Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke
Mental practice combined with physical practice for upper-limb motor deficit in subacute stroke
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DOI：
10.1093/ptj/81.8.1455
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发表时间：
2001-08-01
期刊：
影响因子：
3.2
通讯作者：
Johnston, MV
中科院分区：
文献类型：
--
作者：
Page, SJ;Levine, P;Johnston, MV
背景和目的。本病例报告描述了一位上肢轻偏瘫患者，他接受了一个结合物理治疗和心理练习的项目。病例描述。患者是一名56岁的男性，由于5个月前发生的右顶叶梗死，其优势侧出现稳定的运动缺陷，包括ULH。他接受了一小时的物理治疗，每周3次，持续6周。此外，每周2次，患者听录音带，指导他想象自己功能性地使用患肢。患者还每周在家听两次录音带。治疗前和治疗后的措施是上肢量表的Fugl-Meyer评估的感觉运动障碍（Fugl-Meyer量表），行动研究手臂测试（ARA），和中风康复运动评估（STREAM）。结果。根据ARA和STREAM测量，患者表现出损伤减轻（Fugl-Meyer量表）和臂功能改善。讨论心理练习可以补充物理治疗，以改善中风后的运动功能。
Background and Purpose. This case report describes a patient with upper-limb hemiparesis (ULH) who received a program combining physical therapy for the affected side with mental practice. Case Description. The patient was a 56-year-old man with stable motor deficits, including ULH, on his dominant side resulting from a right parietal infarct that occurred 5 months previously. He received physical therapy for an hour 3 times a week for 6 weeks. In addition, 2 times a week the patient listened to an audiotape instructing him to imagine himself functionally using the affected limb. The patient also listened to the audiotape at home 2 times a week. Pretreatment and posttreatment measures were the upper-extremity scale of the Fugl-Meyer Assessment of Sensorimotor Impairment (Fugl-Meyer Scale), the Action Research Arm Test (ARA), and the Stroke Rehabilitation Assessment of Movement (STREAM). Outcomes. The patient exhibited reduction in impairment (Fugl-Meyer Scale) and improvement in arm function, as measured by the ARA and STREAM. Discussion. Mental practice may complement physical therapy to improve motor function after stroke.