issue(9):1081-1085,5.DOI:10.3969/j.issn.1006-9771.2017.09.019

运动想象疗法对脑卒中患者运动功能康复的效果

Effect of Motor Imagery on Motor Function in Hemiplegic Patients after Stroke

杨帆 1桑德春 2张晓钰 3卢利萍 3褚宏宇3

作者信息

  • 1. 首都医科大学康复医学院,北京市100068
  • 2. 中国康复研究中心北京博爱医院,北京市100068
  • 折叠

摘要

Abstract

Objective To explore the effect of motor imagery on motor recovery in hemiplegic patients after stroke. Methods From May, 2015 to October, 2016, 40 hemiplegic patients after stroke were randomly divided into control group (accepted routine rehabilitation, n=20) and motor imagery group (accepted motor imagery and routine rehabilitation, n=20). They were assessed with Fugl-Meyer Assess-ment (FMA), modified Barthel Index (MBI) before and six weeks after treatment. Fractional anisotropy (FA) of the focus was measured with diffusion tensor imaging (DTI). Results The scores of FMA and MBI improved in both groups after treatment (t>5.088, P<0.001), and improved more in the motor imagery group than in the control group (t>2.124, P<0.05). The FA reduced in the focus compared with the same site of unaffected side in both groups before treatment (t>3.892, P<0.01), and there was no significant difference between two groups (t<1.144, P>0.05). FA increased in more patients of the motor imagery group (5/5) than in the control group (2/4). Conclusion Motor imag-ery can promote the recovery of motor function and activities of daily living in stroke patients, and may help the recovery of fibers in white matter.

关键词

脑卒中/运动想象/运动/弥散张量成像

Key words

stroke/motor imagery/motor/diffusion tensor imaging

分类

医药卫生

引用本文复制引用

杨帆,桑德春,张晓钰,卢利萍,褚宏宇..运动想象疗法对脑卒中患者运动功能康复的效果[J].中国康复理论与实践,2017,23(9):1081-1085,5.

基金项目

中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-31). (No.2015CZ-31)

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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