改良分级运动表象训练对脑卒中患者上肢运动功能效果的随机对照试验

doi:10.3969/j.issn.1006-9771.2024.09.010

Abstract

Abstract:

Objective To explore the effect of modified graded motor imagery (mGMI) on upper limb motor function for stroke patients.
Methods From June to December, 2023, 68 stroke patients from Zhejiang Tongde Hospital were randomly divided into control group (n = 34) and mGMI group (n = 34). Both groups received routine rehabilitation, and the control group received routine motor imagery, while mGMI group received mGMI, for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Action Research Arm Test (ARAT) and modified Barthel Index (MBI) before and after treatment.
Results One case dropped down in mGMI group. The scores of FMA-UE, ARAT and MBI increased in both groups after treatment (t > 3.448, P < 0.01), and they were higher in mGMI group than in the control group (t > 7.504, P < 0.001).
Conclusion mGMI is more effective on upper limb motor function and activities of daily living for stroke patients than routine motor imagery.

Key words: stroke, upper limbs, motor function, motor imagery, randomized controlled trial

CLC Number:

R743.3

WANG Min, FANG Lantian, HUANG Chenyi. Effect of modified graded motor imagery on upper limb motor function for stroke patients: a randomized controlled trial[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(9): 1069-1073.

Figures/Tables 4

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References 26

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(出血/缺血)/n	患侧(左/右)/n	MMSE评分
对照组	34	20/14	57.10±6.23	45.13±7.02	11/23	16/18	26.63±1.39
mGMI组	33	23/10	58.73±7.05	43.70±5.96	8/25	13/20	26.45±1.43
χ²/t值		0.861	1.010	0.905	0.542	0.401	0.522
P值		0.353	0.316	0.368	0.461	0.527	0.603

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	34	前测	22.30±3.41	7.140	< 0.001
		后测	28.15±3.63
mGMI组	33	前测	21.64±3.28	21.492	< 0.001
		后测	37.90±2.95
治疗前两组均差值			-0.61±0.38	-1.310	0.179
治疗后两组均差值			9.77±1.50	7.504	< 0.001

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	34	前测	12.57±2.30	3.448	0.001
		后测	14.69±2.75
mGMI组	33	前测	12.14±2.09	10.741	< 0.001
		后测	17.72±2.13
治疗前两组均差值			-0.45±0.28	0.473	0.638
治疗后两组均差值			3.08±0.76	4.052	< 0.001

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	34	前测	45.70±5.83	8.825	< 0.001
		后测	59.06±6.55
mGMI组	33	前测	46.14±6.07	13.589	< 0.001
		后测	68.52±7.30
治疗前两组均差值			0.43±0.22	0.340	0.735
治疗后两组均差值			9.80±2.15	5.671	< 0.001

Effect of modified graded motor imagery on upper limb motor function for stroke patients: a randomized controlled trial

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