运动想象疗法联合第三代功能性电刺激术对急性缺血性卒中患者上肢运动功能的影响

目的探讨运动想象疗法联合第3代功能性电刺激术对急性缺血性卒中偏瘫患者上肢运动功能的改善作用。方法共40例急性缺血性卒中患者于发病后48 h内随机接受第3代功能性电刺激术(FES组)或联合运动想象疗法(联合治疗组),2周后采用简化Fugl-Meyer运动功能评价量表(FMA)和上肢动作研究测验量表(ARAT)评价上肢运动功能、量角器测量腕关节背伸活动范围。结果与治疗前相比,两组患者治疗2周后FMA、ARAT评分和腕关节背伸活动范围均改善(P=0.000),联合治疗组患者FMA评分(t=-2.528,P=0.016)、ARAT评分(t=-2.562,P=0.014)和腕关节背伸活动范围(t=-2....

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Published in中国现代神经疾病杂志 Vol. 15; no. 3; pp. 209 - 213
Main Author 刘首峰\高春林\汪皖君\于长申\王新平\巫嘉陵
Format Journal Article
LanguageChinese
Published 300060,天津市环湖医院神经内科 2015
Subjects
上肢
卒中
康复
电刺激疗法
运动疗法
运动障碍
卒中
运动障碍
上肢
运动疗法
电刺激疗法
Stroke
Exercise therapy
Electric stimulation therapy
Rehabilitation
Upper extremity
康复
Movement disorders
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Summary:目的探讨运动想象疗法联合第3代功能性电刺激术对急性缺血性卒中偏瘫患者上肢运动功能的改善作用。方法共40例急性缺血性卒中患者于发病后48 h内随机接受第3代功能性电刺激术(FES组)或联合运动想象疗法(联合治疗组),2周后采用简化Fugl-Meyer运动功能评价量表(FMA)和上肢动作研究测验量表(ARAT)评价上肢运动功能、量角器测量腕关节背伸活动范围。结果与治疗前相比,两组患者治疗2周后FMA、ARAT评分和腕关节背伸活动范围均改善(P=0.000),联合治疗组患者FMA评分(t=-2.528,P=0.016)、ARAT评分(t=-2.562,P=0.014)和腕关节背伸活动范围(t=-2.469,P=0.018)改善程度均优于FES组;且治疗方法与观察时间点之间存在交互作用(均P<0.05)。结论运动想象疗法联合第3代功能性电刺激术对改善急性缺血性卒中患者上肢运动功和腕关节背伸活动范围有较好疗效。
Bibliography:Objective To explore the effects of motor imagery(MI) combined with the third generation functional electrical stimulation(FES) on upper limb motor function in acute ischemic stroke patients with hemiplegia.Methods Forty acute ischemic stroke patients,within 48 h of onset,were randomly divided into FES group(N = 20) and combination group(FES combined with motor imagery,N =20).All patients received basic routine rehabilitation training,for example,good limb positioning,accepting braces,balance training and training in the activities of daily living(ADL).FES group received the third generation FES therapy and the combination group also received motor imagery for 2 weeks.All of the patients were assessed with Fugl-Meyer Assessment(FMA),Action Research Arm Test(ARAT) and active range of motion(AROM) of wrist dorsiflexion before and after 2 weeks of treatment.Results After2 weeks of treatment,the 2 groups had significantly higher FMA score,ARAT score and AROM of wrist dorsiflexion than that in pre-treatment(P = 0.
ISSN:1672-6731
DOI:10.3969/j.issn.1672-6731.2015.03.008