基于左右制衡理论的镜像疗法在亚急性脑卒中患者的临床应用

doi:10.3969/j.issn.1006-9771.2020.01.017

Abstract

Abstract:

Objective To apply a novel mirror therapy based on left-right coordination and counterbalance in patients with subacute stroke.
Methods From October, 2018 to March, 2019, ten subacute stroke patients received the novel mirror therapy for four weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Box and Block Test (BBT), Functional Independence Measure (FIM) and Five Times Sit to Stand Test (FTSST) before and after trial. The patients and the therapists were investigated with a questionnaire after trial.
Results All the patients finished the trial. All the indexes above improved after trial (|Z| > 2.527, P < 0.05). The patients and the therapists generally believed that the novel mirror therapy was suitable for stroke patients.
Conclusion The novel mirror therapy based on left-right coordination and counterbalance is safe and feasible for patients with subacute stroke.

Key words: stroke, left-right coordination and counterbalance, mirror therapy, upper limb

CLC Number:

R743.3

ZHUANG Jin-yang,JIA Jie. Application of Mirror Therapy Based on Left-right Coordination and Counterbalance for Subacute Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(1): 98-101.

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References 21

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编号	性别	年龄(岁)	利手	病程(月)	类型	病灶侧	部位	Brunnstrom分期(手/上肢)
1	男	69	右	3	脑出血	右	基底节	Ⅵ/Ⅴ
2	男	30	右	3	脑梗死	左	额顶颞叶枕叶大面积	Ⅲ/Ⅲ
3	男	38	右	3	脑梗死	右	基底节	Ⅲ/Ⅲ
4	男	61	右	5	脑出血	右	基底节	Ⅴ/Ⅳ
5	男	53	右	5	脑梗死	右	基底节	Ⅲ/Ⅲ
6	男	75	右	5	脑梗死	左	放射冠亚,多发腔隙性	Ⅲ/Ⅲ
7	男	55	右	3	脑梗死	右	内囊后肢	Ⅳ/Ⅴ
8	男	49	右	3	脑梗死	右	基底节区及额颞叶	Ⅲ/Ⅲ
9	女	67	右	3	脑梗死	右	基底节	Ⅵ/Ⅵ
10	男	40	右	3	脑梗死	左	基底节	Ⅳ/Ⅲ

时间	n	FMA-UE	BBT	FISST (s)	FIM
治疗前	10	40.40±14.17	7.10±9.01	17.40±4.48	103.20±14.61
治疗后	10	52.30±9.90	14.00±14.41	14.57±5.49	113.00±8.96
Z值		-2.805	-2.527	-2.807	-2.807
P值		0.005	0.012	0.005	0.005

Application of Mirror Therapy Based on Left-right Coordination and Counterbalance for Subacute Stroke

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