Effect of mental practice using inverse video of the unaffected upper limb in a subject with chronic hemiparesis after stroke.
Effect of mental practice using inverse video of the unaffected upper limb in a subject with chronic hemiparesis after stroke.
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DOI：
10.1589/jpts.28.2984
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发表时间：
2016-10
影响因子：
--
通讯作者：
Higashi T
中科院分区：
文献类型：
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作者：
Iso N;Ooso S;Yamamoto N;Moriuchi T;Sagari A;Iso F;Tanaka K;Tabira T;Higashi T
[目的]本个案研究的目的是探讨一种心理练习（MP）的方法，使用一个被试的健侧肢体的反向视频，以补充运动想象（MI）的生动性，是否会有效地改善患侧上肢的功能。[对象与方法]研究对象为60岁男性，中风后慢性期恢复期，左侧偏瘫。本研究采用单系统AB法设计。他用DVD把MP作为家庭节目来表演。干预持续30分钟，每天两次，每周5次，超过6周。DVD是用他未受影响的上肢的反向视频制作的。主要结局指标为上肢Fugl-Meyer评估（FMA）和运动活动日志（MAL），基线、干预和随访各3次。采用视觉模拟量表（VAS）评价MI的主观生动性。[结果]干预期间FMA和MAL评分较基线有明显改善，撤药后FMA和MAL评分维持不变。与基线相比，退出时VAS评分改善。[结论]脑卒中患者通过运动想象的生动性来提高心理训练的效果。
[Purpose] The aim of this case study was to investigate whether a method of mental practice (MP) using an inverse video of a subject’s unaffected limb to complement the vividness of motor imagery (MI) would be effective for improving affected upper limb function. [Subjects and Methods] The participant was 60-year-old male in the chronic stage of stroke recovery with left sided hemiparesis. The design of the study was AB method of Single-System-Design. He performed the MP as a home program with DVD. The intervention lasted 30 minutes a session, twice a day, 5 times a week, over 6 weeks. The DVD was created using inverse video of his unaffected upper limb. Primary outcome measures were used the Fugl-Meyer Assessment for upper limb (FMA) and the Motor Activity Log (MAL) 3 times each baseline, intervention and follow-up. The subjective vividness of MI was assessed by the Visual Analog Scale (VAS). [Results] FMA and MAL score during intervention was improved significantly comparing to baseline, and maintained in withdrawal. VAS score was improved in withdrawal comparing to baseline. [Conclusion] Results suggested that effect of mental practice for stroke patients increased by vividness of motor imagery was improved by the inverse video.