Abstract: Objective To study the effects of motor imagery therapy on lower limb function rehabilitation and self-efficacy in patients with spinal cord injury. Methods Seventy-six patients with incomplete spinal cord injury were randomly divided into study group and control group, with 38 cases in each group. Control group was given routine rehabilitation training, and study group was given motor imagery therapy on this basis. The lower limb function (Functional Ambulation Category, FAC), self-efficacy (general self-efficacy table, GSES), independent living capacity (modified Barthel index, MBI) and disease recovery (motor and sensory scores of American spinal cord injury association, ASIA) were compared between the two groups before intervention and after 8 weeks of intervention. Results After 8 weeks of intervention, the excellent and good rate of ambulation status in study group was significantly higher than that in control group, and the scores of GSES, MBI and motor, touch and pinprick sensation of ASIA in study group were significantly higher than those before intervention, and were significantly larger than those in control group (P<0.05). Conclusion Motor imagery therapy can effectively promote the recovery of lower limb function in patients with spinal cord injury, and improve the self-efficacy and independent living capacity, which is conducive to prognosis of patients.

Key words: motor imagery therapy, spinal cord injury, lower limb function, self-efficacy

摘要： 目的 研究运动想象疗法对脊髓神经损伤患者下肢功能康复和自我效能感的影响。方法 将76例不完全脊髓神经损伤患者随机均分为研究组和对照组,每组各38例,对照组给予常规康复训练,研究组在其基础上给予运动想象疗法进行干预。比较两组干预前及干预8周后下肢功能（功能性步行量表,FAC）、自我效能感（一般自我效能量表,GSES）、独立生活能力（改良Barthel指数,MBI）、疾病恢复（美国脊髓损伤协会,ASIA,运动、感觉评分）情况。结果 干预8周后,研究组步行状态优良率明显高于对照组,研究组患者GSES、MBI、ASIA运动、触觉、针刺觉评分水平均较干预前显著上升,且明显大于同期对照组,差异具有统计学意义（P<0.05）。结论 运动想象疗法能够有效地促进脊髓神经损伤患者下肢功能恢复,同时改善患者的自我效能感及独立生活能力,利于患者恢复。

关键词: 运动想象疗法, 脊髓神经损伤, 下肢功能, 自我效能感