任务导向训练配合镜像疗法对脑卒中偏瘫患者肢体功能的改善作用

Improvement effect of task-oriented training combined with mirror therapy on limb function in stroke patients with hemiplegia

目的探讨任务导向训练配合镜像疗法对脑卒中偏瘫患者肢体功能的影响。方法选择该院2015年3月‐2016年4月收治的脑卒中偏瘫患者96例为研究对象,以随机数字表法分组,观察组与对照组各48例,对照组患者接受常规康复训练,观察组采用任务导向训练与镜像疗法,对两组患者肢体功能、日常生活活动能力进行观察。结果治疗前,两组患者偏瘫上肢功能测试-香港版(FTHUE-HK分级)、简式Fugl-Meyer运动功能量表(FMA)差异无统计学意义(P>0.05),治疗1个月、3个月时,观察组FTHUE-HK分级、FMA评分均高于对照组,差异有统计学意义(P<0.05);治疗前,两组患者改良Barthel指数(BI)差异无统计学意义(P>0.05),治疗1个月、3个月时,观察组BI评分显著较对照组高,差异存在统计学意义(P<0.05)。结论任务导向训练配合镜像疗法可有效改善脑卒中偏瘫患者肢体功能,也能提高其日常生活活动能力,值得临床推广。

【Objective】To probe into the effects of task-oriented training combined with mirror therapy on limb function of stroke patients with hemiplegia.【Methods】Ninety-six patients with stroke hemiplegia in our hospital from March 2015 to April 2016 were selected as the research objects,and were divided into the observation group and the control group by the random number table method,with 48 cases in each group.Patients in the control group received routine rehabilitation training,while patients in the observation group were treated with task-oriented training and mirror therapy.Then,the limb function and activities of daily living of two groups of patients were observed.【Results】Before treatment,there was no significant difference in hemiplegic upper extremity function test-Hongkong version（funcitional test for the hemiplegic upper extremity-Hongkong,FTHUE-HK classification）,simplified Fugl-Meyer motor function assessment（FMA） between the two groups（P〈0.05）.At 1 month and 3 months during treatment,the FTHUE-HK scores and FMA scores in the observation group were higher than those of the control group,and the differences were statistically significant（P〈0.05）;before treatment,there was no significant difference in modified Barthel index（BI） between the two groups（P〉0.05）.At 1 month and 3 months during treatment,the BI scores in the observation group were significantly higher than those of the control group,and the differences were statistically significant（P〈0.05）.【Conclusion】？The task-oriented training combined with mirror therapy not only can effectively improve the limb function of stroke patients with hemiplegia,but also can improve their activities of daily living,thus it is worthy to be promoted in the clinic.