Journal of International Psychiatry

[Abstract] Objective: To explore the rehabilitation effect of motor imagery therapy on upper limb function and its impact on psychology and sleep in stroke patients with hemiplegia. Method: Case data were collected and recorded from October 2020 to October 2022. A total of 122 stroke hemiplegic patients admitted to the hospital were divided into a control group (receiving routine rehabilitation training) and an observation group (receiving routine rehabilitation training+motor imagery therapy) based on the "simple randomization method" 1:1 grouping. 61 cases were included in each group; The negative emotion, Psychological resilience, sleep quality and upper limb function of the two groups were observed and compared. Result: After intervention, the scores of Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) in both groups decreased, and the observation group had lower scores than the control group (P<0.05); The score of the Psychological resilience Scale (CD-RISC) in the observation group was higher than that in the control group (P<0.05); After the intervention, the scores of Pittsburgh Sleep Quality Index (PSQI) in both groups were lower, and the scores in the observation group were lower (P<0.05); After intervention, the Fugl Meyer Motor Function Assessment (FMA) scores of both groups were higher than before intervention, and the observation group scored relatively higher than the control group (P<0.05). Conclusion: In the rehabilitation of stroke patients with hemiplegia, motor imagery therapy can improve the rehabilitation effect of upper limb function, play an active role in alleviating anxiety and depression, improving Psychological resilience and improving sleep quality, and achieve the intervention goal of improving the quality of life of patients.

Keywords: Exercise Imagination Therapy; Stroke hemiplegia; Upper limb function; Sleep disorder; Psychological state