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运动想象训练对脑卒中患者躯干运动的躯干肌肉控制及本体感觉的影响

The effect of motor imagery training for trunk movements on trunk muscle control and proprioception in stroke patients.

作者信息

Oh Dong-Sik, Choi Jong-Duk

机构信息

Department of Physical Therapy, Hanseo University, Republic of Korea.

Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Republic of Korea.

出版信息

J Phys Ther Sci. 2017 Jul;29(7):1224-1228. doi: 10.1589/jpts.29.1224. Epub 2017 Jul 15.

Abstract

[Purpose] The present study was conducted to evaluate the effect of motor imagery training for trunk movements on trunk muscle control and proprioception in stroke patients. [Subjects and Methods] A total of 12 study subjects were randomly assigned to the experimental group (a motor imagery training group) and the control group (a neurodevelopmental treatment, NDT) group. The two groups were treated five times (30 minutes each time) per week for 4 weeks. The experimental group underwent imagery training for 10 minutes and trunk control centered NDT for 20 minutes and the control group underwent only trunk control centered NDT for 30 minutes. The trunk muscle activity and the position sense of the subjects were evaluated before and after the intervention. [Results] The two groups showed significant improvements in muscle activity after the intervention. Only the experimental group showed significant improvements in proprioception. The experimental group showed significant improvements in the variations of muscle activity and proprioception compared to the control group. [Conclusion] Motor imagery training for trunk movements can be effectively used to improve trunk muscle activity and proprioception in stroke patients.

摘要

[目的] 本研究旨在评估针对躯干运动的运动想象训练对中风患者躯干肌肉控制和本体感觉的影响。[对象与方法] 总共12名研究对象被随机分为实验组(运动想象训练组)和对照组(神经发育疗法,NDT组)。两组每周接受5次治疗(每次30分钟),共治疗4周。实验组进行10分钟的想象训练和以躯干控制为中心的NDT 20分钟,对照组仅进行以躯干控制为中心的NDT 30分钟。在干预前后对受试者的躯干肌肉活动和位置感觉进行评估。[结果] 两组在干预后肌肉活动均有显著改善。只有实验组在本体感觉方面有显著改善。与对照组相比,实验组在肌肉活动和本体感觉的变化方面有显著改善。[结论] 针对躯干运动的运动想象训练可有效用于改善中风患者的躯干肌肉活动和本体感觉。

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