具身认知理论的镜像训练对脑梗死上肢运动障碍的效果
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中华护理学会课题(ZHKY201817)


Study on the effect of mirror training based on the theory ofembodied cognition on upper extremity motor disorders of cerebral infarction
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    摘要:

    目的 探索在具身认知视角下,改良镜像训练对脑梗死患者上肢运动障碍的影响以及对比一般镜像训练的效果差异。方法 选取2018年12月~2019年12月在成都中医药大学附属医院招募符合纳入排除标准的80例脑梗死偏瘫患者,利用计算机随机法将其分为试验组(改良镜像训练组)和对照组(一般镜像训练组),每组各40例。试验组和对照组均遵循基础治疗及护理方案,在施行此方案的基础上,试验组运用改良镜像训练,对照组应用一般镜像训练。在干预前、干预4周后进行简化FuglMeyer运动功能评分法上肢部分(FMAUE)、Brunnstrom分级评定、改良Barthel指数(MBI)的评定。结果 干预4周后,两组FMAUE、偏瘫Brunnstrom 分级、MBI评分均比干预前有明显的提高,且试验组各项评分均显著高于对照组,差异存在统计学意义(P<0.05)。结论 基于具身认知理论的改良镜像训练和一般镜像训练均能安全有效地促进脑梗死偏瘫病人上肢运动功能的恢复,同时加快病人上肢Brunnstrom 分期运动康复进程,从而进一步提高其日常生活活动能力;并且基于具身认知理论的改良镜像训练在脑梗死偏瘫病人上肢运动功能及整体康复方面的干预效果均显著优于一般镜像训练。

    Abstract:

    Objective To explore the effect of improved mirror training on upper extremity motor disorders in patients with cerebral infarction and to compare the effect of general mirror training. Methods From December 2018 to December 2019, 80 patients with hemiplegia due to cerebral infarction were recruited from the Affiliated Hospital of Chengdu University of traditional Chinese medicine. They were divided into experimental group (modified mirror training group) and control group (general mirror training group) by computer random method, 40 cases in each group. Both the experimental group and the control group followed the basic treatment and nursing plan. On the basis of this plan, the experimental group used the improved mirror training, and the control group used the general mirror training. The FMAUE, Brunnstrom and MBI were evaluated before and 4 weeks after the intervention. Results After 4 weeks of intervention, FMAUE, Brunnstrom score and MBI score of hemiplegia in the two groups were significantly higher than those before intervention, and the scores in the experimental group were significantly higher than those in the control group (P<0.05). Conclusion The improved mirror image training and general mirror image training based on the theory of body cognition can promote the recovery of upper limb motor function of hemiplegic patients with cerebral infarction safely and effectively, and accelerate the rehabilitation process of upper limb Brunnstrom stage exercise, so as to further improve their ability of daily life activities. Moreover, the effect of improved mirror training based on the theory of body cognition on upper limb motor function and overall rehabilitation of hemiplegic patients with cerebral infarction is significantly better than that of general mirror training.

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  • 在线发布日期: 2020-10-22
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