运动表象训练对脑卒中患者手功能和运动表象能力的影响

doi:10.3969/j.issn.1006-9771.2023.04.014

Abstract

Abstract:

Objective To observe the effect of motor imagery therapy on hand function and motor imagery ability of stroke patients.
Methods From March, 2018 to March, 2020, 41 stroke patients in Beijing Bo'ai Hospital were selected and randomly divided into control group (n = 20) and observation group (n = 21). Both groups received conventional rehabilitation training, and the observation group received motor imagery therapy in addition, for four weeks. Before and after training, the scores of Fugl-Meyer Assessment-Hand (FMA-H) and Kinesthetic and Visual Imagery Questionnaire-10 (KVIQ-10), and the accuracy of mental rotation task were compared between two groups.
Results One patient in the observation group dropped down. Before training, there was no significant difference in the scores of FMA-H and KVIQ, and the accuracy of mental rotation task between two groups (P > 0.05). After training, all the indexes improved in both groups (t > 6.611, P < 0.001), and the scores of FMA-H (t = 3.742, P < 0.001) and KVIQ (t = 4.122, P < 0.001), and the accuracy of mental rotation task (t = 2.075, P < 0.05) were higher in the observation group than in the control group.
Conclusion Motor imagery therapy could facilliate the recovery of hand dysfunction and improve the motor imagery ability of stroke patients.

Key words: stroke, hand dysfunction, motor imagery therapy, mental rotation task, motor imagery ability

CLC Number:

R743.3

LI Fang, ZHANG Tong, LI Bingjie, ZHAO Jun, ZHANG Haojie. Effect of motor imagery therapy on hand function and motor imagery ability of patients after stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 479-484.

Figures/Tables 10

References 29

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组别	n	性别(男/女)/n	年龄/岁	病程/月	偏瘫侧
对照组	20	14/6	50.25±7.65	2.26±0.49	右侧
观察组	21	12/9	51.46±6.81	2.17±0.42	右侧
χ²/t值		0.730^a	0.539	0.591
P值		0.393	0.593	0.558

组别	n	训练前	训练后	t值	P值
对照组	20	8.55±2.24	10.35±2.16	6.990	< 0.001
观察组	20	8.85±2.25	13.00±2.32	10.208	< 0.001
t值		0.423	3.742
P值		0.675	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	20	32.15±3.28	34.55±3.30	9.798	< 0.001
观察组	20	32.05±3.72	39.75±4.58	11.160	< 0.001
t值		0.090	4.122
P值		0.929	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	20	87.66±3.30	89.25±3.00	6.611	< 0.001
观察组	20	87.63±3.10	91.15±2.79	20.274	< 0.001
t值		0.037	2.075
P值		0.971	0.045

组别	n	训练前	训练后	t值	P值
对照组	20	87.05±4.17	87.65±3.44	1.552	0.137
观察组	20	87.25±3.96	89.2±3.96	7.610	< 0.001
t值		0.155	1.323
P值		0.877	0.194

Effect of motor imagery therapy on hand function and motor imagery ability of patients after stroke

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组别	n	训练前	训练后	t值	P值
对照组	20	90.2±3.58	91.6±3.17	4.626	< 0.001
观察组	20	90.6±3.65	94.2±2.98	6.385	< 0.001
t值		0.350	2.671
P值		0.728	0.011

组别	n	训练前	训练后	t值	P值
对照组	20	85.5±4.12	87.1±3.85	5.446	< 0.001
观察组	20	84.75±3.35	88.5±3.44	8.399	< 0.001
t值		0.631	1.212
P值		0.532	0.233

组别	n	训练前	训练后	t值	P值
对照组	20	87.9±3.45	90.65±3.69	7.180	< 0.001
观察组	20	87.9±3.51	92.7±2.74	14.236	< 0.001
t值		0.000	1.996
P值		1.000	0.053

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