运动想象疗法在脑卒中后功能恢复中的应用
Application of Motor Imagery Therapy in Functional Recovery after Stroke
DOI: 10.12677/ACM.2023.1371489, PDF,   
作者: 肖玲丽, 何晓宏*：青海大学附属医院康复医学科，青海 西宁
关键词: 脑卒中；运动想象疗法；Stroke； Motor Imagery Therapy
摘要: 脑卒中是以突然发病迅速出现局限性或弥散性脑功能缺损临床特征，其功能恢复方法较多，其中运动想象疗法以其成本低、安全可靠、不受场地限制等优点，应用于脑卒中后康复恢复中的各个时期，有效促进患者功能恢复。本综述探讨运动想象疗法在脑卒中后功能恢复中应用，为临床脑卒中后功能恢复提供新思路。
Abstract: Stroke is a clinical feature of sudden onset and rapid onset of localized or diffuse cerebral functional impairment, and there are many functional recovery methods. Among them, motor imagination therapy with its advantages of low cost, safe and reliable, and not being restricted by the site, has been applied in various periods of post-stroke rehabilitation and recovery, effectively promoting the functional recovery of patients. This review discusses the application of motor imagery therapy in the middle and post-stroke functional recovery, providing a new idea for clinical stroke functional recovery.
文章引用：肖玲丽, 何晓宏. 运动想象疗法在脑卒中后功能恢复中的应用[J]. 临床医学进展, 2023, 13(7): 10669-10673. https://doi.org/10.12677/ACM.2023.1371489

