动作观察疗法对脑卒中后单侧忽略的效果

doi:10.3969/j.issn.1006-9771.2018.08.012

Abstract

Abstract: Objective To explore the effect of action observation therapy on unilateral spatial neglect after stroke.Methods From March, 2017 to April, 2018, 44 patients with left-sided neglect due to unilateral right-sided vascular brain lesions were randomly divided into control group (n=22) and experimental group (n=22). The control group received the dynamic landscape video observation training, and the experimental group received the action observation training, based on routine rehabilitation, for three weeks. Before treatment, one week and three weeks after treatment, they were evaluated with Chinese Behavioral Inattention Test-Hong Kong version (CBIT-HK) routine tests (short line cancellation test, letter cancellation test, star cancellation test and line segment bisect), and the scores of Mini-Mental State Examination (MMSE), Fugl-Meyer Assessment (FMA) and Activities of Daily Living (ADL) were compared.Results One week after treatment, four scores of CBIT routine tests almost improved (t>2.712, P<0.05), and the score of line segment bisect was significantly better in the experiment group than in the control group (t=4.822, P<0.001). Three weeks after treatment, four scores of CBIT routine tests and the scores of MMSE, FMA and ADL improved in both groups (t>1.596, P<0.05), and the scores of short line cancellation test, letter cancellation test and line segment bisect were significantly lower in the experiment group than in the control group (t>3.577, P<0.01).Conclusion The action observation therapy could faciliate to improve the lateral neglect of patients after stroke.

Key words: stroke, unilateral spatial neglect, action observation therapy, mirror neuron system

CLC Number:

R743.3

SHEN Jia-yi, ZHANG Tong, HU Xue-yan, WANG Wen-zhu. Effect of Action Observation Therapy on Unilateral Spatial Neglect after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(8): 930-937.

