神经病学与神经康复学杂志2025，Vol.21Issue(3)：185-191,7.DOI:10.12022/jnnr.2025-0067
基于具身认知的镜像疗法对脑卒中后咽期吞咽障碍患者的影响
The effects of mirror therapy based on embodied cognition in patients with dysphagia in the post-stroke pharyngeal phase
摘要
Abstract
Objective:To explore the effect of mirror therapy on patients with dysphagia in the post-stroke pharyngeal phase under embodied cognition theory. Methods:40 patients with pharyngeal dysphagia after stroke were randomly divided into 2 groups according to random number table method,with 20 cases in each group.There were no statistically significant differences in gender,age,stroke type,and disease duration ratio.Each group received routine swallowing treatment,and each group received different intervention training on the basis of routine.The control group received static mirror therapy,and the observation group received dynamic mirror therapy.The swallowing function of the patients was evaluated by the Fujijima swallowing efficacy evaluation scale,the Kubota water swallowing test(WST),and the video fluoroscopic swallowing study(VFSS)before and after treatment,and the total effective rate was compared by WST grading. Results:After treatment,the scores of Fujijima swallowing efficacy evaluation scale and VFSS in 2 groups were significantly improved compared with those before treatment(P values<0.001),and the observation group was significantly improved compared with the control group(P values of 0.020 and<0.001,respectively).After treatment,the WST grade score of the two groups decreased,and the decrease of the observation group was more obvious than that of the control group,the difference was statistically significant(P=0.044).After treatment,the comprehensive effective rate of the 2 groups was significantly different(P=0.045). Conclusion:Both dynamic mirror therapy and static mirror therapy can improve the swallowing function of patients with pharyngeal dysphagia after stroke,and the therapeutic effect of dynamic mirror therapy based on embodied cognition theory is superior to static mirror therapy.关键词
具身认知/镜像疗法/吞咽障碍Key words
Embodied cognition/Mirror therapy/Dysphagia引用本文复制引用
陈宜懿,夏家怡,徐倩,陆瑶,裴松..基于具身认知的镜像疗法对脑卒中后咽期吞咽障碍患者的影响[J].神经病学与神经康复学杂志,2025,21(3):185-191,7.基金项目
2023年上海市康复医学会"健康管理"优青人才资助计划项目(2023JGYQ15) （2023JGYQ15）
上海市宝山区卫健委优青(育才)计划(BSWSYC-2024-14,BSWSYC-2024-19) （育才）
上海市第二康复医院院内科研项目(Y2024-09,Y2024-11) 2023 Shanghai Association of Rehabilitation Medicine"Health Management"Excellent Youth Talent Funding Program Project(2023JGYQ15) （Y2024-09,Y2024-11）
Shanghai Baoshan District Health Commission Excellent Youth(Talent Cultivation)Plan(BSWSYC-2024-14,BSWSYC-2024-19) （Talent Cultivation）
Internal Medicine Research Project of Shanghai Second Rehabilitation Hospital(Y2024-09,Y2024-11) （Y2024-09,Y2024-11）
