RESUMO
Objective To investigate the effects of motor imagery therapy combined with scalp acupuncture on balance and walking abilities in hemiplegic stroke survivors.Methods A total of 120 patients with post-stroke hemiparesis were randomly divided into 3 groups,each of 40 cases.All patients were given basic medication and conventional rehabilitation treatment.In addition,the motor imagery group accepted motor imagery therapy,the scalp acupuncture group received scalp acupuncture,and the treatment group was provided with the above both for 6 weeks.The 10 m maximum walking speed (10 m MWS),Berg balance scale (BBS),functional ambulation classification (FAC) and timed up and go test (TUGT) were conducted to evaluate balance and gait abilities before and after the intervention.Results There were no significant differences among the 3 groups in any of the assessments (P ＞ 0.05) before intervention (P ＞ 0.05).After six weeks' intervention,all measurements of the 3 groups were significantly better than those before that (P ＜ 0.05),and the effects of the treatment group were significantly better than those of the other 2 groups (P ＜ 0.05).Conclusion Motor imagery therapy combined with scalp acupuncture can distinctly improve the balance and walking abilities in hemiplegic stroke survivors,superior to the effect of solely motor imagery therapy or scalp acupuncture.
RESUMO
Objective To investigate the effect of motor imagery therapy supplemented with scalp acupuncture for improving the lower limb motor function of stroke patients with hemiplegia.Methods A total of 120 hemiplegic stroke patients were randomly divided into an experimental group and a control group with 60 patients in each.All were given routine medical care and scalp acupuncture (stimulating the posterior and anterior oblique line of the parietal-temporal lobe contralateral to the hemiplegic limb).The treatment was given daily for 3 weeks as one session,and 2 sessions were administered to both groups.The experimental group was given motor imagery therapy in addition.Each treatment took about 25 min every day for 3 weeks as one session,and again 2 consecutive sessions were administered.The temporal and spatial gait parameters (10m maximum walking speed,stride length and cadence) of all of the patients were assessed,the Fugl-Meyer lower extremity assessment (FMA-L) was conducted and functional ambulation classifications (FACs) were assigned before therapy and at the end of the 6 weeks.Results After 6 weeks of treatment,all of the measures had improved significantly for both groups.The experimental group,however,had improved significantly more than the control group.Conclusion Motor imagery therapy can supplement scalp acupuncture to improve lower limb motor function in hemiplegic stroke patients.
RESUMO
Objective To study the effect of motor imagery therapy combined with conventional rehabilitation treatment on walking ability in patients with post-stroke hemiplegia.Methods Eighty patients with post-stroke hemiplegia were randomly divided into a treatment group (40 cases) and a control group (40 cases).All the patients in both groups were given basic medication and conventional rehabilitation treatment.In addition,the patients in treatment group were given motor imagery therapy.The 10 m maximum walking speed (10 m MWS),stride length,cadence,Fugl-Meyer motor assessment (lower limb) (FMA-L) and Holden's functional ambulation classification (FAC) were used to evaluate walking ability before the beginning of training and at the end of six weeks of training.Results Before intervention there was no significant difference between the two groups in terms of all the assessment (P ＞0.05).At the end of training,all measurements in both groups [the treatment group:10 m MWS (0.53 ± 0.20)m/s,stride length (78.91 ± 20.46) cm,cadence (78.10 ± 12.03) min,FMA-L (24.13 ±5.77),FAC (3.60±1.01);the control group:10 m M WS (0.42 ±0.15)m/s,stride length (69.75 ± 18.31)cm,cadence (71.14±9.29)/min,FMA-L (20.65 ±4.70),FAC (2.93 ±0.89)] were significantly better than those before training (P ＜ 0.05),and the improvements in treatment group were significantly better than those in control group (P ＜ 0.05).Conclusion Motor imagery therapy combined with conventional rehabilitation treatment can distinctly improve the walking ability in patients with post-stroke hemiplegia.