脑卒中下肢功能障碍镜像疗法和综合康复治疗疗效比较

A parallel-controlled study of mirror image therapy and comprehensive rehabilitation therapy on lower limb dysfunction in stroke patients

目的比较镜像疗法和综合康复治疗对脑卒中患者下肢功能障碍的临床疗效。方法选择2015-03至2016-09来秦皇岛市第一医院康复理疗科做康复治疗的脑卒中患者86例,根据excel表格随机数字表法随机分为两组:采用镜像疗法治疗组(镜像疗法组,43例)和综合康复治疗组(综合康复组,43例),共治疗4周。比较两组治疗前后FMA评分、MBI评分、神经功能损伤评分、Brunnstrom分级以及FAC分级。结果研究结果显示,镜像疗法组治疗后FMA评分(23.46±5.09)、MBI评分(46.97±6.77)显著高于综合康复组FMA评分(18.77±4.17)、MBI评分(39.87±5.52)(P<0.05)。镜像疗法组治疗后神经功能损伤评分(9.81±2.31)显著低于综合康复组神经功能损伤评分(18.97±3.56)(P<0.05),治疗后镜像疗法组Brunnstrom分级和FAC分级显著优于综合康复组(P<0.05)。结论镜像疗法是治疗脑卒中后下肢功能障碍的有效方法,能改善下肢运动功能及日常生活能力,提高生存质量,值得推广应用。

Objective To compare the curative effect of mirror therapy and comprehensive rehabilitation therapy for lower limb dysfunction among patients of stroke so as to determine the superiority of mirror therapy. Methods Eighty-six patients with stroke who had received rehabilitation treatment at our hospital between March 2015 and September 2016 were selected as subjects. Using random number table method, these patients were randomly divided into two groups ： the mirror therapy group （ n = 43） and the comprehensive rehabilitation treatment group （n =43 ）. The treatment lasted four weeks. The FMA score, MBI score, nerve function injury score, Brunnstromstage classification and FAC before and after treatment were compared between the two groups. Results The FMA score was （23.46 ± 5.09 ） and the MBI score was （46.97 ± 6.77 ） after treatment in the mirror therapy group, significantly higher than （18.77 ± 4.17） and （39.87 ± 5.52）in the comprehensive rehabilitation group（ P 〈 0.05 ）. After treatment, neurological injury score （9.81 ± 2.31 ） in the mirror therapy group was significantly lower than （ 18.97 ± 3.56） of the comprehensive rehabilitation group （ P 〈 0.05 ）. Brunnstrom stage classification and FAC in the mirror therapy group were significantly better than those in the comprehen- sive rehabilitation group （P 〈 0.05）. Conclusions Mirror therapy is effective for patients with lower limb dysfunction after stroke, which can enhance the patients＇ lower limb motor function and productivity, improve the quality of survival, and is worthy of populari- zation and application.