Graded motor imagery for rehabilitating upper extremity motor function after stroke
10.3760/cma.j.issn.0254-1424.2019.02.005
- VernacularTitle:分级运动想象联合常规作业治疗对脑卒中后偏瘫患者上肢运动功能的影响
- Author:
Pengpeng GU
1
;
Xuyan CHEN
;
Lai XU
;
Songfang CHEN
;
Songhe JIANG
;
Wenzhan TU
Author Information
1. 温州医科大学附属第二医院育英儿童医院康复医学中心
- Keywords:
Stroke;
Graded motor imagery;
Mirror therapy;
Motor imagery;
Upper extremity func-tion
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2019;41(2):101-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of graded motor imagery ( GMI) therapy combined with rou-tine occupational therapy on the recovery of upper extremity function after stroke. Methods Thirty stroke survivors who met inclusion criteria were randomly assigned to a control group ( n=15) or a GMI group ( n=15) . The control group received routine medication, conventional physical therapy and routine occupational therapy ( one hour a day) , while the GMI group received 30 minutes of routine occupational therapy and 30 minutes of graded motor imagery therapy every day in addition to conventional medication and physical therapy. Before and after four weeks of treat-ment, the patients in both groups were evaluated using the Fugl-Meyer Assessment for the Upper Extremities ( FMA-UE) , the Box and Block Test ( BBT) and Brunnstrom arm and hand staging. Surface electromyography of the biceps brachii and triceps brachii was performed as the affected elbow flexed and stretched in maximum isometric contrac-tions, and the co-contraction ratios ( CRs) were calculated. Results After the treatment, the average FMA-UE score, Brunnstrom arm and hand stage, BBT and CR scores in both groups had improved significantly. The average improvement in the GMI group was significantly greater than in the control group. Conclusions Graded motor im-agery therapy can significantly promote motor recovery of the upper extremities of hemiplegic patients after a stroke.
