视频镜像训练对脑卒中恢复期患者下肢功能的效果

doi:10.3969/j.issn.1006-9771.2023.06.011

摘要/Abstract

摘要：

目的观察视频镜像训练对脑卒中恢复期患者下肢运动功能、步行能力和平衡的效果。
方法 2022年1月至10月，北京博爱医院43例脑卒中恢复期患者随机分为对照组(n = 22)和镜像组(n = 21)。两组均接受常规康复训练，镜像组另外增加视频镜像训练，共4周。治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、功能性步行分级(FAC)和Berg平衡量表(BBS)进行评定。
结果治疗后，两组FMA-LE、FAC和BBS评分均显著改善(|t| > 6.205, P < 0.001)，且镜像组FMA-LE和BBS评分优于对照组(|t| > 2.164, P < 0.05)。
结论结合视频镜像训练更有利于改善脑卒中恢复期患者下肢运动功能和平衡能力。

关键词: 脑卒中, 镜像疗法, 下肢, 运动功能, 步行, 平衡

Abstract:

Objective To observe the effect of video-based mirror therapy on lower limb motor function, walking ability, and balance of stroke patients at recovery stage.
Methods From January to October, 2022, 43 stroke patients in Beijing Bo'ai Hospital were randomly divided into control group (n = 22) and mirror therapy group (n = 21). Both groups received routine rehabilitation, and the mirror therapy group received video-based mirror therapy additionally, for four weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Functional Ambulation Category (FAC) and Berg Balance Scale (BBS) before and after treatment.
Results After treatment, the scores of FMA-LE, FAC and BBS improved significantly in both groups (|t| > 6.205, P < 0.001), and the scores of FMA-LE and BBS were better in the mirror therapy group than in the control group (|t| > 2.164, P < 0.05).
Conclusion Combining with video-based mirror therapy could facilitate to improve the lower limb motor function and balance ability of stroke patients at recovery stage.

Key words: stroke, mirror therapy, lower limb, motor function, walking, balance

中图分类号:

R743.3

张倩, 孙新亭. 视频镜像训练对脑卒中恢复期患者下肢功能的效果[J]. 《中国康复理论与实践》, 2023, 29(6): 703-707.

ZHANG Qian, SUN Xinting. Effect of video-based mirror therapy on lower limb motor function of stroke patients at recovery stage[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 703-707.

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组别	n	性别/n		年龄/岁	病程/d	卒中类型/n		偏瘫侧/n
组别	n	男	女	年龄/岁	病程/d	缺血性	出血性	左	右
对照组	22	15	7	60.60±9.48	49.36±15.47	12	10	13	9
镜像组	21	16	5	49.90±14.69	45.28±16.32	10	11	11	10
χ²/t值		0.343		0.128	0.841	0.206		0.206
P值		0.558		0.899	0.405	0.114		0.114

组别	n	治疗前	治疗后	t值	P值
对照组	22	17.86±5.74	20.36±5.06	-9.894	< 0.001
镜像组	21	17.00±6.16	23.85±5.51	-18.362	< 0.001
t值		0.476	-2.164
P值		0.637	0.036

组别	n	治疗前	治疗后	t值	P值
对照组	22	1.09±0.86	2.09±1.23	-6.205	< 0.001
镜像组	21	0.85±0.85	2.33±1.27	-9.024	< 0.001
t值		0.890	-0.634
P值		0.379	0.530

组别	n	治疗前	治疗后	t值	P值
对照组	22	34.04±10.8	40.59±10.31	-11.072	< 0.001
镜像组	21	32.33±8.56	46.14±5.41	-12.616	< 0.001
t值		0.574	-2.195
P值		0.569	0.033