首页|镜像疗法联合奥塔戈运动训练治疗老年脑梗死伴偏瘫的临床效果观察

镜像疗法联合奥塔戈运动训练治疗老年脑梗死伴偏瘫的临床效果观察

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目的 探讨镜像疗法联合奥塔戈运动训练治疗老年脑梗死伴偏瘫的临床效果.方法 选择 2022 年 1 月—2023年9 月我院收治的 60 例老年脑梗死伴偏瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,各 30例.两组患者均予常规指导,对照组在常规干预基础上给予患者奥塔戈运动训练,观察组给予患者奥塔戈运动训练和镜像疗法.对比两组患者的治疗效果、运动能力、神经功能、日常生活能力和平衡能力.结果 观察组治疗总有效率为96.67%,高于对照组的 73.33%,差异有统计学意义(P<0.05).干预后,观察组Fugl-Meyer运动量表中上肢评分、下肢评分均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组美国国立卫生研究院卒中量表评分低于对照组,Barthel指数评分和Berg平衡量表评分均高于对照组,组间差异有统计学意义(P<0.05).结论 镜像疗法联合奥塔戈运动训练治疗老年脑梗死伴偏瘫的效果确切,有助于改善患者的运动能力、神经功能、平衡能力和日常生活能力,值得推广.
Clinical Effect of Mirror Therapy Combined with Otago Exercise Training for Elderly Cerebral Infarction with Hemiplegia
Objective To explore the clinical effect of mirror therapy combined with Otago exercise training for elderly cerebral infarction with hemiplegia.Methods 60 elderly patients with cerebral infarction with hemiplegia admitted to our hospital from January 2022 to September 2023 were divided into 30 cases in control group and 30 cases in observation group according to random number table.Both groups were given routine guidance,the control group gave patients Otago exercise training on the basis of routine intervention,and the observation group gave patients Otago exercise training and mirror therapy.The treatment effects,motor ability,neurological function,daily living ability and balance ability were compared between the two groups.Results The total effective rate of the observation group was 96.67%,higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).After intervention,the upper and lower limb scores on the Fugl-Meyer Exercise Scale in the observation group were higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).After intervention,the observation group had lower scores on the National Institutes of Health Stroke Scale than the control group,while the Barthel Index score and Berg Balance Scale score were higher than the control group,with statistically significant differences between the groups(P<0.05).Conclusion The effect of mirror therapy combined with Otago exercise training on elderly cerebral infarction with hemiplegia is exact,which is conducive to the improvement of patients'motor ability,neurological function,balance ability and daily life ability,which is worth promoting.

Elderly cerebral infarction in the ageHemiplegiaMirror therapyOtago exercise trainingClinical effect

毛海榕

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酒泉市人民医院神经内科,甘肃酒泉 735000

老年脑梗死 偏瘫 镜像疗法 奥塔戈运动训练 临床效果

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(6)
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