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Objective: the legacy motor dysfunction after stroke seriously affect the quality of life of patients, stroke patients with lower limb functional recovery than the upper limb ideal. People have been studying the new rehabilitation therapy on upper limb rehabilitation, motor imagery therapy in recent years as a new therapy for stroke hemiplegia rehabilitation, become a research hotspot. Motion imagine (Mental practice, MP; motor imagery, MI) refers to mentally simulate a specific action of the dynamic process is not associated with any significant actual movement. Motor imagery therapy efficacy of stroke has been confirmed. Movement imagination training effect have a certain impact, however, the majority of domestic involving motor imagery therapy in stroke rehabilitation studies did not involve the imagination test, only in the treatment of motor imagery knowledge guidance. Foreign research reports have been used motor imagery questionnaire to assess the ability of patients with hemiplegia imagine, and that score lt; 25 points were not suitable for motor imagery training. This study before the start motor imagery treatment of stroke patients with hemiplegia the imagination evaluation, and the use of motor imagery guiding language design and rehabilitation projects, the assessment indicators consistent to rehabilitation training content duplication and strengthen, better assess motor imagery therapy in hemiplegic stroke patients with upper limb functional recovery. Methods: 27 cases of stroke patients met the inclusion criteria, were randomly divided into treatment group (14 cases) and control group (n = 13) groups, the treatment group using conventional rehabilitation motor imagery therapy, the control group only routine rehabilitation. The two groups of conventional rehabilitation training the same time, once a day, every 40min, 8 weeks of treatment. Motor imagery treatment in the conventional rehabilitation training in a quiet room, 25min /, 1 times / d, a total of 8 weeks of treatment. Before treatment, 2 weeks, 4 weeks, 8 weeks after treatment, the ipsilateral upper extremity Fugl-Meyer (FMA), Movement Assessment Scale (MAS) score, strength assessment, observation ipsilateral upper limb function recovery. Results: Before treatment ratings of each of the two groups was no significant difference. After 2 weeks of treatment, the treatment groups were compared before and after treatment with MAS score before treatment significantly improved, the difference was statistically significant indicators of the rest of the indicators of the treatment group before and after treatment and the control group before and after treatment were not statistically significant between the two groups between the the muscle treatment group compared with the control group improved significantly, the difference was statistically significant, more than the indicators between the two groups was not statistically significant; 4 weeks after treatment, the two groups of patients of various ratings were improved than before treatment comparison The difference was statistically significant; FMA score and muscle strength of the treatment group were higher than that in the control group, the difference was statistically significant, but no statistically significant difference between the two groups MAS score; 8 weeks after treatment, the two groups were the indicators are significantly improved compared with before treatment (P lt; 0.05), upper extremity FMA, MAS and muscle strength of the treatment group were significantly higher than the control level (P lt; 0.05). Conclusion: motor imagery therapy combined with conventional rehabilitation training can improve upper limb function of stroke patients. Consistent with previous findings. In this study, motor imagery therapy combined with conventional rehabilitation treatment programs, and strengthen the active motor learning, promote limb motor function recovery, thus improving the function of the hemiplegic upper limb. Not only to mobilize the patient to actively participate in the enthusiasm for training, to enhance the initiative, and to solve the long treatment time, the high cost of therapy staffing constraints.
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