镜像疗法对脑卒中偏瘫患者上肢功能和手功能的影响

Mirror therapy on upper extremity function in patients with cerebral apoplexy hemiplegia and hand function

关键词:  镜像疗法  脑卒中  上肢功能  手功能

Key words:  [Key words]　mirror therapy  stroke  upper limb function  hand function

摘要:

目的　探讨镜像疗法对脑卒中偏瘫患者上肢功能和手功能的影响。　方法　　将40例脑卒中偏瘫患者随机分为对照组和康复组，各20例。对照组进行常规康复训练，包括良肢位摆放、被动关节活动、肌力训练、平衡训练、步行训练、作业疗法、物理因子疗法等。康复组在此基础上增加镜像疗法。两组均治疗4周，治疗前及治疗2周后、4周后采用Fugl-Mayer（FMA）量表、STEF和Barthel（BI）指数进行评价。　结果　　康复组治疗2周、4周后FMA评分分别为36.37±16.36、44.36±14.58，STEF评分分别为58.75±7.57、73.32±8.81，BI评分分别为57.33±15.26、67.50±13.48，治疗后两组评分较治疗前以及对照组均有提高，且康复组明显优于对照组（P<0.05）。　结论　　镜像疗法可改善脑卒中偏瘫患者的上肢功能和手功能，对提高患者日常生活活动能力有一定促进作用。

Abstract:

[Abstract] Objective　To explore mirror therapy on upper extremity function in patients with cerebral apoplexy hemiplegia and hand function. 　Methods　Forty patients with of stroke hemiplegia were divided into control group and rehabilitation group. Control group had routine rehabilitation training, including the good limb position puts, the passive joints, muscle strength training, balance training, walk training therapy, homework therapy, physical factor and so on. Rehabilitation group added mirror therapy besides those routine trainings. Both groups had finished 4 weeks treatment, before treatment and 2 weeks and 4 weeks after treatment for the Fugl - Mayer scale, STEF and Barthel index evaluation. 　Results　Two and four weeks after rehabilitation treatment group FMA score were 36.37±16.36, 44.36±14.58, STEF score were 58.75±7.57, 73.32±8.81, BI score were 57.33±15.26, 67.50±13.48, score before the treatment and control group in the two groups after treatment were increased, and the rehabilitation group was better than control group (P<0.05). 　Conclusion　Mirror therapy can improve the stroke patients with hemiplegia of upper limb function and hand function, and to improve their ability of daily life activities has a role in promoting.