《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (02): 131-132.

• 专题　脑卒中康复 • 上一篇    下一篇

强迫疗法联合想像疗法治疗偏瘫患者上肢功能障碍

朱士文1; 李义召1; 宋成忠1; 谢遵伟1; 陈荣燕1; 玄飞1; 张金莉2   

  1. 1.山东省残疾人康复中心康复医学科,山东济南市 250022;2.费县人民医院神经内科,山东费县 273400
  • 收稿日期:2006-06-14 出版日期:2007-02-01 发布日期:2007-02-01

Effect of Constraint-induced Movement Therapy Combined with Motor Imagery Therapy on the Upper Extremity Function of Hemiplegic Patients

ZHU Shi-wen, LI Yi-zhao, SONG Cheng-zhong, et al   

  1. The Department of Rehabilitation, the Disabled Rehabilitation Center of Shandong Province, Jinan 250022, Shandong, China
  • Received:2006-06-14 Published:2007-02-01 Online:2007-02-01

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被引次数

37

摘要： 目的观察“强迫疗法”联合“运动想像”疗法对脑损伤偏瘫患者上肢功能障碍的疗效。方法120例脑损伤偏瘫患者随机分为对照组、强迫疗法组、想像疗法组、联合治疗组,每组30例,分别给予相应的康复治疗,4周为1个疗程,治疗前后分别进行简易上肢功能检测(STEF)、上肢运动功能FMA评分及改良Barthel指数(MBI)评定。结果治疗前,4组患者的STEF、上肢FMA评分及MBI评分差异无显著性意义(P>0.05),治疗4周后,强迫疗法组、想像疗法组的STEF、上肢FMA评分及MBI评分与治疗前比较差异有显著性意义(P<0.05),联合治疗组差异有非常显著性意义(P<0.01)。结论“强迫疗法”“运动想像”疗法可促进脑损伤患者患侧上肢功能的恢复,联合治疗效果更佳。

关键词: 强制性运动疗法, “运动想像”疗法, 脑卒中, 上肢功能

Abstract: ObjectiveTo observe the effect of constraint-induced movement therapy (CIMT) combined with motor imagery therapy (MIT) on the upper extremity function of stroke patients with hemiplegia.Methods120 hemiplegic patients caused by brain injury were randomly divided into the control group, CIMT group, MIT group and combined therapy group with 30 cases in each group. The every group was treated with commensurate rehabilitation management respectively, 4 weeks as one course of treatment. All patients were assessed with the Simple Test for Evaluating Hand Function (STEF), the upper limb movement Fugl-Meyer Assessment (FMA), and Modified Barthel Index (MBI) before and after the treatment.ResultsBefore the treatment, there was no significant difference in STEF, scores of upper limb movement FMA and MBI among the four groups ( P>0.05). After the treatment, the STEF, scores of upper limb movement FMA and MBI of the CIMT group and MIT group improved ( P<0.05), that of the combined therapy group were superior to any other group ( P<0.01).ConclusionCIMT and MIT can promote the recovery of upper extremity function of hemiplegic patient, but the better therapeutic effect will be obtained when these two therapies combined.

Key words: constraint-induced movement therapy, motor imagery therapy, stroke, upper extremity function