参考文献

[1] 贾建平. 神经病学[M]. 第8版. 北京: 人民卫生出版社, 2018.
[2] 《中国脑卒中防治报告》编写组. 《中国脑卒中防治报告2019》概要[J]. 中国脑血管病杂志, 2020, 17(5): 272-281.
[3] 田涛涛, 王媛, 马凤翘, 赵佳如, 楼敏. “醒脑开窍”针刺法治疗早期缺血性脑卒中对远期致残率影响的临床研究[J/OL]. 中华中医药学刊: 1-8. http://kns.cnki.net/kcms/detail/21.1546.R.20230214.0833.002.html, 2023-02-14.
[4] 许保闪, 林晓光. 早期综合康复治疗对脑卒中偏瘫患者生活质量的影响探究[J]. 现代医学与健康研究电子杂志, 2023, 7(4): 60-62.
[5] Tong, Y., Pendy Jr., J.T., Li, W.A., Du, H., Zhang, T., Geng, X. and Ding, Y. (2017) Motor Imagery-Based Rehabilitation: Potential Neural Correlates and Clinical Application for Functional Recovery of Motor Deficits after Stroke. Aging and Disease, 8, 364-371. [Google Scholar] [CrossRef] 
[6] Hanakawa, T. (2015) Organizing Motor Image-ries. Neuroscience Research, 104, 56-63. [Google Scholar] [CrossRef] [PubMed]
[7] Hanakawa, T., Dimyan, M.A. and Hallett, M. (2008) Motor Planning, Imagery, and Execution in the Distributed Motor Network: A Time-Course Study with Functional MRI. Cere-bral Cortex, 18, 2775-2788. [Google Scholar] [CrossRef] [PubMed]
[8] Guillot, A., Collet, C., Nguyen, V.A., Malouin, F., Richards, C. and Doyon, J. (2009) Brain Activity during Visual versus Kinesthetic Imagery: An fMRI Study. Human Brain Mapping, 30, 2157-2172. [Google Scholar] [CrossRef] [PubMed]
[9] Ruby, P. and Decety, J. (2001) Effect of Subjective Perspective Taking during Simulation of Action: A PET Investigation of Agency. Nature Neuroscience, 4, 546-550. [Google Scholar] [CrossRef] [PubMed]
[10] 王鹤玮, 贾杰, 孙莉敏. 运动想象疗法在脑卒中患者上肢康复中的应用及其神经作用机制研究进展[J]. 中华物理医学与康复杂志, 2019, 41(6): 473-476.
[11] Ehrsson, H.H., Geyer, S. and Naito, E. (2003) Imagery of Voluntary Movement of Fingers, Toes, and Tongue Activates Corresponding Body-Part-Specific Motor Representations. Journal of Neurophysiology, 90, 3304-3316. [Google Scholar] [CrossRef] [PubMed]
[12] Sarasso, E., Agosta, F., Piramide, N., Gardoni, A., Canu, E., Leocadi, M., Castelnovo, V., Basaia, S., Tettamanti, A., Volontè, M.A. and Filippi, M. (2021) Action Observation and Motor Imagery Improve Dual Task in Parkinson’s Disease: A Clinical/fMRI Study. Movement Disorders, 36, 2569-2582. [Google Scholar] [CrossRef] [PubMed]
[13] Shih, T.Y., Wu, C.Y., Lin, K.C., Cheng, C.H., Hsieh, Y.W., Chen, C.L., Lai, C.J. and Chen, C.C. (2017) Effects of Action Observation Therapy and Mirror Therapy after Stroke on Rehabilita-tion Outcomes and Neural Mechanisms by MEG: Study Protocol for a Randomized Controlled Trial. Trials, 18, Article No. 459. [Google Scholar] [CrossRef] [PubMed]
[14] Wang, L., Zhang, J., Zhang, Y., Yan, R., Liu, H. and Qiu, M. (2016) Conditional Granger Causality Analysis of Effective Connectivity during Motor Imagery and Motor Execution in Stroke Patients. BioMed Research International, 2016, Article ID: 3870863. [Google Scholar] [CrossRef] [PubMed]
[15] Cengiz, B. and Boran, H.E. (2016) The Role of the Cerebellum in Mo-tor Imagery. Neuroscience Letters, 617, 156-159. [Google Scholar] [CrossRef] [PubMed]
[16] Oostra, K.M., Van Bladel, A., Vanhoonacker, A.C. and Vingerhoets, G. (2016) Damage to Fronto-Parietal Networks Impairs Motor Imagery Ability after Stroke: A Voxel-Based Lesion Symptom Mapping Study. Frontiers in Behavioral Neuroscience, 10, Article 5. [Google Scholar] [CrossRef] [PubMed]
[17] McInnes, K., Friesen, C. and Boe, S. (2016) Specific Brain Lesions Impair Explicit Motor Imagery Ability: A Systematic Review of the Evidence. Archives of Physical Medicine and Reha-bilitation, 97, 478-489.E1. [Google Scholar] [CrossRef] [PubMed]
[18] 寇洁, 高飞, 常淑莹, 张楠楠, 张红梅. 运动想象疗法在脑卒中偏瘫患者康复训练中的效果[J]. 中国实用神经疾病杂志, 2022, 25(1): 103-106.
[19] 吴娱倩, 张玉梅, 范小伟, 王安心, 逄文斌. 运动想象-动觉治疗对缺血性卒中患者手功能康复效果的研究[J]. 中国卒中杂志, 2022, 17(12): 1366-1371.
[20] Wang, H., Xiong, X., Zhang, K., Wang, X., Sun, C., Zhu, B., Xu, Y., Fan, M., Tong, S., Guo, X. and Sun, L. (2023) Motor Network Reorganization after Motor Imagery Training in Stroke Patients with Moderate to Severe Upper Limb Impairment. CNS Neuroscience & Therapeutics, 29, 619-632. [Google Scholar] [CrossRef] [PubMed]
[21] 韩晴, 徐宁, 庄贺, 韩茜茜, 鹿钦雪, 端木宪雨, 郭钰玮. 运动想象疗法在卒中后运动功能障碍康复的研究进展[J]. 中国康复, 2021, 36(6): 372-375.
[22] Yin, X.J., Wang, Y.J., Ding, X.D. and Shi, T.M. (2022) Effects of Motor Imagery Training on Lower Limb Motor Function of Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial. International Journal of Nursing Practice, 28, e12933. [Google Scholar] [CrossRef] [PubMed]
[23] 曾令雄. 运动想象疗法在脑卒中偏瘫患者下肢功能康复治疗中的效果观察[J]. 健康之路, 2017(10): 36.
[24] 倪朝民. 神经康复学[M]. 第3版. 北京: 人民卫生出版社, 2021.
[25] 刘凤, 刘亚兰, 陈泽, 高翠云, 陈方民. 运动想象疗法在脑卒中后功能康复中的研究进展[J]. 临床医学研究与实践, 2022, 7(15): 194-198.
[26] 李高权, 彭璐琪, 王珊玺, 胡庆, 曹水萍, 任大昌. 基于运动想象疗法引导的康复训练对脑卒中后吞咽障碍患者的疗效[J]. 湘南学院学报(医学版), 2020, 22(1): 31-33.

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