Objective To explore the effects of motor imaginary therapy combined with occupational therapy on the function of upper limbs hands and activities of daily living for stroke patients with hemiplegia.Methods 62 stroke patients with hemiplegia were divided into observation group (n=31) and control group (n=31).Both groups were treated with basic medication and occupational therapy while the observation group was treated additionally with motor imaginary therapy.The function of upper limbs and hands was assessed by Fugl-Meyer Assessment (FMA), and activities of daily living was assessed by Functional Independence Measurement (FIM) before and 2 months after treatment.Results There were significant difference between the two groups in the scores of FMA in the function of upper limbs and hands,and FIM 2 months after the treatment (P＜0.01).Conclusion Motor imaginary therapy combined with occupational therapy can effectively improve the functional outcomes of upper limbs and hands for stroke patients with hemiplegic, and can even effectively improve the functional activities of daily living.%目的 探讨运动表象疗法结合作业疗法对脑卒中偏瘫患者上肢、手功能及日常生活活动能力的影响.方法 将62例脑卒中偏瘫患者分为对照组(n=31)和观察组((n=31):两组均接受基础药物治疗和常规作业治疗,观察组另加运动表象疗法.2个月为1个疗程.分别进行Fugl-Meyer上肢及手功能评分、功能独立性评分(FIM).结果 治疗2个月后,观察组Fugl-Meyer上肢及手功能评分、FIM评分显著优于对照组(P<0.001).结论 运动表象疗法结合作业疗法能明显的改善脑卒中偏瘫患者的上肢及手功能,进而改善日常生活活动能力.
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