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镜像疗法对脑卒中偏瘫患者手功能影响的研究

Effects of Mirror Therapy on Hemiplegia Hand Function Recovery in Stroke
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摘要 目的:研究镜像疗法对脑卒中偏瘫患者手功能的影响。方法:将60例脑卒中后手功能障碍患者随机分为试验组(n=30)和对照组(n=30),均接受常规综合康复训练及药物治疗,试验组则在此基础上配合镜像疗法,对照组接受假镜像疗法,共8周;分别于治疗前后对患者进行Fugl-Meyer评估量表(FMA)手功能部分、Wolf运动功能测试(WMFT)、日常生活能力(MBI)评价。结果:治疗前,两组FMA、WMFT、MBI评分差异无统计学意义(P>0.05);治疗8周后,两组FMA、WMFT、MBI项评分均提高(P<0.05),且试验组治疗后FMA、WMFT、MBI评分均高于对照组(P<0.05)。结论:镜像疗法能有效促进脑卒中偏瘫患者手功能恢复及提高生活自理能力。 Objective:To explore the effects of mirror therapy on hemiplegia hand function recovery in stroke.Methods:Sixty patients with hand dysfunction after stroke were randomly divided into experimental group(n=30)and control group(n=30).Two groups of patients received routine comprehensive rehabilitation training and drug therapy,while experimental group combined with mirror therapy,and control group received false mirror therapy for 8 weeks.Both before and after treatment were assessed with Fugl-Meyer Assessment Scale of hand function(FMA),Wolf Motor Function Test(WMFT),Modified Barthel Index(MBI).Results:There was no significant difference in FMA,WMFT and MBI scores between the two groups before treatment(P>0.05).After 8 weeks of treatments,the scores of FMA,WMFT and MBI in the two groups were improved(P<0.05).And that,after treatment,the scores of FMA,WMFT and MBI in the experimental group were higher than those in the control group(P<0.05).Conclusion:Mirror therapy can effectively promote the recovery of hand function and improve self-care ability of stroke patients with hemiplegia.
作者 关穗莲 曹全荣 符汉平 黄嘉兴 温培涵 GUAN Sui-lian;CAO Quan-rong;FU Han-ping;HUANG Jia-xing;WEN Pei-han(Rehabilitation Hospital of Jiangmen Disabled Federation of Enping Branch,Jiangmen,Guangdong 529400;Enping Chongde Hospital,Jiangmen,Guangdong 529400)
出处 《按摩与康复医学》 2020年第22期39-41,共3页 Chinese Manipulation and Rehabilitation Medicine
基金 2018年度江门市卫生计生局科研项目,编号:18A006。
关键词 脑卒中 偏瘫 镜像疗法 手功能 日常生活能力 康复 stroke hemiplegia mirror therapy hard function activities of daily living rehabilitation
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