Nakashima Akira, Koizumi Tetsuji, Shimizu Tadashi, Ryu Nobutoshi, Higashi Toshio
Department of Rehabilitation, Juzenkai Hospital, Japan.
Nagasaki University Graduate School of Biomedical Sciences: 1-7-1 Sakamoto, Nagasaki-shi, Nagasaki 852-8520, Japan.
J Phys Ther Sci. 2024 Jun;36(6):364-366. doi: 10.1589/jpts.36.364. Epub 2024 Jun 1.
[Purpose] Mental practice (MP) is a method of rehabilitating upper extremity function on the affected side of the body post-stroke, with the aim of improving motor task performance through the sustained repetition of motor imagery (MI). However, most studies thus far have investigated MP for post-stroke paralytic upper limb function in patients in the chronic phase. Therefore, it is necessary to obtain evidence regarding whether MP is an effective intervention modality in the acute phase of stroke. In the present study, we examined the effects of an intervention combining mirror therapy and MP initiated during the acute phase of cerebral infarction. [Participant and Methods] A female patient >80 years of age with a cerebral infarction was studied. Prior to cerebral infarction, the patient was independent in her activities of daily living. [Results] As a result of MP, sufficient improvement was observed in the upper extremity function on the paralyzed side, as assessed using the Fugl-Meyer Assessment (FMA) and Motor Activity Log (MAL). [Conclusion] In patients with MP initiated during the acute stroke phase, a combination of mirror therapy and action observation to enable vivid MI may elicit a more significant intervention effect.
[目的] 心理练习（MP）是一种中风后身体患侧上肢功能康复的方法，旨在通过持续重复运动想象（MI）来提高运动任务表现。然而，迄今为止，大多数研究都调查了MP对慢性期中风患者患侧上肢麻痹功能的影响。因此，有必要获取关于MP在中风急性期是否为有效干预方式的证据。在本研究中，我们检验了在脑梗死急性期开始的结合镜像疗法和MP的干预效果。[参与者与方法] 研究了一名80岁以上的脑梗死女性患者。脑梗生前，患者日常生活活动能够自理。[结果] 作为MP的结果，使用Fugl-Meyer评估（FMA）和运动活动日志（MAL）评估发现，瘫痪侧上肢功能有足够改善。[结论] 在急性中风期开始进行MP的患者中，结合镜像疗法和动作观察以实现生动的MI可能会产生更显著的干预效果。
