镜像疗法联合康复训练对急性脑卒中患者上肢功能重建的影响

Effect of Upper Limb Function Reconstruction in Patients with Acute Stroke by Mirror Therapy Combined with Rehabilitation Training

目的探讨镜像疗法联合康复训练对急性脑卒中患者上肢功能重建的影响。方法选取2015年4月至2016年4月上海市同仁医院收治的50例急性脑卒中患者为研究对象,采用随机数字法分为治疗组和对照组,各25例。对照组单纯给予康复训练,治疗组给予镜像疗法联合康复训练,疗程均为2个月。采用上肢功能评分法(FMA)、手臂动作测试评分法(ARAT)、改良Barthel指数(MBI)法分别评定两组患者治疗前后机体总运动能力、上肢运动功能及日常生活能力。结果治疗后对照组上肢、下肢FMA评分与治疗前比较差异无统计学意义(P>0.05),治疗组上肢、下肢FMA评分高于治疗前,治疗组上肢、下肢FMA评分高于对照组(P<0.05)。治疗后对照组ARAT评分与治疗前比较差异无统计学意义(P>0.05),治疗组ARAT总评分高于治疗前(P<0.05),治疗组ARAT总评分高于对照组[(13.57±2.31)分比(8.83±2.51)分](P<0.05)。治疗后对照组MBI评分与治疗前比较差异无统计学意义(P>0.05),治疗组MBI总评分高于治疗前(P<0.05),治疗组MBI总评分高于对照组[(67.71±7.37)分比(58.44±5.16)分](P<0.05)。结论镜像疗法联合康复训练能够帮助急性脑卒中患者上肢运动功能的恢复,同时改善患者的日常生活能力。

Objective To explore the effect of upper limb function reconstruction in patients with acute stroke by mir- rtr therapy combined with rehabilitation training. Methods A total of 50 cases of acute stroke treated in Shanghai Tongren Hospital from Apr. 2015 to Apr. 2016 were included in the study,and divided into a treatment group and a control group according to the random number method,25 cases each. The control group was given rehabilitation training,and the treat- ment group was treated with mirror therapy combined with rehabilitation training, for 2 months in two groups. The Fugl- Meyer Assessment of rooter （FMA）, action score of research ann test （ARAT） score, modified Barthel index （MBI） were assessed before and after treatment in patients for total body exercise capacity, upper limb motor function and ability of daily life. Results After treatment, there was no significant difference in FMA of upper limbs and lower limbs score in the control group（P 〉0. 05） ,the FMA of upper limbs and lower limbs score of the treatment group was higher than that before treatment,the FMA of upper limbs and lower limbs score of the treatment group was higher than that of the control group （P 〈 O. 05）. After treatment, there was no significant difference in ARAT score in the control group （ P 〈 0. 05 ）, the total score of ARAT in treatment group was higher than that before treatment（P 〈0. 05） ,the total score of ARAT in the treat- ment group（ 13.57 ± 2. 31 ） was higher than that in dae control group （ 8. 83 ± 2. 51 ） （P 〈 0. 05 ）. After treatment, there was no significant difference in MBI total score in the control group（P 〉 0. 05 ）, the MB! tqtal score of the treatment group was higher than that before treatment（P 〈 0. 05 ）. After treatment, the MBI total score of the treatment group （ 67. 71 ±7. 37 ） was higher than that of the control group（58.44 ±5. 16） （P 〈0. 0.5）. Conclusion Mirror therapy combined tsith rehabili- tation training can help the recovery of upper limb motor function in Patients with acute stroke, apd imP, rove the ability 9f daily life of the patients.