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目的:探讨运动想象疗法结合认知功能训练对老年脑梗死患者运动功能和日常生活能力的影响。方法:选择桐庐县第一人民医院2012年7月—2014年1月收治的80例老年脑梗死患者作为研究对象,按照随机数字表法分为观察组和对照组,每组各40例,对照组给予早期认知功能锻炼,观察组给予运动想象疗法联合早期认知功能锻炼,比较两组患者干预前后运动功能和日常生活能力变换情况。结果:2个月、3个月时观察组FMA评分为(27.83±8.46)分、(31.74±8.63)分,均高于对照组,差异有统计学意义(P<0.05);3个月后观察组BI、FCA评分(69.44±10.27)分、(79.16±11.63)分,均高于对照组,差异有统计学意义(P<0.05)。结论:在常规康复锻炼的基础上,运动想象疗法结合认知功能训练以及单用认知功能训练均可以改善老年脑梗死患者的运动功能和日常生活能力,但动想象疗法结合认知功能训练的长期效果要优于单用认知功能训练,值得临床重视。
Objective: To explore the effects of motor imaging and cognitive training on motor function and daily living ability in elderly patients with cerebral infarction. Methods: Tonglu First People’s Hospital in July 2012 --80 elderly patients with cerebral infarction in January 2014 admitted to the study, divided into observation group and control group according to random number table, each group 40 cases, control Group was given early cognitive function exercise, the observation group given motor imaging therapy combined with early cognitive function exercise, before and after intervention in both groups of motor function and daily living ability change. Results: At 2 months and 3 months, the FMA score of the observation group was (27.83 ± 8.46) points and (31.74 ± 8.63) points, respectively, which were significantly higher than those of the control group (P <0.05). After 3 months The scores of BI and FCA in the observation group (69.44 ± 10.27) and (79.16 ± 11.63) points were higher than those in the control group, with statistical significance (P <0.05). Conclusion: On the basis of conventional rehabilitation exercise on motor imagery therapy combined with cognitive training alone and training can be improved cognitive function in patients with cerebral infarction motor function and activities of daily living, but imagine moving cognitive therapy combined with functional training Long-term effect is better than single cognitive function training, it is worth clinical attention.