| 张振军,李应平,陈武泽,等.动作观察疗法康复治疗结合功能磁共振成像在脑梗死病人中应用效果:一项随机、对照、开放单中心临床研究[J].安徽医药,2019,23(12):2407-2410. |
| 动作观察疗法康复治疗结合功能磁共振成像在脑梗死病人中应用效果:一项随机、对照、开放单中心临床研究 |
| Action observation therapy rehabilitation combined with functional magnetic resonance imaging in patients with cerebral infarction application effect |
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| DOI：10.3969/j.issn.1009?6469.2019.12.019 |
| 中文关键词: 脑梗死/康复 运动疗法 电刺激疗法 动作观察疗法 磁共振成像 |
| 英文关键词: Brain infarction/rehabilitation Exercise therapy Electric stimulation therapy Action observation therapy Magnetic resonance imaging |
| 基金项目:深圳市宝安区科技计划基础研究项目(20180327153922312) |
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| 中文摘要: |
| 目的观察动作观察疗法康复治疗结合功能磁共振成像在脑梗死病人中的应用效果。方法在深圳市宝安中医院(集团) 2017年 1—12月治疗的 144例脑梗死病人中，应用随机数字表法分为常规康复组和动作康复组，各 72例。常规康复组病人接受肌力训练、运动疗法、运动再学习训练、神经肌肉电刺激、常规作业治疗等；动作康复组采用动作观察疗法，让病人观看日常生活能力视频，并进行模拟训练。两组病人均持续治疗 8周，每周训练 5d，每天模拟练习 2次，每次 20 min。治疗前后对两组进行实时功能核磁共振(rtfMRI)检查，比较两组病人运动前区(PMC)和补充运动区(SMA)激活体素，以巴氏指数评分法(BI)比较两组治疗前后日常生活活动能力。结果治疗 8周后动作康复组和常规康复组 PMC区和 SMA激活体素均高于治疗前，动作康复组激活体素更多(P＜0.05)。治疗前动作康复组和常规康复组病人 BI得分差异无统计学意义(P＞0.05)；治疗 8周后，动作康复组和常规康复组病人 BI得分［(82.19±2.66)分，(55.35±2.72)分］高于治疗前［(42.56±12.06)分，(42.01±12.12)分］(P＜0.05)，动作康复组高于常规康复组(P＜0.05)。动作康复组日常生活活动能力优于常规康复组(P＜0.05)。结论在脑梗死病人中应用动作观察疗法康复治疗效果确切，能够有效的增加 PMC区和 SMA区等运动区激活体素，有效的促进运动功能重组，病人偏瘫肢体运动功能能够得到最大限度的恢复，值得推广。 |
| 英文摘要: |
| Objective To observe the effect of action observation therapy rehabilitation combined with functional magnetic reso?nance imaging in cerebral infarction patients.Methods 144 patients with cerebral infarction treated in our hospital from January2017 to December 2017 were randomly divided into routine rehabilitation group and action rehabilitation group by random numbertable.The patients in the routine rehabilitation group received muscle strength training，exercise therapy，exercise relearning train? ing，neuromuscular electrical stimulation，routine operation treatment，etc.；the patients in the action rehabilitation group used action observation therapy，let the patients watch the video of daily living ability，and carried out simulation trainin.Two groups of patients were treated for 8 weeks，5 days in each week.Before and after treatment，functional magnetic resonance imaging(rtfMRI)was car? ried out in the two groups，and the number of activators in the premotor area(PMC)and the supplementary motor area(SMA)was compared，and the activity of daily life before and after treatment was compared by the method of Babbitt index score(BI). Results After 8 weeks of treatment，the activation volume of PMC area and SMA area in the action rehabilitation group and theroutine rehabilitation group were higher than that in before，while the activation volume in the action rehabilitation group was more than that in the action rehabilitation group(P＜0.05).There was no significant difference in Bi between the two groups(P＞0.05). before treatment.After 8 weeks of treatment，the Bi scores of the patients in the action rehabilitation group and the routine rehabili? tation group［(82.19 ± 2.66)，(55.35 ± 2.72)］ were higher than those before treatment［(42.56 ± 12.06)，(42.01±12.12)］(P＜ 0.05)，and the activity of daily life in the action rehabilitation group was higher than that in the routine rehabilitation group(P＜0.05)， with statistical significance.The severity of ADL dysfunction in the motor rehabilitation group was significantly improved (P＜0.05).Conclusion The application of action observation therapy in patients with cerebral infarction rehabilitation treatment effect is exact，effectively increase the PMC and SMA motor areas such as the activation volume，it effectively promotes the move? ment function restructuring，hemiplegia patients with limb movement function can get the maximum recovery，it is worth promoting. |
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