运动想象结合任务导向训练对慢性期脑卒中患者上肢功能影响的随机对照研究

被引：45

作者：

唐朝正 ^{[1
]}

丁政 ^{[1
]}

李春燕 ^{[1
]}

陈创 ^{[2
]}

丁力 ^{[2
]}

张晓莉 ^{[2
]}

王桂丽 ^{[2
]}

陈立典 ^{[1
]}

吴毅 ^{[2
]}

贾杰 ^{[1
]}

机构：

[1] 福建中医药大学

[2] 复旦大学附属华山医院康复医学科

来源：

中华物理医学与康复杂志 | 2014年 / 36卷 / 11期

关键词：

运动想象; 任务导向训练; 脑卒中; 上肢功能;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

100204 [神经病学];

摘要：

目的观察运动想象结合任务导向训练对慢性期脑卒中患者上肢功能恢复的影响。方法采用随机数字表将慢性期脑卒中偏瘫患者34例分为治疗组(18例)和对照组(16例)。2组患者均给予相同的常规康复治疗,在此基础上,治疗组患者给予40 min运动想象治疗和60 min任务导向训练,对照组患者则接受40 min康复宣教和60 min任务导向训练,上述治疗均为每日1次,每周5次,共4周。2组患者均于治疗前和治疗4周后(治疗后)采用Fugl-Meyer量表上肢部分(FMA-UE)、改良Barthel指数(MBI)以及运动活动日志-14项(MAL)中的患手使用频率(MAL-AOU)和患手动作完成质量(MAL-QOM)进行功能评估,并进行统计学分析。结果治疗后,2组患者的FMA-UE、MBI、MAL-AOU和MAL-QOM评分与组内治疗前比较,差异均有统计学意义(P<0.05),且治疗组患者的FMA-UE、MBI、MAL-AOU和MAL-QOM评分分别为(38.61±5.86)分、(80.55±7.25)分、(2.55±0.45)分和(3.12±0.59)分,分别与对照组治疗后的(31.87±6.31)分、(73.12±9.63)分、(1.78±0.71)分和(2.38±0.76)分比较,差异亦均有统计学意义(P<0.01)。结论运动想象结合任务导向训练可进一步促进慢性期脑卒中患者上肢功能的改善,治疗作用优于单纯的任务导向训练。

引用

共 15 条

[1]

Meta-analysis on the effect of mental imagery on motor recovery of the hemiplegic upper extremity function [J].

Kho, Adeline Y. ;

Liu, Karen P. Y. ;

Chung, Raymond C. K. .

AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, 2014, 61 (02) :38-48

[2]

Brain–machine interface in chronic stroke rehabilitation: A controlled study.[J].Ander Ramos‐Murguialday;Doris Broetz;Massimiliano Rea;Leonhard L?er;?zge Yilmaz;Fabricio L. Brasil;Giulia Liberati;Marco R. Curado;Eliana Garcia‐Cossio;Alexandros Vyziotis;Woosang Cho;Manuel Agostini;Ernesto Soares;Surjo Soekadar;Andrea Caria;Leonardo G. Cohen;Niels Birbaumer.Ann Neurol..2013, 1

[3]

Multiscale topological properties of functional brain networks during motor imagery after stroke.[J].Fabrizio De Vico Fallani;Floriana Pichiorri;Giovanni Morone;Marco Molinari;Fabio Babiloni;Febo Cincotti;Donatella Mattia.Neuroimage.2013,

[4]

Enhancement of motor imagery-related cortical activation during first-person observation measured by functional near-infrared spectroscopy [J].

Kobashi, Nagisa ;

Holper, Lisa ;

Scholkmann, Felix ;

Kiper, Daniel ;

Eng, Kynan .

EUROPEAN JOURNAL OF NEUROSCIENCE, 2012, 35 (09) :1513-1521

[5]

Early Prediction of Outcome of Activities of Daily Living After Stroke A Systematic Review [J].

Veerbeek, Janne M. ;

Kwakkel, Gert ;

van Wegen, Erwin E. H. ;

Ket, Johannes C. F. ;

Heymans, Martijn W. .

STROKE, 2011, 42 (05) :1482-1488

[6]

Determining specificity of motor imagery training for upper limb improvement in chronic stroke patients: a training protocol and pilot results [J].

Craje, Celine ;

van der Graaf, Chantal ;

Lem, Frits C. ;

Geurts, Alexander C. H. ;

Steenbergen, Bert .

INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2010, 33 (04) :359-362

[7]

Prediction of recovery of motor function after stroke [J].

Stinear, Cathy .

LANCET NEUROLOGY, 2010, 9 (12) :1228-1232

[8]

Effect of volitional relaxation and motor imagery on F wave and MEP: Do these tasks affect excitability of the spinal or cortical motor neurons?.[J].R. Fujisawa;J. Kimura;S. Taniguchi;H. Ichikawa;M. Hara;H. Shimizu;H. Iida;T. Yamada;T. Tani.Clinical Neurophysiology.2010, 7

[9]

Mental practice in chronic stroke - Results of a randomized, placebo-controlled trial [J].

Page, Stephen J. ;

Levine, Peter ;

Leonard, Anthony .

STROKE, 2007, 38 (04) :1293-1297

[10]

Reliability and validity of the upper-extremity motor activity Log-14 for measuring real-world arm use [J].

Uswatte, G ;

Taub, E ;

Morris, D ;

Vignolo, M ;

McCulloch, K .

STROKE, 2005, 36 (11) :2493-2496

← 1 2 →