目的:观察运动想象疗法结合针康法治疗对脑卒中后上肢功能障碍恢复的疗效.方法:将40例脑卒中患者简单随机分为治疗组与对照组,每组20例,两组均予康复科护理常规及头体针治疗,治疗组在此基础上给予运动想象疗法,并于治疗前和治疗后6周对两组进行FMA及改良Barthel指数(MBI)评定.结果:治疗6周后,两组患者的FMA及改良Barthel指数(MBI)均有提高(P＜0.01),且治疗组较对照组改善明显(P＜0.01).结论:运动想象结合针康法可以改善脑卒中患者的上肢功能障碍,值得临床学习.%Objective: To observe the clinical effect of rehabilitation care and acupuncture with motor imagery on the post - stroke upper limb functional disorder. Methods :40 cases were divided into observe group and compare group, 20 cases in each group. Two groups were given rehabilitation care and head body acupuncture care, besides that the treatment group was given motor imagery care . All patients were assessed with the simple test for Fugl - Meyer Assessment ( FMA) , and Modified Barthel Index ( MBI) before and after the treatment. Results: After the treatment of six weeks, scores of the FMA and the MBI for the two groups had improved (P < 0.01) , and the treatment group was superior to compare group (P <0. 01). Conclusion; Motor imagery combined with acupuncture and rehabilitation care can improve stroke patients with upper limb dysfunction which is worthy of clinical study.
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