多模态镜像疗法对脑卒中患者上肢及手功能的效果

doi:10.3969/j.issn.1006-9771.2023.01.011

Abstract

Abstract:

Objective To investigate the effect of multimodal mirror therapy on upper limb and hand function in stroke patients.

Methods From April, 2021 to August, 2022, 60 stroke patients from the Department of Rehabilitation Medicine of Zhejiang Provincial People's Hospital were randomly divided into group A (n = 20), group B (n = 20) and group C (n = 20). All the patients accepted routine rehabilitation, while group B accepted mirror therapy, and group C accepted multimodal mirror therapy, in addition, for six weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Upper Extremity Function Test (UEFT) and modified Barthel Index (MBI), while the maximum grip strength and pinch strength of the affected hand were measured.

Results The FMA-UE score, UEFT score, maximum hand grip strength and pinch strength, and MBI scores improved in all groups after treatment (|t| > 7.878, P < 0.001), and it was the most in group C (F> 12.563, P< 0.001).

Conclusion Multimodal mirror therapy may further improve the upper limb motor function and hand function of stroke patients, as well as the strength of the affected hand and the activities of daily living.

Key words: stroke, mirror therapy, upper limb function, hand function

CLC Number:

R743.3

SUN Fengbao, ZHANG Xiaofeng, LIU Yong, XU Zhitao, JIN Zhenhua. Effect of multimodal mirror therapy on upper limb and hand function for stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 77-81.

Figures/Tables 6

References 36

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组别	n	性别(男/女)/n	年龄/岁	病程/d	病变性质(梗死/出血)/n	偏瘫侧别(左/右)/n
A组	20	11/9	55.95±12.30	26.10±6.71	13/7	8/12
B组	20	10/10	59.85±9.16	26.65±5.06	12/8	9/11
C组	20	12/8	59.50±11.39	27.45±5.25	9/11	11/9
χ²/F值		0.404	0.766	0.282	1.765	0.938
P值		0.817	0.470	0.756	0.414	0.626

组别	n	治疗前	治疗后	t值	P值
A组	20	16.85±3.30	26.45±4.07	-33.720	< 0.001
B组	20	17.55±3.65	30.05±4.40^a	-32.275	< 0.001
C组	20	17.40±3.66	34.65±4.02^a,b	-98.098	< 0.001
F值		0.217	19.483
P值		0.806	< 0.001

组别	n	治疗前	治疗后	t值	P值
A组	20	15.25±5.64	23.45±5.06	-8.654	< 0.001
B组	20	15.75±6.43	28.95±6.48^a	-16.568	< 0.001
C组	20	15.40±5.25	34.45±8.14^a,b	-22.314	< 0.001
F值		0.039	13.562
P值		0.962	< 0.001

组别	n	治疗前	治疗后	t值	P值
A组	20	3.43±1.33	7.37±2.86	-11.354	< 0.001
B组	20	3.48±1.31	13.35±4.56^a	-13.081	< 0.001
C组	20	3.49±1.23	17.24±5.26^a,b	15.034	< 0.001
F值		0.012	26.22
P值		0.988	< 0.001

组别	n	治疗前	治疗后	t值	P值
A组	20	1.89±0.70	2.53±0.81	-7.878	< 0.001
B组	20	1.87±0.73	3.82±1.32^a	-10.385	< 0.001
C组	20	1.97±0.82	7.97±2.28^a,b	16.189	< 0.001
F值		0.103	63.87
P值		0.902	< 0.001

Effect of multimodal mirror therapy on upper limb and hand function for stroke patients

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组别	n	治疗前	治疗后	t值	P值
A组	20	35.25±6.62	49.05±7.08	-60.393	< 0.001
B组	20	35.95±6.26	54.90±7.72^a	-45.836	< 0.001
C组	20	34.90±6.03	60.70±7.24^a,b	-25.896	< 0.001
F值		0.144	12.563
P值		0.867	< 0.001

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