| 尚明程,王超,于宗仁,等.基于PETTLEP模型的运动想象训练对手外伤术后手功能恢复的影响[J].中华物理医学与康复杂志,2026,48(9):785-789 |
| 基于PETTLEP模型的运动想象训练对手外伤术后手功能恢复的影响 |
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| DOI：10.3760/cma.j.cn421666-20240425-00313 |
| 中文关键词: 运动想象训练 PETTLEP模型 手外伤 手功能 |
| 英文关键词: Motor imagery training PETTLEP model Hand trauma Hand function |
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| 中文摘要: |
| 目的 观察基于PETTLEP模型的运动想象训练对手外伤术后患者手功能恢复的影响。 方法 将手外伤修复术后患者120例按随机数字表法分为试验组60例，对照组60例。2组患者均接受常规康复训练，在此基础上试验组患者采用基于PETTLEP模型的运动想象训练，每日1次，每次30 min，每周治疗6 d，连续治疗4周。干预前和干预4周后（干预后）分别测算2组患手手指关节的总主动活动度（TAM）和肌力（最大握力和捏力），并采用明尼苏达手灵巧度测验（MMDT）检测其患手的运动功能（放置测验时间和回转测验时间）。 结果 干预后，2组患者患手的TAM、最大握力、最大捏力、放置测验时间和回转测验时间均显著优于组内干预前（P<0.05），且试验组患手的TAM、最大握力、最大捏力、放置测验时间和回转测验时间分别为（183.51±12.69）°、（12.23±1.38）kg、（8.12±2.34）kg、（211.29±14.75）s和（289.58±19.32）s，均显著优于对照组，差异均有统计学意义（P<0.05）。 结论 在常规康复训练的基础上增加基于PETTLEP模型的运动想象训练，可更为显著地改善手外伤术后患手的关节活动度、握捏肌力和运动功能。 |
| 英文摘要: |
| Objective To investigate the efficacy of PETTLEP-based motor imagery training on hand function recovery in patients after hand trauma surgery. Methods A total of 120 patients undergoing hand trauma surgery were randomly assigned to an experimental group and a control group, with 60 patients in each. Both groups received conventional rehabilitation training. Additionally, the experimental group underwent PETTLEP-based motor imagery training once daily for 30 minutes, 6 days a week for 4 consecutive weeks. Outcome measures included the Total Active Movement (TAM) of finger joints, maximum grip strength, pinch strength, and performance on the Minnesota Manual Dexterity Test (MMDT), specifically the placement test time and turning test time. Assessments were conducted before and after the 4-week intervention. Results After intervention, both groups demonstrated significant improvements in TAM, grip strength, pinch strength, and MMDT times compared to baseline (P<0.05). Notably, the experimental group showed significantly superior outcomes compared to the control group. The mean values for the experimental group were: TAM (183.51±12.69)°, maximum grip strength (12.23±1.38) kg, maximum pinch strength (8.12±2.34) kg, placement test time (211.29±14.75) s, and turning test time (289.58±19.32) s, which were significantly superior to those in the control group (P<0.05). Conclusions Supplementing conventional rehabilitation with PETTLEP-based motor imagery training significantly enhances finger joint mobility, grip and pinch strength, and overall motor function in patients recovering from hand trauma surgery. |
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