中国康复2026，Vol.41Issue(5)：263-268,6.DOI:10.3870/zgkf.2026.05.002
镜像疗法对卒中相关性肌少症患者早期康复疗效及肌肉衰减情况的影响
The influence of mirror therapy on the early rehabilitation efficacy and muscle attenuation of patients with stroke-relat-ed sarcopenia
陶徉聿 1王晓光 1薛新宏 1高珺 1胡志雯 1张赛雪 1董海欣 1张哲1
作者信息
- 1. 华北理工大学附属医院康复医学科,河北 唐山 063000
- 折叠
摘要
Abstract
Objective:This study adopted the mirror therapy method to preliminarily explore the early rehabilita-tion efficacy of patients with stroke-related sarcopenia and its impact on muscle atrophy.Methods:Totally,60 pa-tients with stroke-associated sarcopenia were divided into a control group and a treatment group according to the random number table method,with 30 cases in each group.All patients received routine rehabilitation training in the rehabilitation department,100 min per day,5 days a week for 4 weeks.The treatment group added mirror ther-apy on the basis of routine rehabilitation,20 min per day,5 days a week for 4 weeks.On the basis of conventional rehabilitation,the control group was given passive activities of the affected upper limb for the same duration as the mirror therapy,20 min per day,5 days a week for 4 weeks.Functional evaluations of the two groups of patients were conducted before and 4 weeks after intervention.The bioelectrical impedance analysis(BIA)was used to as-sess the muscle index of the patients.A hand dynamometer was used to measure the grip strength of the healthy side of the patients to evaluate the muscle attenuation of the patients.The upper limb part of the simplified Fugl-Meyer Assessment of Motor Function Scale(FMA-UE)and the Brunnstrom stage of the upper limb were used to e-valuate the upper limb motor function of the patients.The Modified Barthel Index(MBI)was used to assess the ac-tivities of daily living of the patients.Results:After the intervention,the scores of muscle mass,grip strength of the healthy side,FMA-UE,Brunnstrom stage,and MBI of the two groups of patients were all improved to varying degrees compared with those before the intervention(P<0.05),and the scores of each item in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion:On the basis of conventional reha-bilitation treatment,adding mirror therapy can slow down the degree of early muscle attenuation in patients with stroke-associated sarcopenia and effectively improve the upper limb function and activities of daily living of pa-tients.关键词
脑卒中/卒中相关性肌少症/镜像疗法Key words
stroke/stroke-related sarcopenia/mirror therapy分类
医药卫生引用本文复制引用
陶徉聿,王晓光,薛新宏,高珺,胡志雯,张赛雪,董海欣,张哲..镜像疗法对卒中相关性肌少症患者早期康复疗效及肌肉衰减情况的影响[J].中国康复,2026,41(5):263-268,6.
