中风后上肢康复亚急性期和慢性期的运动想象和心理练习：系统评价,Occupational Therapy International

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中风后上肢康复亚急性期和慢性期的运动想象和心理练习：系统评价
Occupational Therapy International ( IF 1.3 ) Pub Date : 2023-1-24 , DOI: 10.1155/2023/3752889
Enrique Villa-Berges ₁ , Ana Alejandra Laborda Soriano ₂ , Orosia Lucha-López ₁ , José Miguel Tricas-Moreno ₁ , Mar Hernández-Secorún ₁ , Miguel Gómez-Martínez _{3,

4} , César Hidalgo-García ₁

Affiliation

介绍。运动想象和心理练习可以定义为一种连续的机制，在这种机制中，受试者试图使用认知过程来模拟运动，而不是实际执行运动动作。本综述的目的是分析和检查运动想象和/或心理练习作为亚急性期和慢性期中风患者运动功能恢复方法的有效性。材料和方法。我们在以下数据库中进行了 2009 年至 2021 年的书目检索：Medline (PubMed)、Scopus、WOS、Cochrane 和 OTSeeker。搜索的重点是随机临床试验，在这些试验中，主要受试者是恢复亚急性或慢性中风患者上肢的运动功能。结果。我们分析了总共 11 项随机临床试验，根据 PEDro 量表，这些试验具有中等和较高的方法学质量。大多数关于亚急性和慢性阶段的研究在干预前后的上肢功能恢复方面获得了具有统计学意义的短期结果。结论。运动想象和/或心理练习与常规疗法和/或其他技术相结合，可以在短期内有效恢复中风患者的上肢运动功能。需要更多的研究来分析这种干预措施在中长期随访期间的疗效。

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Motor Imagery and Mental Practice in the Subacute and Chronic Phases in Upper Limb Rehabilitation after Stroke: A Systematic Review

Introduction. Motor imagery and mental practice can be defined as a continuous mechanism in which the subject tries to emulate a movement using cognitive processes, without actually performing the motor action. The objective of this review was to analyse and check the efficacy of motor imagery and/or mental practice as a method of rehabilitating motor function in patients that have suffered a stroke, in both subacute and chronic phases. Material and Methods. We performed a bibliographic search from 2009 to 2021 in the following databases, Medline (PubMed), Scopus, WOS, Cochrane, and OTSeeker. The search focused on randomized clinical trials in which the main subject was rehabilitating motor function of the upper limb in individuals that had suffered a stroke in subacute or chronic phases. Results. We analysed a total of 11 randomized clinical trials, with moderate and high methodological quality according to the PEDro scale. Most of the studies on subacute and chronic stages obtained statistically significant short-term results, between pre- and postintervention, in recovering function of the upper limb. Conclusions. Motor imagery and/or mental practice, combined with conventional therapy and/or with other techniques, can be effective in the short term in recovering upper limb motor function in patients that have suffered a stroke. More studies are needed to analyse the efficacy of this intervention during medium- and long-term follow-up.

更新日期：2023-01-24

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