引导运动想象对脑卒中后患者功能性步态表现的影响

M. Th
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摘要

目的:恢复独立行走是脑卒中后康复的主要目标。行走困难阻碍了个人在社区层面的参与,影响了生活质量。最早激活运动相关的皮质区域对于康复后实现接近正常的运动是重要的。运动想象(MI)是一种对身体部位运动的想象过程,而不是实际运动,MI激活的皮层区域与实际运动时激活的区域相同。心肌梗死增强运动计划,引起神经适应以改善随意骨骼肌力量,并增加局部中间神经元的放电。关于引导运动意象(guided motor imagery, MI)对脑卒中后患者功能性步态表现的影响,现有证据有限。因此,本研究的目的是观察引导心肌梗死对脑卒中后患者功能步态表现的影响。目的:探讨引导心肌梗死对脑卒中后患者功能步态的影响。目的:评估和比较脑卒中后伴与不伴引导心肌梗死患者的功能步态表现。方法:前瞻性、实验性随机对照试验。结果:研究结果显示,脑卒中后患者的功能步态表现因引导心肌梗死而得到改善,分析时p值显著。结论:上述研究表明,与单纯常规治疗相比,应用引导心肌梗死可改善脑卒中后患者的功能步态表现,提高其功能独立性和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Guided Motor Imagery on Functional Gait Performance in Post Stroke Patients
Purpose: Restoration of independent walking is the major goal of rehabilitation after stroke. Walking difficulty hinders community level participation of an individual, affecting quality of life. Earliest activation of locomotion concerned cortical areas is important to achieve near normal locomotion after rehabilitation. Motor imagery (MI) is a process of imagination of body part movement without actually moving it and it is found that MI activates same cortical areas which are activated during actual movement. MI enhances motor planning, causes neural adaptations to improve voluntary skeletal muscle strength and increases firing at local interneurons as well. There is limited evidence available regarding the effect of guided motor imagery (guided MI) on functional gait performance in post stroke patients. Hence, purpose of this study is to see the effect of guided MI on functional gait performance in post stroke patients. Aim: To study effect of guided MI on functional gait performance in post stroke patients. Objective: To assess and compare functional gait performance in post stroke patients with and without guided MI. Method: Prospective, Experimental Randomized Control Trial. Result: Study results showed that functional gait performance has improved in post stroke patients due to guided MI reflected by significant p values during analysis. Conclusion: The above study concludes that application of guided MI improves functional gait performance in post stroke patients as compared to conventional treatment alone, enhancing their functional independence and quality of life.
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