《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (6): 571-575.

• 论文 • 上一篇    下一篇

运动想象疗法对脑胶质瘤术后放疗患者的影响

屠建莹1a，韩淑玲1a，吴海艳1a，陈力1b   

  1. 1.首都医科大学附属北京世纪坛医院，a.神经内科；b.放疗科，北京市100038
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-25 发布日期:2014-06-25

Effect of Motor Imagery on Patients Accepted Radiotherapy after Operation for Cerebral Glioma

TU Jian-ying, HAN Shu-ling, WU Hai-yan, et al.   

  1. Neurology Department, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-25 Online:2014-06-25

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摘要： 目的探讨运动想象疗法对脑胶质瘤术后放疗患者的影响。方法34 例患者随机分为对照组(n=17)和观察组(n=17)。两组放疗期间接受低于常规强度的康复训练，每天45~60 min，每周5 天，共4 周。观察组在此基础上增加运动想象疗法训练，每天15 min，共4 周。治疗前后采用Fugl-Meyer 评定量表(FMA)、徒手肌力检查法(MMT)及改良Barthel 指数(MBI)评定肢体运动功能、肌力及日常生活活动能力。术后1 年采用远期生活质量评估(KPS)评价患者远期生存质量。结果治疗前两组FMA评分、MMT分级和MBI 均无显著性差异(P>0.05)。治疗后两组患者FMA 评分与治疗前比较均无显著性差异(P>0.05)；观察组治疗后MMT分级明显高于治疗前(P<0.01)；两组MBI评分均较治疗前改善(P<0.05)。两组治疗前后FMA评分、MMT分级和MBI差值均无显著性差异(P>0.05)。1 年后随访，KPS评分显示观察组存活人数及生存质量均高于对照组(P<0.05)。结论运动想象疗法有助于提高脑胶质瘤术后放疗期间患者肌力、日常生活活动能力及远期的生存质量。

关键词: 脑胶质瘤, 运动想象疗法, 放疗, 康复

Abstract: Objective To observe the effect of motor imagery therapy on patients accepted radiotherapy after operation for cerebral glioma. Methods 34 patients were randomly divided into control group (n=17) and observation group (n=17). Both groups accepted routine physiotherapy during radiotherapy, 45~60 min/d, 5 times a week for 4 weeks, while the observation group underwent motor imagery additionally, 15 min/d for 4 weeks. They were evaluated with Fugl-Meyer Assessment (FMA), Manual Muscle Test (MMT) and modified Barthel Index (MBI) before and after treatment., and with Karnofsky Performance Scale (KPS) 1 year later. Results There was no significantly difference in the scores of FMA, MMT and MBI between 2 groups before treatment (P>0.05). There was no significantly difference in the score of FMA in both groups before and after treatment (P>0.05). The score of MMT improved in the observation group after treatment (P<0.01). The scores of MBI improved in both groups after treatment (P<0.05). And there was no significantly difference in the D-value score of FMA, MMT and MBI between 2 groups (P>0.05). After 1 year follow-up, KPS showed that the number of survival patients and their quality of life were better in the observation group than in the control group (P<0.05). Conclusion Motor imagery therapy can improve the muscle force, activities of daily living and long-term quality of life in patients during radiotherapy after neurosurgery for cerebral glioma.

Key words: cerebral glioma, motor imagery therapy, radiotherapy, rehabilitation