双向折镜多维空间感觉刺激治疗脑卒中单侧忽略疗效观察

Effect of Bidirectional Mirror Multi-dimensional Sensory Stimulation in the Treatment of Stroke with Unilateral Neglect

目的研究双向折镜多维空间感觉刺激治疗脑卒中单侧忽略的疗效。方法将50例脑卒中后单侧忽略患者,随机地划分为对照组(n=25)和试验组(n=25)。对照组患者接受日常的单侧忽略康复治疗,试验组在常规康复治疗上增加双向折镜多维空间感觉刺激治疗,40 min/次,5次/周,连续4周。治疗前、治疗2周和4周后对患者进行患肢注意时间、Fugl-meyer平衡测定(FMA)、感觉、中线偏移角度、画图实验、日常生活活动能力(ADL)的评估。结果治疗前单侧忽略的忽略程度、ADL等评估,差异无统计学意义(P>0.05);各个治疗时间点的数据比较,差异有统计学意义(P<0.01);治疗2周、4周时间因素随分组的不同而有所差异(P<0.01)。治疗后2组进行各项数据分析,发现差异有统计学意义(P<0.01)。结论双向折镜多维空间感觉刺激治疗能够改善单侧忽略患者忽略程度以及日常生活活动能力。

Objective To study the curative effect of bidirectional fold mirror multidimensional spatial sensory stimulation in the treatment of unilateral neglect after stroke.Methods 50 patients with unilateral neglect after stroke were randomly divided into control group(n=25)and experimental group(n=25).The patients in the control group received daily unilateral neglect rehabilitation therapy,while the experimental group received bidirectional folding mirror multidimensional spatial sensory stimulation therapy on top of the conventional rehabilitation therapy,40min/time,5 times/week,for 4 consecutive weeks.Before treatment,2 weeks and 4weeks after treatment,patients were evaluated for attention time of affected limb,Fugl-Meyer balance assessment(FMA),sensation,midline offset angle,drawing test,and activities of daily living(ADL).Results There was no difference in the degree of neglect,ADL,and other evaluations of unilateral neglect before treatment(P>0.05).The data of each treatment time point were significantly different(P<0.01).The time factors of 2 weeks and 4weeks of treatment varied with the group(P<0.01).After 4 weeks of treatment,the evaluation indicators in the experimental group were significantly improved compared with those before treatment(P<0.01),and the evaluation indicators in the control group were also significantly improved(P<0.05),after treatment,the two groups were compared in various evaluations and found that the difference was more significant(P<0.05).Conclusion Bidirectional folding mirror multi-dimensional sensory stimulation therapy can improve the degree of neglect and activities of daily living in patients with unilateral neglect.