| 引用本文: |
肖乐,邓炎尧,刘超,李元,谢冰,刘秋红,郭自清,林芳波.运动想象联合等速肌力训练对脑梗死患者上肢功能及生活质量的影响[J].湖南中医药大学学报,2022,42(5):839-843[点击复制] |
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| 运动想象联合等速肌力训练对脑梗死患者上肢功能及生活质量的影响 |
| 肖乐,邓炎尧,刘超,李元,谢冰,刘秋红,郭自清,林芳波 |
| (长沙市第一医院, 湖南 长沙 410005) |
| 摘要: |
| 目的 观察运动想象联合等速肌力训练对脑梗死后患者上肢功能及生活质量的影响。方法 将96例脑梗死后偏瘫患者随机分为对照组和观察组，各48例。对照组予以偏瘫肢体综合康复训练、作业疗法及生物反馈等康复治疗，观察组在上述基础上加以运动想象联合等速肌力训练。干预前及干预8周后，分别对患者肘关节伸肌群的力学指标、上肢功能以及生活质量进行评分。结果 干预后，观察组和对照组在角速度为60°和120°的伸肌峰力矩、总功和平均功率均高于干预前（P<0.01），观察组在角速度为60°和120°的伸肌峰力矩、总功和平均功率均高于对照组（P<0.01）。干预后，观察组和对照组简化Fugl-Meyer量表（FMA）评分、生活质量评分均升高，改良Ashworth量表（MAS）评分均降低（P<0.05或P<0.01）；观察组FMA评分、生活质量评分均高于对照组，MAS评分低于对照组（P<0.05或P<0.01）。结论 运动想象联合等速肌力训练能提高脑梗死后偏瘫患者上肢肌肉力量，调节肌张力，增强上肢肢体功能，改善生活质量。 |
| 关键词: 脑梗死 偏瘫 运动想象 等速肌力训练 肢体功能 生活质量 |
| DOI：10.3969/j.issn.1674-070X.2022.05.025 |
| 投稿时间：2021-11-28 |
| 基金项目:湖南省科技厅基金项目（2015SK20293）。 |
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| Effect of motor imagery combined with isokinetic muscle strength training on upper limb function and quality of life in patients with cerebral infarction |
| XIAO Le,DENG Yanyao,LIU Chao,LI Yuan,XIE Bing,LIU Qiuhong,Guo Ziqing,LIN Fangbo |
| (The First Hospital of Changsha, Changsha, Hunan 410005, China) |
| Abstract: |
| Objective To observe the effect of motor imagery combined with isokinetic muscle strength training on upper limb function and quality of life in patients with cerebral infarction. Methods 96 cases of patients with hemiplegia after cerebral infarction were randomly divided into control group and observation group, with 48 cases in each group. The control group received comprehensive rehabilitation training, occupational therapy and biofeedback of hemiplegic limbs, and the observation group received motor imagery combined with isokinetic muscle strength training on the above basis. The mechanical indexes of elbow extensor muscle group, upper limb function and quality of life of patients were scored before and 8 weeks after intervention. Results After intervention, the peak torque, total work and average power of extensor muscle at angular velocity of 60° and 120° were higher after intervention in the observation group and the control group than before intervention (P<0.01), The peak torque, total work and average power of extensor muscle in the observation group were higher than those in the control group at 60° and 120° angular velocity (P<0.01). After intervention, simplified Fugl-Meyer assessment (FMA) score and quality of life score in observation group and control group significantly increased, while modified Ashworth scale (MAS) score decreased (P<0.05 or P<0.01); FMA score and quality of life score in observation group were higher than those in control group, while MAS score was lower than that in control group (P<0.05 or P<0.01). Conclusion Motor imagery combined with isokinetic muscle strength training can improve the muscle strength of patients with hemiplegia after cerebral infarction, regulate muscle tone, enhance the function of upper limbs, and improve the quality of life. |
| Key words: cerebral infarction hemiplegia motor imagery isokinetic muscle strength training limb function quality of life |
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