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作业疗法基础上结合镜像疗法对脑卒中后异己手综合征的效果

高修明 孟文文 杨娜 雷兆峰

中国康复理论与实践2024,Vol.30Issue(11):1359-1364,6.
中国康复理论与实践2024,Vol.30Issue(11):1359-1364,6.DOI:10.3969/j.issn.1006-9771.2024.11.014

作业疗法基础上结合镜像疗法对脑卒中后异己手综合征的效果

Effect of mirror therapy based on occupational therapy on alien hand syndrome after stroke

高修明 1孟文文 2杨娜 3雷兆峰3

作者信息

  • 1. 徐州医科大学附属医院康复医学科,江苏 徐州市 221002||徐州医科大学附属第三医院康复科,江苏 徐州市 221002||商洛市商州区人民医院康复科,陕西 商洛市 726099
  • 2. 徐州医科大学附属医院康复医学科,江苏 徐州市 221002
  • 3. 商洛市商州区人民医院康复科,陕西 商洛市 726099
  • 折叠

摘要

Abstract

Objective To explore the effect of mirror therapy(MT)based on occupational therapy(OT)on alien hand syndrome(AHS). Methods From January,2022 to December,2023,20 AHS patients from the Affiliated Hospital of Xuzhou Medical Uni-versity were randomly divided into control group(n=10)and observation group(n=10).Both groups received conventional OT,while the observation group additionally received MT,30 minutes per session,twice a day,for four weeks.They were assessed with Wolf Motor Function Test(WMFT),Fugl-Meyer Assessment-Hand(FMA-H),and modified Barthel Index(MBI)before and after treatment. Results The scores of WMFT(t=5.771,P<0.001),FMA-H(t=7.875,P<0.001)and MBI(t=9.544,P<0.001)im-proved in the observation group after treatment,and they were better in the observation group than in the control group(t>3.129,P<0.01). Conclusion MT based on OT may improve hand motor control and activities of daily living in AHS patients.

关键词

异己手综合征/镜像疗法/作业疗法/手功能

Key words

alien hand syndrome/mirror therapy/occupational therapy/hand function

分类

医药卫生

引用本文复制引用

高修明,孟文文,杨娜,雷兆峰..作业疗法基础上结合镜像疗法对脑卒中后异己手综合征的效果[J].中国康复理论与实践,2024,30(11):1359-1364,6.

基金项目

1.徐州市科技局重点研发计划项目(社会发展)(No.KC22131) (社会发展)

2.徐州市卫生健康委青年科技创新重点项目(No.XWKYSL20210164) (No.XWKYSL20210164)

3.徐州医科大学附属医院课题(No.2020KB003) Key R&D Plan of Xuzhou Science and Technology Bureau(Social Development)(No.KC22131),Youth Science and Technology Innovation Key Project of Xuzhou Health Commission(No.XWKYSL20210164)and Project of Affiliated Hospital of Xuzhou Medical University(No.2020KB003) (No.2020KB003)

中国康复理论与实践

OA北大核心CSTPCD

1006-9771

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