作业疗法基础上结合镜像疗法对脑卒中后异己手综合征的效果

doi:10.3969/j.issn.1006-9771.2024.11.014

Abstract

Abstract:

Objective To explore the effect of mirror therapy (MT) based on occupational therapy (OT) on alien hand syndrome (AHS).

Methods From January, 2022 to December, 2023, 20 AHS patients from the Affiliated Hospital of Xuzhou Medical University were randomly divided into control group (n = 10) and observation group (n = 10). Both groups received conventional OT, while the observation group additionally received MT, 30 minutes per session, twice a day, for four weeks. They were assessed with Wolf Motor Function Test (WMFT), Fugl-Meyer Assessment-Hand (FMA-H), and modified Barthel Index (MBI) before and after treatment.

Results The scores of WMFT (t = 5.771, P < 0.001), FMA-H (t = 7.875, P < 0.001) and MBI (t = 9.544, P < 0.001) improved in the observation group after treatment, and they were better in the observation group than in the control group (t > 3.129, P < 0.01).

Conclusion MT based on OT may improve hand motor control and activities of daily living in AHS patients.

Key words: alien hand syndrome, mirror therapy, occupational therapy, hand function

CLC Number:

R743.3

GAO Xiuming, MENG Wenwen, YANG Na, LEI Zhaofeng. Effect of mirror therapy based on occupational therapy on alien hand syndrome after stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1359-1427.

Figures/Tables 4

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References 29

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组别	n	性别 (男/女)/n	年龄/岁	病程/d	NIHSS评分	偏瘫侧 (左/右)/n	AHS分型 (额叶/胼胝体)/n
对照组	10	6/4	59.80±9.69	10.70±2.31	9.40±1.07	3/7	8/2
观察组	10	5/5	60.10±8.60	11.70±1.95	9.20±1.40	2/8	9/1
χ²/t值			-0.073	-1.046	0.359
P值		1.000^a	0.942	0.309	0.724	1.000^a	1.000^a

组别	n	测试	$\overline{x}\pm s$	t值	P值
对照组	10	前测	30.90±4.63	5.409	< 0.001
		后测	37.60±3.03
观察组	10	前测	31.80±3.55	5.771	< 0.001
		后测	41.70±2.83
治疗前两组均值差			0.90±1.85	0.488	0.632
治疗后两组均值差			4.10±1.31	3.129	0.006

组别	n	测试	$\overline{x}\pm s$	t值	P值
对照组	10	前测	7.30±0.95	8.510	< 0.001
		后测	9.90±0.99
观察组	10	前测	7.70±0.95	7.875	< 0.001
		后测	11.90±1.37
治疗前两组均值差			0.40±0.42	0.943	0.358
治疗后两组均值差			2.00±0.54	3.735	0.002

组别	n	测试	$\overline{x}\pm s$	t值	P值
对照组	10	前测	41.00±6.58	4.881	0.001
		后测	56.00±6.15
观察组	10	前测	38.00±5.87	9.544	< 0.001
		后测	66.50±4.74
治疗前两组均值差			3.00±2.79	1.076	0.296
治疗后两组均值差			10.50±2.46	4.277	< 0.001

Effect of mirror therapy based on occupational therapy on alien hand syndrome after stroke

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