摘要
目的探讨早期介入镜像疗法(mirror therapy,MT)结合运动想象疗法对缺血性脑卒中偏瘫患者肢体功能康复的影响.方法选取该院2019年9月-2020年10月收治的80例缺血性脑卒中偏瘫患者为研究对象,按随机数字表法分为两组,每组40例.对照组采用常规康复干预,观察组采用早期介入MT结合运动想象疗法.比较两组干预前后运动功能、生活质量及生活能力.结果干预前,两组Fugl-Meyer运动功能评估量表(Fugl-Meyer assessment scale,FMAS)上肢功能评分、下肢功能评分及Wolf运动功能评价量表(Wolf motor function test,WMFT)评分、健康调查简表(the MOS item short from health survey,SF-36)评分及Barthel指数(Barthel index,BI)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的FMAS上肢功能、下肢功能评分及WMFT评分、SF-36评分及BI评分均高于对照组,组间差异有统计学意义(P<0.05).结论早期介入MT结合运动想象疗法能够促进缺血性脑卒中偏瘫患者肢体功能快速康复,提高日常生活能力,改善生活质量,具有推广价值.
Objective To investigate the effect of early interventional mirror therapy(MT)combined with motor imaging therapy on the rehabilitation of limb function in patients with ischemic stroke and hemiplegia.Methods A total of 80 patients with ischemic stroke and hemiplegia admitted to the hospital from September 2019 to October 2020 were selected as the research objects,They were divided into two groups according to the random number table method,with 40 cases in each group.The control group was treated with conventional rehabilitation intervention,and the observation group was treated with early interventional MT combined with motor imaging therapy.The motor function,quality of life and living ability of the two groups before and after intervention were compared.Results Before the intervention,comparison of Fugl-Meyer assessment scale(FMAS)upper limb function,lower limb function score and Wolf motor function test(WMFT)score,the MOS item short from health survey(SF-36)score and Barthel index(BI)score between the two groups,the differences between the groups were not statistically significant(P<0.05).After the intervention,the FMAS upper limb function,lower limb function score,WMFT score,SF-36 score and BI score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Early interventional MT combined with motor imaging therapy can promote rapid recovery of limb function in patients with ischemic stroke and hemiplegia,improve the ability of daily living,and improve the quality of life.It has promotion value.
作者
李琪
LI Qi(Department of Neurology,Wafangdian Third Hospital,Dalian Liaoning,116300,China)
出处
《反射疗法与康复医学》
2021年第13期127-129,共3页
Reflexology And Rehabilitation Medicine
关键词
缺血性脑卒中
偏瘫
镜像疗法
运动想象疗法
运动功能
生活质量
生活能力
Ischemic stroke
Hemiplegia
Mirror therapy
Motor imaging therapy
Motor function
Quality of life
Ability to live
作者简介
李琪(1987-),女,辽宁营口人,本科,主治医师,研究方向:神经内科临床。
