镜像疗法结合肌电生物反馈对脑卒中恢复期患者上肢功能的影响

Effect of mirror therapy combined with electromyography biofeedback on upper limb function of stroke patients in recovery period

目的:观察镜像治疗结合肌电生物反馈对脑卒中恢复期患者上肢功能的影响。方法:选取脑卒中上肢功能障碍者60例,随机分为4组,常规组、镜像组、肌电组、联合组各15例。4组患者均接受常规的康复治疗,镜像组在常规治疗的基础上增加镜像治疗,肌电组在常规治疗的基础上增加肌电生物反馈,联合组在常规治疗的基础上增加镜像疗法结合肌电生物反馈。于治疗前后采用Fugl‐Meyer上肢运动功能评定(FMA‐UE)、改良Barthel指数(MBI)及主动腕背伸角度(AROM)进行康复效果评价。结果:治疗8周后,4组患者腕背伸角度及MBI评分均较治疗前都有明显提高(均P<0.05),且联合组高于其余3组(P<0.05)。在FMA‐UE评分方面,治疗8周后仅联合组较治疗前显著提高(均P<0.05),而其余3组较治疗前提高差异无统计学意义。结论:镜像疗法结合肌电生物反馈可以显著改善脑卒中恢复期患者上肢功能,值得推荐。

Objective:To observe the effect of mirror therapy combined with electromyography biofeedback on upper limb function of stroke patients in recovery period.Methods:Sixty stroke patients with upper limb dysfunction were selected.According to the random number experimental method,stroke patients were divided into four groups:15 in the conventional group,15 in the mirror group,15 in the biofeedback group,and 15 in the mirror combined biofeedback group.The four groups were treated for a total of 8 weeks.Fugl-Meyer upper limb motor function assessment(FMA-UE),modified Barthel index(MBI)and active wrist dorsal extension angle were used to evaluate the rehabilitation effect before and 8 weeks after treatment.Results:After 8 weeks of treatment,the wrist extension angle and MBI score in the 4 groups were significantly improved compared to pre-treatment with the difference being statistically significant(all P<0.05),and the mirror therapy combined with biofeedback group was superior to the rest 3 groups(P<0.05).In terms of FMA-UE score,after 8 weeks of treatment,only the combined group showed significant improvement(all P<0.05),while the rest 3 groups had no significant improvement.Conclusion:Mirror therapy combined with EMG biofeedback can significantly improve upper limb function of stroke patients in recovery period,which is recommended.