创新式镜像疗法对脑卒中患者上肢功能障碍的康复效果

Rehabilitation effect of innovative mirror therapy on upper limb impairment in stroke patients

  • 摘要: 目的探讨创新式镜像疗法(MT)对改善脑卒中患者上肢功能及日常生活活动能力的效果。方法选取60例脑卒中后手功能障碍患者作为研究对象。根据随机数表法将其分为干预组(n = 30)和对照组(n = 30)。干预组接受常规康复训练和创新式MT,对照组接受常规康复训练和传统MT。在治疗前以及治疗4周后,对患者进行Fugl-Meyer运动功能评定量表上肢部分(FMA-UE)、腕和手部分(FMA-WH)以及改良的Barthel指数(MBI)的评定,比较2组康复效果差异。结果治疗4周后,2组患者的FMA-UE、FMA-WH、MBI评分均高于治疗前,P均< 0.05。干预组的FMA-UE、FMA-WH、MBI评分均高于对照组,分别为50.00(25.75,57.25)分vs.24.00(9.75,51.50)分、12.00(1.75,14.75)分vs.0(0,12.50)分、24.50(13.00,28.75)分vs.13.00(4.75,21.00)分,P均< 0.05。干预组FMA-UE、FMA-WH、MBI评分治疗前后的差值均高于对照组,P均< 0.05。结论与传统MT相比,创新式MT更有助于改善脑卒中后手功能障碍患者的上肢功能,提升其日常生活活动能力。

     

    Abstract: ObjectiveTo evaluate the rehabilitation effect of innovative mirror therapy (MT) on the upper limb function and daily living activity ability of stroke patients. MethodsSixty patients with impaired hand function after stroke were enrolled and divided into the intervention (n = 30) and control groups (n = 30) according to the random number table method. Patients in the intervention group received conventional rehabilitation training combined with innovative MT, and those in the control group received conventional rehabilitation training and conventional MT. Before treatment and 4 weeks after treatment, the Fugl-Meyer Assessment Scale for the upper limb (FMA-UE), the Fugl-Meyer Assessment Scale for the wrist and fingers (FMA-WH), and the modified Barthel Index (MBI) were evaluated to compare the rehabilitation effects between two groups. ResultsAfter 4 weeks of treatment, the FMA-UE, FMA-WH, and MBI scores of patients in two groups were higher than those before treatment (all P < 0.05). The FMA-UE, FMA-WH, and MBI scores in the intervention group were higher than those in the control group (50.00 (25.75, 57.25) vs.24.00 (9.75, 51.50), 12.00(1.75, 14.75) vs. 0(0, 12.50), 24.50(13.00, 28.75) vs.13.00(4.75, 21.00), all P < 0.05). The differences before and after treatment of FMA-UE, FMA-WH and MBI scores in the intervention group were all higher than those in the control group (all P < 0.05). ConclusionCompared with traditional MT, innovative MT yields higher efficacy in improving the upper limb function and enhancing daily living capability of patients with impaired hand function after stroke.

     

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