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中风患者心理运动想象与实际运动之间的关联

The Association between Mental Motor Imagery and Real Movement in Stroke.

作者信息

Poveda-García Ana, Moret-Tatay Carmen, Gómez-Martínez Miguel

机构信息

Escuela de Doctorado, Universidad Católica de Valencia San Vicente Mártir, San Agustín 3, Esc. A, Entresuelo 1, 46002 València, Spain.

Facultad de Psicología, Universidad Católica de Valencia San Vicente Mártir, Avenida de la Ilustración, Burjassot, 46100 Valencia, Spain.

出版信息

Healthcare (Basel). 2021 Nov 17;9(11):1568. doi: 10.3390/healthcare9111568.

DOI:10.3390/healthcare9111568
PMID:34828614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8620455/
Abstract

BACKGROUND

Stroke is the main cause of disability in adults; the most common and long-term sequela is upper-limb hemiparesis. Many studies support the idea that mental motor imagery, which is related to the visualization of movement patterns, activates the same areas of the cortex as if the movement occurred.

OBJECTIVES

This study aims to examine the capacity to elaborate mental motor images, as well as its relationship to loss of movement in the upper limbs after a stroke.

METHOD

An observational study, in a sample of 39 adults who suffered a stroke, was carried out. The upper limb movement and functionality, cognitive disorders, the ability to visualize mental images, and activities of daily living were examined.

RESULTS

The results depicted a statistically significant correlation between the ability to visualize upper limb mental motor images with movement, functionality, and strength. In addition, a correlation between visual-spatial skills and mental visualization of motor ability and upper limb movement was found.

CONCLUSIONS

These results suggest that the rehabilitation approach focused on the improvement of mental motor imagery could be of interest for the upper limb rehabilitation of movement and functionality.

摘要

背景

中风是成年人残疾的主要原因;最常见的长期后遗症是上肢偏瘫。许多研究支持这样的观点,即与运动模式可视化相关的心理运动想象会激活与实际运动发生时相同的皮质区域。

目的

本研究旨在考察构建心理运动图像的能力,以及其与中风后上肢运动丧失的关系。

方法

对39名中风成人样本进行了一项观察性研究。检查了上肢运动和功能、认知障碍、心理图像可视化能力以及日常生活活动。

结果

结果显示,上肢心理运动图像可视化能力与运动、功能和力量之间存在统计学上的显著相关性。此外,还发现视觉空间技能与运动能力和上肢运动的心理可视化之间存在相关性。

结论

这些结果表明,专注于改善心理运动想象的康复方法可能对上肢运动和功能的康复有益。

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Motor imagery brain-computer interface rehabilitation system enhances upper limb performance and improves brain activity in stroke patients: A clinical study.运动想象脑机接口康复系统增强中风患者上肢功能并改善大脑活动:一项临床研究。
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本文引用的文献

1
Investigating the Viability of Motor Imagery as a Physical Rehabilitation Treatment for Patients With Stroke-Induced Motor Cortical Damage.研究运动想象作为中风所致运动皮层损伤患者物理康复治疗方法的可行性。
Cureus. 2021 Mar 19;13(3):e14001. doi: 10.7759/cureus.14001.
2
[Reliability and validity of the mental evocation of images, movements and activities questionnaire: a pilot study].[图像、动作及活动心理唤起问卷的信效度:一项初步研究]
Rehabilitacion (Madr). 2021 Oct-Dec;55(4):258-265. doi: 10.1016/j.rh.2020.09.004. Epub 2020 Nov 2.
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Motor Imagery Training After Stroke Increases Slow-5 Oscillations and Functional Connectivity in the Ipsilesional Inferior Parietal Lobule.脑卒中后运动想象训练增加对侧顶下小叶慢-5 振荡和功能连接。
Neurorehabil Neural Repair. 2020 Apr;34(4):321-332. doi: 10.1177/1545968319899919. Epub 2020 Feb 26.
4
Does hypnotic assessment predict the functional equivalence between motor imagery and action?催眠评估是否能预测运动意象与动作之间的功能等价性?
Brain Cogn. 2019 Nov;136:103598. doi: 10.1016/j.bandc.2019.103598. Epub 2019 Aug 28.
5
Motor imagery as a complementary technique for functional recovery after stroke: a systematic review.运动想象作为中风后功能恢复的补充技术:系统评价。
Top Stroke Rehabil. 2019 Dec;26(8):576-587. doi: 10.1080/10749357.2019.1640000. Epub 2019 Jul 26.
6
Efficacy of motor imagery additional to motor-based therapy in the recovery of motor function of the upper limb in post-stroke individuals: a systematic review.运动想象联合基于运动的疗法对脑卒中后上肢运动功能恢复的疗效:系统评价。
Top Stroke Rehabil. 2019 Oct;26(7):548-553. doi: 10.1080/10749357.2019.1627716. Epub 2019 Jul 2.
7
Motor-imagery ability and function of hemiplegic upper limb in stroke patients.脑卒中患者的运动想象能力和偏瘫上肢功能。
Ann Clin Transl Neurol. 2019 Feb 17;6(3):596-604. doi: 10.1002/acn3.739. eCollection 2019 Mar.
8
Motor imagery training induces changes in brain neural networks in stroke patients.运动想象训练可引起中风患者脑神经网络的变化。
Neural Regen Res. 2018 Oct;13(10):1771-1781. doi: 10.4103/1673-5374.238616.
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Neural correlates of action: Comparing meta-analyses of imagery, observation, and execution.动作的神经关联:对表象、观察和执行的元分析进行比较。
Neurosci Biobehav Rev. 2018 Nov;94:31-44. doi: 10.1016/j.neubiorev.2018.08.003. Epub 2018 Aug 9.
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Motor imagery involves predicting the sensory consequences of the imagined movement.运动想象涉及预测想象运动的感觉后果。
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