《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 161-163.

• 论文 • 上一篇    下一篇

运动想象疗法在脑卒中偏侧忽略训练中的应用

葛晴霞，郭根平，章慧霞

  

  1. 1.浙江省杭州市江干区凯旋街道社区卫生服务中心，浙江杭州市310020；2.杭州市江干区人民医院康复医学科，浙江杭州市310016。
  • 收稿日期:2012-07-30 修回日期:2012-08-23 出版日期:2013-02-25 发布日期:2013-02-25

Effect of Motor Imagery on Unilateral Spatial Neglect in Stroke Patients

GE Qing-xia, GUO Gen-ping, ZHANG Hui-xia.   

  1. Kaixuan Community Health Service Center of Jianggan District, Hangzhou 310020, Zhejiang, China
  • Received:2012-07-30 Revised:2012-08-23 Published:2013-02-25 Online:2013-02-25

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摘要： 目的探讨运动想象疗法在脑卒中偏侧忽略训练中的应用。方法将40 例脑卒中偏侧忽略患者分为治疗组(n=20)和对照组(n=20)。两组患者均接受常规康复治疗，治疗组在此基础上加用运动想象疗法。采用偏身忽略测试(CBIT)、简易精神状态检查(MMSE)、简式Fugl-Meyer 评定法(FMA)和改良Barthel 指数(MBI)评定治疗效果。结果两组患者治疗前各项指标无显著性差异(P>0.05)，治疗8 周后治疗组各项指标优于对照组(P<0.05)。结论运动想象疗法结合常规康复可改善脑卒中偏侧忽略问题，提高日常生活活动能力。

关键词: 运动想象疗法, 脑卒中, 偏侧忽略

Abstract: Objective To observe the effect of motor imagery on unilateral spatial neglect (USN) in stroke patients. Methods 40 stroke patients with USN were divided into treatment group (n=20) and control group (n=20). Both groups received routine physical therapy training,while the treatment group received motor imagery in addition. All the patients were assessed with Chinese Behavioral Inattention Test (CBIT), Mini-mental State Examination (MMSE), Fugl-Meyer assessment (FMA) and modified Barthel index (MBI) before and 8 weeks after treatment. Results The scores of CBIT, MMSE, FMA and MBI were better in the treatment group than in the control group (P<0.01).Conclusion Motor imagery combined with routine physical treatment can improve the function of stroke patients with USN and their activities of daily living.

Key words: motor imagery therapy, stroke, unilateral spatial neglect