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目的:探讨运动想象训练对脑卒中偏瘫患者上肢BrunnstromⅢ期分离运动的影响。方法:选择102例接受康复治疗的脑卒中偏瘫患者作为研究对象,按照随机数字表法,将其随机分为观察组和对照组,各51例。对照组患者采用常规康复运动方案进行康复训练,观察组则在对照组常规康复训练的基础上增加运动想象训练。治疗前和治疗后4周分别利用简式Fugl-Meyer上肢运动功能评价量表(FMA-U)对患者上肢运动功能进行评分,治疗后4周按照Brunnstrom量表对患者上肢进行Brunnstrom分期评定,以治疗后上肢运动功能的改善和上肢BrunnstromⅣ~Ⅺ期的例数来评价两组患者分离运动的恢复情况。结果:治疗后观察组的FMA-U评分明显高于对照组,差异有统计学意义(P<0.05);治疗后观察组上肢和手部BrunnstromⅣ~Ⅺ期例数明显多于对照组,差异有统计学意义(P<0.05)。结论:运动想象训练可明显提高常规康复运动方案对脑卒中偏瘫患者上肢BrunnstromⅢ期分离运动恢复的效果,值得临床推广应用。
Objective: To investigate the effect of exercise imaging training on the third-phase Brunnstrom phase separation in stroke patients with hemiplegia. Methods: A total of 102 patients with stroke hemiplegia undergoing rehabilitation were selected as study subjects, and randomly divided into observation group and control group according to the random number table method, with 51 cases in each group. Patients in the control group were treated with routine rehabilitation exercise program, while those in the control group were given exercise training on the basis of conventional rehabilitation training in the control group. Four weeks before and after treatment, the upper limb motor function of the patients was scored by simple Fugl-Meyer upper limb motor function evaluation scale (FMA-U). Brunnstrom staging was assessed 4 weeks after treatment according to Brunnstrom scale After treatment, the improvement of upper extremity motor function and the number of Brunnstrom Ⅳ ~ Ⅺ in the upper limbs were used to evaluate the recovery of isolated exercise in both groups. Results: After treatment, the FMA-U score of the observation group was significantly higher than that of the control group (P <0.05); after treatment, the number of Brunnstrom Ⅳ-Ⅺ in the upper limbs and hands of the observation group was significantly more than that of the control group Statistical significance (P <0.05). CONCLUSION: Exercise-imaging training can significantly improve the effect of routine rehabilitation exercise program on the recovery of Brunnstrom stage Ⅲ upper limb movement in stroke patients with hemiplegia, which is worthy of clinical application.