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创新式镜像疗法对脑卒中患者上肢功能障碍的康复效果

陈涛 刘沙鑫 陈雪莲 毛磊 李德波 干林玉

新医学2024,Vol.55Issue(6):397-402,6.
新医学2024,Vol.55Issue(6):397-402,6.DOI:10.3969/j.issn.0253-9802.2024.06.001

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

陈涛 1刘沙鑫 2陈雪莲 1毛磊 3李德波 4干林玉1

作者信息

  • 1. 成都市双流区第一人民医院康复医学科,四川 成都 610200
  • 2. 四川大学华西医院康复医学中心,四川 成都 610041||康复医学四川省重点实验室,四川 成都 610041
  • 3. 成都市双流区第一人民医院神经外科,四川 成都 610200
  • 4. 成都市双流区第一人民医院神经内科,四川 成都 610200
  • 折叠

摘要

Abstract

Objective To evaluate the rehabilitation effect of innovative mirror therapy(MT)on the upper limb function and daily living activity ability of stroke patients.Methods Sixty 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.Results After 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).Conclusion Compared 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.

关键词

脑卒中/手功能障碍/康复/创新式镜像疗法/镜像疗法

Key words

Stroke/Hand function impairment/Rehabilitation/Innovative mirror therapy/Mirror therapy

引用本文复制引用

陈涛,刘沙鑫,陈雪莲,毛磊,李德波,干林玉..创新式镜像疗法对脑卒中患者上肢功能障碍的康复效果[J].新医学,2024,55(6):397-402,6.

基金项目

国家重点研发计划课题资助项目(2022YFC3601105) (2022YFC3601105)

四川大学华西医院横向课题项目(HX-H2209249) (HX-H2209249)

新医学

OACSTPCD

0253-9802

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