三维旋进式振动疗法联合运动想象训练对脑卒中偏瘫患者上肢功能、平衡能力及日常生活活动能力的影响

摘要 目的：研究运动想象训练联合三维旋进式振动疗法对脑卒中偏瘫患者平衡能力、上肢功能及日常生活活动能力的影响。方法：研究对象来源于苏州市立医院康复医学科2019年4月~2022年4月期间收治的80例脑卒中偏瘫患者。入院后按照计算机产生随机数进行随机分配为对照组和研究组，每组各40例。对照组患者接受运动想象训练，研究组患者接受三维旋进式振动疗法联合运动想象训练。对比两组疗效、上肢功能、平衡能力及日常生活活动能力。结果：两组患者干预2周后、干预4周后Fugl-Meyer上肢运动功能量表（FM-uL）、上肢动作研究量表（ARAT）评分均升高，且研究组均高于对照组同期；改良Ashworth痉挛量表（MAS）评分均下降，且研究组低于对照组同期（P<0.05）。两组患者干预2周后、干预4周后Berg平衡量表（BBS）评分均升高，且研究组高于对照组同期（P<0.05）。两组患者干预2周后、干预4周后Barthel指数（BI）评分均升高，且研究组高于对照组同期（P<0.05）。结论：运动想象训练联合三维旋进式振动疗法干预脑卒中偏瘫患者，可有效改善患者的平衡能力、上肢功能及日常生活活动能力。

Effects of Three-Dimensional Progressive Vibration Therapy Combined with Motor Imagination Training on Upper Limb Function, Balance Ability and Activities of Daily Living of Stroke Patients with Hemiplegia

ABSTRACT Objective: To study the effects of motor imagination training combined with three-dimensional progressive vibration therapy on balance ability, upper limb function and activities of daily living (ADL) of stroke patients with hemiplegia. Methods: The study subjects were 80 cases of stroke patients with hemiplegia who were admitted to the Rehabilitation Medicine Department of Suzhou Municipal Hospital from April 2019 to April 2022. After admission, according to the random number generated by the computer, they were randomly assigned to the control group and the study group, with 40 cases in each group. The control group received motor imagination training, and the study group received three-dimensional progressive vibration therapy combined with motor imagination training. The efficacy, upper limb function, balance ability and daily living ability in the two groups were compared. Results: The scores of Fugl-Meyer Upper Limb Motor Function Scale (FM-uL) and Upper Limb Motion Study Scale (ARAT) in the two groups at 2 weeks after intervention and 4 weeks after intervention were increased, and the study group were higher than the control group in the same period. The score of modified Ashworth Spasm Scale (MAS) was decreased, and the study group was lower than the control group in the same period (P<0.05). The score of Berg Balance Scale (BBS) in the two groups at 2 weeks after intervention and 4 weeks after intervention were increased, and the study group was higher than the control group in the same period (P<0.05). The score of Barthel index (BI) in the two groups at 2 weeks after intervention and 4 weeks after intervention were increased, and the study group was higher than the control group in the same period (P<0.05). Conclusion: Motor imagination training combined with three-dimensional progressive vibration therapy can effectively improve the balance ability, upper limb function and the ability of daily living in stroke patients with hemiplegia.