运动想象疗法联合西药、康复训练对脑卒中偏瘫患者平衡功能、表面肌电图的影响

Abstract
Figure/Table
References (25)
Related Citation (0)

Download: PDF (516 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effects of exercise imagery therapy combined with western medicine and rehabilitation training on balance function and surface electromyography (sEMG) in stroke patients with hemiplegia. Methods From May to December 2016, 70 cases of stroke patients with hemiplegia treated in Wenzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine were selected, and randomly divided into treatment group and the control group, with 35 cases in each group. The control group was treated by western medicine and routine rehabilitation training, and the control group was treated by the motor imagery therapy on the basis of the control group, and they were treated for 3 months. The simplified Fugl-Meyer assessment (FMA) (lower limb) and Berg balance scale (BBS) were used to evaluate the motor function and balance function of lower limbs, and the sEMG was used to measure the integrated electromyograph (iEMG) score and the root mean square amplitude (RMS) of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle of the two groups before and after treatment, and the time and phase parameters of three-dimensional gait [leg speed, stride frequency, stride length ratio (affected limb/healthy limbs)] was recorded, and the adverse events was observed at the same time. Results The scores of FMA and BBS after treatment in the two groups were all higher than before treatment (P < 0.05), and after treatment, the scores of FMA and BBS in the treatment group were higher than those of the control group (P < 0.05). The iEMG levels of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle after treatment in the two groups were all increased more than before treatment, while the RMS level was lower than before treatment (P < 0.05), and after treatment, the iEMG levels of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle in the treatment group were higher than those in the control group, while the RMS level was lower than that in the control group (P < 0.05). The leg speed, stride frequency, stride length ratio (affected limb/healthy limbs) after treatment in the two groups were all higher than before treatment (P < 0.05), and after treatment, the leg speed, stride frequency, stride length ratio (affected limb/healthy limbs) in the treatment group were higher than those of in the control group (P < 0.05). The incidence rate of adverse events in the treatment group was lower than that in the control group (P < 0.05). Conclusion Motor imagery therapy combined with western medicine and rehabilitation training can improve the motor function and balance function, and promote the recovery of quadriceps femoris and tibialis anterior and gastrocnemius muscle function with low adverse events, therefore it is worthy of clinical promotion and application.

Key words： Motor imagery therapy Rehabilitation training Stroke hemiplegia Balance function Surface electromyography

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIANG Yuyan1 GUO Liangtang2

Cite this article:

JIANG Yuyan1 GUO Liangtang2. Effects of motor imagery therapy combined with western medicine and rehabilitation training on balance function and surface electromyography in stroke patients with hemiplegia[J]. 中国医药导报, 2018, 15(5): 71-75.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I5/71

[1] 方梅，雷艳，刘恒，等.运动想象足背屈联合辅助站立平衡训练对脑卒中偏瘫早期病人下肢运动功能康复的影响[J].护理研究，2015，29（26）：3253-325.
[2] 章惠英，金娜，章雅青，等.运动想象疗法对脑卒中偏瘫患者平衡功能恢复的影响[J].上海交通大学学报：医学版，2013，33（5）：538-542.
[3] Callow N，Hardy L. Types of imagery associated with sport confidence in netball players of varying skill levels [J]. J Appl Sport Psy chol，2001，13（1）：1-17.
[4] 曹湾，陈启波，沈印，等.病房－家庭嵌入式运动想象训练对脑卒中患者上肢运动功能恢复的影响[J].广西医学，2015，37（4）：489-491.
[5] 谢立娟，王建华，王飞，等.针灸同步运动想象在脑卒中偏瘫病人康复中的应用研究[J].中西医结合心脑血管病杂志，2017，15（7）：790-793.
[6] 吴运景，朱江，刘晓霞，等.脑卒中偏瘫患者恢复期康复训练胫骨前肌和腓肠肌表面肌电信号的变化[J].心脑血管病防治，2015，15（3）：202-203.
[7] 刘晓霞，吴运景，韩丽雅，等.操作性肌电生物反馈联合康复训练对脑卒中偏瘫患者上肢功能的影响[J].中国康复医学杂志，2016，31（1）：86-88.
[8] 中华神经科学会，中华神经外科学会.各类脑血管病诊断要点[J].中华神经内科杂志，1996，29（5）：379-380.
[9] 陈启波，曹湾，沈印，等.嵌入式运动想象疗法对脑卒中偏瘫患者上肢功能恢复的治疗效果[J].山东医药，2015， 55（13）：29-30.
[10] 杨华中，吴莹莹，周永生，等.等速肌力训练对脑卒中偏瘫患者下肢功能恢复的影响[J].中国康复，2015，30（2）：94-97.
[11] Fritz S，Merlorains A，Rivers E，et al. Feasibility of intensive mobility training to improve gait，balance，and mobility in persons with chronic neurological conditions：a case series [J]. J Neurol Phys Ther，2011，35（3）：141-147.
[12] 陈秀芳，王朝军，罗国英，等.早期康复训练用于缺血性脑卒中偏瘫患者的效果评价[J].中华全科医学，2015， 13（1）：109-111.
[13] 公维军.运动想象疗法对脑卒中患者认知功能的康复作用[J].中国现代神经疾病杂志，2017，17（6）：415-420.
[14] 刘春英，郭毅，杨欢，等.脑卒中偏瘫患者早期运动疗法康复效果的系统评价[J].中国循证医学，2016，16（2）：166-171.
[15] 赵琳，郭兵妹，高元鹏，等.运动想象疗法对脑卒中患者下肢远程康复护理的随机对照研究[J].中国实用护理杂志，2017，33（15）：1125-1130.
[16] Dunsky A，Dickstein R，Ariav C，et al. Motor imagery pra?鄄ctice in gait rehabilitation of chronic post stroke hemiparesis：four case studies [J]. Int J Rehahil Res，2006，29（4）：351-356.
[17] 司徒杏仙，王玉龙，潘巍一，等.BIODEX动静态平衡训练仪对脑卒中偏瘫患者平衡功能和步行能力恢复的影响[J].安徽医药，2015，19（10）：1964-1966.
[18] 彭全成，曹义，李鑫海，等.运动想象下行核心稳定性训练对脑卒中后偏瘫患者平衡功能和步行能力的影响[J].中华物理医学与康复杂志，2017，39（5）：362-363.
[19] 王盛强，黄杰，高春华，等.运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响[J].中国康复医学杂志，2016，31（11）：1230-1233.
[20] 潘锌洺，王勇.整体性康复训练在改善偏瘫患者肢体功能及提高日常生活能力中的作用[J].中国当代医药，2017， 24（20）：36-38.
[21] 关晨霞，郭钢花，郭小伟，等.脑卒中偏瘫患者在坐位躯干旋转时躯干肌群表面肌电信号特征研究[J].中国康复，2017，32（3）：192-195.
[22] 潘婕，熊英琼，周超，等.肌电触发生物反馈对急性脑梗死患者偏瘫早期康复的治疗作用[J].中国医药导报，2016， 13（26）：68-71.
[23] 王鹂，马朝阳，游菲，等.运动想象疗法对脑卒中偏瘫患者步行能力的影响[J].中华物理医学与康复杂志，2014， 36（5）：353-356.
[24] 朱童，冯玲，吴月峰，等.运用三维步态分析评价下肢机器人训练对偏瘫患者步行能力的影响[J].中华物理医学与康复杂志，2017，39（4）：267-271.
[25] 徐立伟，胡志，高光仪，等.强化运动想象疗法对脑卒中偏瘫患者步行的影响与机制研究[J].中国康复，2016， 31（5）：345-348.