References

[1] Li K, Malhotra PA.Spatial neglect[J]. Pract Neurol, 2015, 15(5): 333-339.
[2] Pandian JD, Arora R, Kaur P, et al.Mirror therapy in unilateral neglect after stroke (MUST trial): a randomized controlled trial[J]. Neurology, 2014, 83(11): 1012-1015.
[3] 岳月红,宋为群. 偏侧视觉空间忽略发生机制的研究进展[J]. 中国康复医学杂志, 2009, 24(12): 1146-1149.
[4] 李新宇. 基于镜像神经元理论的动作观察疗法在神经康复中的应用进展[J]. 中国康复, 2016, 31(2): 153-155.
[5] Catmur C.Understanding intentions from actions: direct perception, inference, and the roles of mirror and mentalizing systems[J]. Conscious Cogn, 2015, 36(3): 426-433.
[6] 中华神经科学会,中华神经外科学会. 各类脑血管病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[7] 张艳明,付伟,胡洁,等. 经颅磁刺激对卒中患者单侧空间忽略和运动功能康复的作用[J]. 中国脑血管病杂志, 2013, 10(2): 74-78.
[8] 杜晓霞,宋鲁平,徐莹,等. 棱镜适应技术治疗卒中后偏侧空间忽略的临床研究[J]. 中国医学前沿杂志(电子版), 2013, 5(10): 26-30.
[9] 王晶,曾明,金敏敏,等. 动作观察疗法对亚急性期脑卒中患者上肢运动功能的影响[J]. 中国康复医学杂志, 2015, 30(9): 888-893.
[10] 庄卫生,钱宝延,蔡西国,等. 基于镜像神经元理论的动作观察疗法对脑卒中患者脑功能重组的影响[J]. 中华物理医学与康复杂志, 2017, 39(8): 604-608.
[11] 王伟,季相通,叶芊,等. 基于镜像神经元理论的偏侧忽略症康复新方法初探[J]. 中华物理医学与康复杂志, 2014, 36(12): 930-932.
[12] Kortman B, Nicholls K.Assessing for unilateral spatial neglect using eye-tracking glasses: a feasibility study[J]. Occup Ther Health Care, 2016, 30(4): 1-12.
[13] Azouvi P.The ecological assessment of unilateral neglect[J]. Ann Phys Rehabil Med, 2016, 60(3): 186-190.
[14] 王强. 偏侧忽略的评定方法[J]. 中华物理医学与康复杂志, 2008, 30(4): 274-276.
[15] 曹贤畅,曾育山. 半侧空间失认的康复评定与训练[J]. 海南医学, 2009, 20(s5): 307-309.
[16] Watanabe J, Ogata T, Nonaka M, et al.Patients' characteristics and outcomes depending on complete or incomplete unilateral spatial neglect[J]. Neurosurg Rev, 2017, 40(4): 1-4.
[17] 高呈飞,朱其秀. 偏侧忽略康复治疗的新进展[J]. 中国康复医学杂志, 2014, 29(3): 285-288.
[18] Iosa M, Guariglia C, Matano A, et al.Recovery of personal neglect[J]. Eur J Phys Rehabil Med, 2016, 52(6): 791-798.
[19] Azouvi P, Jacquin-Courtois S, Luauté J.Rehabilitation of unilateral neglect: evidence-based medicine[J]. Ann Phys Rehabil Med, 2016, 60(3): 191-197
[20] Keller I, Lefin-Rank G, Lösch J, et al.Combination of pursuit eye movement training with prism adaptation and arm movements in neglect therapy: a pilot study[J]. Neurorehabil Neural Repair, 2009, 23(1): 58-66.
[21] 庄卫生,钱宝延,曹留拴,等. 基于镜像神经元的动作观察疗法在运动功能康复中的应用[J]. 中国康复, 2013, 28(5): 387-389.
[22] Riach M, Wright D, Franklin Z, et al.Screen position preference offers a new direction for action observation research: preliminary findings using TMS[J]. Front Hum Neurosci, 2018, 12(6): 1-10.
[23] Cattaneo L, Rizzolatti G.The mirror neuron system[J]. Arch Neurol, 2009, 66(5): 557-560.
[24] 李欣怡,刘泰源,刘忠良. 镜像疗法的临床应用现状[J]. 中国康复, 2014, 29(4): 300-303.
[25] Bisio A, Avanzino L, Gueugneau N, et al.Observing and perceiving: a combined approach to induce plasticity in human motor cortex[J]. Clin Neurophysiol, 2014, 126(6): 1212.
[26] Franceschini M, Agosti M, Cantagallo A, et al.Mirror neurons: action observation treatment as a tool in stroke rehabilitation[J]. Eur J Phys Rehabil Med, 2010, 46(4):517-523.
[27] Franceschini M, Ceravolo MG, Agosti M, et al.Clinical relevance of action observation in upper-limb stroke rehabilitation: a possible role in recovery of functional dexterity. A randomized clinical trial[J]. Neurorehabil Neural Repair, 2012, 26(5): 456-462.
[28] Buccino G, Binkofski F, Fink GR, et al.Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study[J]. Eur J Neurosci, 2001, 13(2): 400-404.
[29] Wei W, Xin Z, Ji X, et al.Mirror neuron therapy for hemispatial neglect patients[J]. Sci Rep, 2015, 15(3): 8664-8675.
[30] Ertelt D, Small S, Solodkin A, et al.Action observation has a positive impact on rehabilitation of motor deficits after stroke[J]. Neuroimage, 2007, 36(2): T164-T173.
[31] Kang YJ, Kyung PH, Jung KH, et al.Upper extremity rehabilitation of stroke: facilitation of corticospinal excitability using virtual mirror paradigm[J]. J Neuroeng Rehabil, 2012, 9(1): 71.
[32] Calvomerino B, Glaser DE, Grèzes J, et al.Action observation and acquired motor skills: an fMRI study with expert dancers[J]. Cereb Cortex, 2005, 15(8): 1243-1249.
[33] Watson RT, Valenstein E, Heilman KM.Thalamic neglect. Possible role of the medial thalamus and nucleus reticularis in behavior[J]. Arch Neurol, 1981, 38(8): 501-506.
[34] Small SL, Buccino G, Solodkin A.Brain repair after stroke–a novel neurological model[J]. Nat Rev Neurol, 2013, 9(12): 698-707.
[35] 王春苑,梁群林,崔尧,等. 基于镜像神经元理论的动作观察疗法对脑卒中患者上肢运动功能和日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2015, 37(1): 29-31.
[36] Zhang JJQ, Fong KNK, Welage N, et al.The activation of the mirror neuron system during action observation and action execution with mirror visual feedback in stroke: a systematic review[J]. Neural Plast, 2018, 24(4): 1-14.
[37] Vallar G, Perani D.The anatomy of unilateral neglect after right-hemisphere stroke lesions. A clinical/CT-scan correlation study in man[J]. Neuropsychologia, 1986, 24(5): 609-622.
[38] Park JH, Lee JH.The effects of mental practice on unilateral neglect in patients with chronic stroke: a randomized controlled trial[J]. J Phys Ther Sci, 2015, 27(12): 3803-3805.
[39] Rengachary J, D'Avossa G, Sapir A, et al. Is the posner reaction time test more accurate than clinical tests in detecting left neglect in acute and chronic stroke?[J]. Arch Phys Med Rehabil, 2009, 90(12): 2081-2088.
[40] Pedroli E, Serino S, Cipresso P, et al.Assessment and rehabilitation of neglect using virtual reality: a systematic review[J]. Front Behav Neurosci, 2015, 9(226): 1-15.

Effect of Action Observation Therapy on Unilateral Spatial Neglect after Stroke

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