文章摘要
改良五禽戏联合分级运动想象训练在脑卒中上肢偏瘫患者中的应用效果
Application effect of modified Wuqinxi combined with graded motor imagery training in stroke patients with upper limb hemiplegia
投稿时间:2025-04-24  修订日期:2025-04-24
中文关键词: 改良五禽戏  分级运动想象训练  脑卒中  偏瘫  平衡能力  步态
英文关键词: the modified Wuqinxi  graded motor imagery training  stroke  hemiplegia  balance ability  gait
基金项目:
作者单位邮编
陈君* 浙江省中医院苍南分院 325800
林蕾蕾 浙江省中医院苍南分院 
钟海波 浙江省中医院苍南分院 
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中文摘要:
      目的 探讨脑卒中上肢偏瘫患者应用改良五禽戏联合分级运动想象训练的应用效果。方法 选取浙江省中医院苍南分院2024年9月-2025年2月诊治的脑卒中患者60例作为研究对象,根据随机数字表法将患者分作两组,每组例数各30例。对照组采用分级运动想象训练干预,观察组采用改良五禽戏联合分级运动想象训练干预。两组均连续干预4周。比较两组干预前、干预4周后肢体功能[简化Fugl-Meyer评定量表上肢部分评分(sFMA-UE)、下肢部分评分(FMA-LE)]、平衡能力[Berg平衡量表(BBS)]、步态情况[Tinetti步态评估量表(TGA)]、躯干及协调能力[躯干损伤量表(TIS)]。结果 干预4周后,两组患者的sFMA-UE评分、FMA-LE评分、BBS评分、TIS评分、TGA评分均高于干预前,且观察组评分升高较对照组更明显(P<0.05)。结论 对脑卒中上肢偏瘫患者应用改良五禽戏联合分级运动想象训练可有效提升患者的姿势控制及平衡功能,改善患者运功功能及步态。
英文摘要:
      Objective To investigate the application effect of stroke patients with upper limb hemiplegia respond to modified Wuqinxi in conjunction with graded motor imagery training. Methods The study''s subjects were 60 stroke patients who were diagnosed and treated at Zhejiang Provincial Hospital of Traditional Chinese Medicine''s Cangnan Branch between September 2024 and February 2025. The patients were split into two groups, each consisting of thirty cases, in accordance with the random number table approach. Graded motor imagery training was used as an intervention for the control group, while modified Wuqinxi in conjunction with graded motor imagery training was used for the observation group. For four weeks, both groups received constant intervention.The two groups were compared before and after the 4-week intervention in terms of limb function [simplified Fugl-Meyer assessment scale upper limb part score (sFMA-UE), lower limb part score (FMA-LE)], balance ability [Berg balance scale (BBS)], gait condition [Tinetti gait assessment scale (TGA)], trunk, and coordination ability [trunk injury scale (TIS)]. Results Following four weeks of intervention, both groups'' sFMA-UE, FMA-LE, BBS, TIS, and TGA scores were higher than they were prior to the intervention, and the observation group''s score improvement was more pronounced than the control group''s(P<0.05). Conclusion For stroke patients with upper limb hemiplegia, the modified Wuqinxi in conjunction with graded motor imagery training can significantly enhance postural control and balance, and improve the motor function and gait of the affected side.
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