多模态镜像疗法对脑卒中患者上肢及手功能的效果

Effect of multimodal mirror therapy on upper limb and hand function for stroke patients

目的探讨多模态镜像疗法对脑卒中患者上肢及手功能的效果。方法选取2021年4月至2022年8月浙江省人民医院康复医学科住院治疗的脑卒中患者60例,随机分为A组、B组和C组,各20例。3组均予常规康复,B组增加镜像疗法,C组增加多模态镜像疗法,共6周。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、Carroll手功能评定(UEFT)、患手最大握力和捏力、改良Barthel指数(MBI)进行评定。结果治疗后,3组FMA-UE评分、UEFT评分、患手最大握力和捏力、MBI评分均显著提高(|t|>7.878,P<0.001),C组各项成绩均最优(F>12.563,P<0.001)。结论多模态镜像疗法能进一步改善脑卒中患者上肢运动功能和手功能,提高患手肌力和患者日常生活活动能力。

Objective To investigate the effect of multimodal mirror therapy on upper limb and hand function in stroke patients.Methods From April,2021 to August,2022,60 stroke patients from the Department of Rehabilitation Medicine of Zhejiang Provincial People’s Hospital were randomly divided into group A(n=20),group B(n=20)and group C(n=20).All the patients accepted routine rehabilitation,while group B accepted mirror therapy,and group C accepted multimodal mirror therapy,in addition,for six weeks.They were assessed with Fugl-Meyer AssessmentUpper Extremities(FMA-UE),Upper Extremity Function Test(UEFT)and modified Barthel Index(MBI),while the maximum grip strength and pinch strength of the affected hand were measured.Results The FMA-UE score,UEFT score,maximum hand grip strength and pinch strength,and MBI scores improved in all groups after treatment(|t|>7.878,P<0.001),and it was the most in group C(F>12.563,P<0.001).Conclusion Multimodal mirror therapy may further improve the upper limb motor function and hand function of stroke patients,as well as the strength of the affected hand and the activities of daily living.