《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 719-721.

• 论文 • 上一篇    下一篇

运动表象训练结合作业疗法对脑卒中偏瘫患者上肢和手功能的影响

张裴景，任亚峰，李硕，冯晓东   

  1. 河南中医学院第一附属医院康复中心，河南郑州市 450000。
  • 收稿日期:2010-11-10 修回日期:1900-01-01 出版日期:2011-08-25 发布日期:2011-08-25

Effects of Motor Imaginary Therapy Combined with Occupational Therapy on Function of Upper Limbs and Hands for Stroke Patients with Hemiplegia

ZHANG Pei-jing, REN Ya-feng, LI Shuo, et al.   

  1. Rehabilitation Centre, Henan College of Traditional Chinese Medicine,Zhengzhou 450000, Henan, China
  • Received:2010-11-10 Revised:1900-01-01 Published:2011-08-25 Online:2011-08-25

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被引次数

34

摘要： 目的探讨运动表象疗法结合作业疗法对脑卒中偏瘫患者上肢、手功能及日常生活活动能力的影响。方法将62 例脑卒中偏瘫患者分为对照组(n=31)和观察组(n=31)：两组均接受基础药物治疗和常规作业治疗，观察组另加运动表象疗法。2 个月为1 个疗程。分别进行Fugl-Meyer 上肢及手功能评分、功能独立性评分(FIM)。结果治疗2 个月后，观察组Fugl-Meyer 上肢及手功能评分、FIM评分显著优于对照组(P<0.001)。结论运动表象疗法结合作业疗法能明显的改善脑卒中偏瘫患者的上肢及手功能，进而改善日常生活活动能力。

关键词: 运动表象疗法, 作业疗法, 脑卒中, 偏瘫, 康复, 功能, 上肢, 手, 日常生活活动

Abstract: Objective To explore the effects of motor imaginary therapy combined with occupational therapy on the function of upperlimbs hands and activities of daily living for stroke patients with hemiplegia. Methods 62 stroke patients with hemiplegia were divided intoobservation group (n=31) and control group (n=31). Both groups were treated with basic medication and occupational therapy while the observationgroup was treated additionally with motor imaginary therapy. The function of upper limbs and hands was assessed by Fugl-MeyerAssessment (FMA), and activities of daily living was assessed by Functional Independence Measurement (FIM) before and 2 months aftertreatment. Results There were significant difference between the two groups in the scores of FMA in the function of upper limbs and hands,and FIM 2 months after the treatment (P<0.01). Conclusion Motor imaginary therapy combined with occupational therapy can effectivelyimprove the functional outcomes of upper limbs and hands for stroke patients with hemiplegic, and can even effectively improve the functionalactivities of daily living.

Key words: motor imagery, occupational therapy, stroke, hemiplegia, rehabilitation, function, upper limbs, hands, activities of daily living