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目的:探讨运动想象结合常规康复训练对脑卒中偏瘫患者上肢肌力恢复的影响。方法:选择31例病情稳定的脑卒中偏瘫患者,随机分为治疗组(n=16)和对照组(n=15)两组,两组患者均进行常规康复训练,其中治疗组采用常规康复训练联合运动想象治疗,对照组只进行常规康复训练。两组常规康复训练时间相同。分别在治疗前、治疗后4周、8周进行患侧上肢肌力评定,观察患侧上肢肌力恢复情况。结果:治疗前两组各项评分差异无统计学意义。治疗8周后,两组患者肌力评级与各组治疗前比较差异均有统计学意义(P<0.05),且两组肌力比较差异也有统计学意义(P<0.05)。结论:运动想象结合常规康复训练有利于脑卒中偏瘫患者上肢肌力的恢复,与以往的研究结果一致。
Objective: To investigate the effects of motor imagination and routine rehabilitation training on the recovery of upper limb muscle strength in patients with hemiplegia after stroke. Methods: Thirty-one patients with stroke-hemiplegia were selected and randomly divided into treatment group (n = 16) and control group (n = 15). Both groups received routine rehabilitation training. The patients in the treatment group received routine rehabilitation training Joint exercise imaging therapy, control group only routine rehabilitation training. Two groups of conventional rehabilitation training time the same. The ipsilateral upper limb muscle strength was assessed before treatment, 4 weeks and 8 weeks after treatment, and the recovery of muscle strength of affected upper limbs was observed. Results: There was no significant difference between the two groups before treatment. After 8 weeks of treatment, the muscle strength of the two groups was significantly different from that before treatment (P <0.05), and there was significant difference between the two groups in muscle strength (P <0.05). Conclusion: The combination of motor imaging and routine rehabilitation is beneficial to the recovery of upper limb muscle strength in stroke patients with hemiplegia, which is consistent with previous findings.