《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (01): 55-56.

• 临床研究 • 上一篇    下一篇

运动想象对脑卒中偏瘫患者平衡功能恢复的影响

闫彦宁; 槐雅萍; 刘翠罗; 贾子善; 闫桂芳; 王中立; 孙增鑫   

  1. 河北省人民医院康复中心,河北石家庄市 050051
  • 收稿日期:2007-11-30 出版日期:2008-01-01 发布日期:2008-01-01

Effect of Motor Imagery on Balance Ability in Hemiplegics after Stroke

YAN Yan-ning, HUAI Ya-ping, LIU Cui-luo, et al.   

  1. Center of Rehabilitation, Hebei Provincial People's Hospital, Shijiazhuang 050051, Hebei, China
  • Received:2007-11-30 Published:2008-01-01 Online:2008-01-01

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摘要： 目的探讨运动想象对偏瘫患者平衡功能恢复的影响。方法选择20例病情稳定且病程在6个月以上的脑卒中偏瘫患者进行两阶段交叉实验研究。两组患者均进行常规康复训练,其中A组在第Ⅰ阶段(6周)、B组在第Ⅱ阶段(6周)于常规康复训练前进行运动想象;洗脱期(2周)内两组均不进行运动想象。每一阶段实验前后分别采用Berg平衡量表(BBS)、Fugl-Meyer评定量表平衡功能部分(FM-B)、单位体重患腿最大承重值及功能独立性评定(FIM)进行评定。结果结合运动想象阶段与仅进行康复训练阶段相比,BBS、单位体重患腿最大承重值和FIM治疗前后差值比较有非常显著性差异(P<0.01);FM-B有显著性差异(P<0.05)。结论在常规康复训练中结合应用运动想象可以促进脑卒中慢性期偏瘫患者恢复平衡能力,提高与下肢运动功能相关的日常生活活动能力。

关键词: 运动想象, 脑卒中, 平衡, 日常生活活动能力

Abstract: Objective To study the effect of motor imagery on balance rehabilitation in hemiplegics after stroke.Methods 20 hemiplegic patients who were in chronic stage(above 6 months)were randomly divided into two groups.Normal rehabilitation was performed in the whole stage and motor imagery was added in group A in stage Ⅰ and group B in stage Ⅱ.All patients were assessed with Berg Balance Scale(BBS),blance subscale of the Fugl-Meyer Assessment(FM-B),max affected limb-loading per weight and Functional Independence Measure(FIM)at the beginning and the ending of the every stage,respectively.Results The deference scores of BBS and FIM,as well as max affected limb-loading per weight between in the stage with motor imagery was better than those in the stage without motor imagery(P<0.01),as well as that of FM-B score(P<0.05).Conclusion Motor imagery can improve balance rehabilitation and activity of daily living in chronic hemiplegics.

Key words: motor imagery, stroke, balance, activity of daily living