镜像疗法对老年脑卒中合并衰弱前期患者运动功能和衰弱状态的影响

目的探讨镜像疗法对老年脑卒中偏瘫合并衰弱前期患者运动功能、日常生活活动能力和衰弱状态的影响。方法将62例患者按随机数字表法分成镜像组(n=31)和对照组(n=31)。对照组进行常规康复治疗,镜像组在对照组基础上进行镜像疗法。在治疗前和治疗8周后分别采取Fugl-Meyer评分法(FMA)、改良Barthel指数(MBI)和Fried衰弱表型评估运动功能、日常生活活动能力和衰弱状态。结果治疗前两组各指标差异无统计学意义(P>0.05)。治疗后较同组治疗前,两组患者FMA、MBI评分显著提高,Fried衰弱表型得分显著降低(P<0.05)。镜像组患者治疗前后FMA、MBI评分差值均大于对照组,且差异具有统计学意义(P<0.05)。两组患者Fried衰弱表型得分差异虽无统计学意义(P>0.05),然而镜像组得分差值更多。结论镜像疗法可以改善衰弱前期老年脑卒中患者运动功能及日常生活活动能力,也许对患者的衰弱状态有一定改善作用。

Objective To discuss the influence of mirror therapy on motor function and frailty status in elderly patients after stroke complicated by pre-frail.Methods 62 patients were randomly divided into the mirror group(n=31)and the control group(n=31).The control group accepted rehabilitation training,mirror therapy was applied to the mirror group on the basis of the control group for 8 weeks,30 minutes per time by 5 days a week.The motor function,the ADL and the frailty status were respectively measured by Fugl-Meyer Assessment(FMA),Modified Barthel Index(MBI)and the Fried frailty phenotype at pre-training and after 8-week training.Results Before the training,there were no significant difference in FMA,MBI and the Fried frailty phenotype in both groups(P>0.05).After training,compared with pre-training,there were significant difference in both groups in all indexes said above(P<0.05).Compared with the control group,the change scores of FMA and MBI in the mirror group were more prominent,with statistical significance(P<0.05).After training,there was no significant improvement in Fried frailty phenotype in both groups(P>0.05),but the change score in the mirror group was bigger.Conclusion Mirror therapy can significantly enhance motor function and ADL,and it also showes some advantage on promoting frailty status.