音乐运动疗法对脑卒中患者的运动功能、步行能力及心理的影响

发布时间：2019-04-11 14:54

【摘要】：目的:研究音乐运动疗法对脑卒中患者运动功能、步行能力及心理的影响。方法:32例脑卒中患者随机分入音乐运动疗法组和运动疗法组。运动疗法组接受为期3周的常规运动康复训练。音乐运动疗法组在接受常规运动康复训练的同时,配合聆听患者喜爱的音乐,共3周。分别采用Fugl-Meyer运动功能评分(FMA)量表、Holden步行能力分级、Borg量表、抑郁自评量表(SDS)和焦虑自评量表(SAS)评价运动功能、步行能力、自觉疲劳程度和神经心理状况。结果:两组患者治疗后FMA评分均较治疗前显著增高(P0.05)。音乐运动疗法组治疗前后FMA差值显著高于运动疗法组(P0.05)。音乐运动疗法组患者治疗后Holden步行能力分级显著高于运动疗法组(P0.05),步行200m之后的Borg评分显著低于运动疗法组(P0.05)。音乐运动疗法组患者治疗后SDS评分和SAS评分均显著低于治疗前评分(P0.05),也显著低于运动疗法组治疗后评分(P0.05)。结论:音乐运动疗法可提高脑卒中患者的运动功能和步行能力,减轻患者运动后的主观疲劳感觉,缓解患者的焦虑和抑郁症状。
[Abstract]:Objective: to study the effect of music exercise therapy on motor function, walking ability and psychology of stroke patients. Methods: 32 patients with cerebral apoplexy were randomly divided into two groups: music therapy group and exercise therapy group. The exercise therapy group received routine exercise rehabilitation training for 3 weeks. Music exercise therapy group received routine exercise rehabilitation training, while listening to the patient's favorite music, a total of 3 weeks. Fugl-Meyer motor function score (FMA), Holden walking ability scale, Borg scale, self-rating depression scale (SDS) and self-rating anxiety scale-(SAS) (self-rating anxiety scale) were used to evaluate motor function, walking ability, self-conscious fatigue degree and neuropsychological status. Results: the FMA scores of the two groups after treatment were significantly higher than those before treatment (P0.05). The difference of FMA before and after treatment in the music exercise therapy group was significantly higher than that in the exercise therapy group (P 0.05). The scores of Holden walking ability were significantly higher in the music exercise therapy group than in the exercise therapy group (P 0.05), and the Borg score after 200 m walking was significantly lower than that in the exercise therapy group (P 0.05). The scores of SDS and SAS were significantly lower in the treatment group than in the pre-treatment group (P0.05) and also significantly lower than the post-treatment score in the exercise therapy group (P0.05). Conclusion: music exercise therapy can improve the motor function and walking ability of stroke patients, relieve the subjective fatigue feeling of patients after exercise, and relieve the anxiety and depression symptoms of patients.
【作者单位】：南京医科大学附属南京医院(南京市第一医院)康复医学科;
【基金】：2016年度南京医科大学科技发展基金项目面上项目(2016NJMU073)
【分类号】：R743.3

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