镜像治疗结合Bobath技术对偏瘫患者FMA评分的影响和机制探讨

Effect and Mechanism of Mirror Therapy Combined with Bobath Technique on FMA Scores in Patients with Hemiplegia

目的:探讨镜像治疗结合Bobath技术对偏瘫患者Fugl-Meyer运动功能评定量表(FMA)评分的影响和机制。方法:2020年10月—2022年10月驻马店市中心医院进行康复治疗的93例脑卒中偏瘫患者随机分为对照组(46例,常规康复训练)和研究组(47例,镜像治疗结合Bobath技术)。将2组患者治疗后治疗效果,治疗前后美国国立卫生研究院卒中量表(NIHSS)评分、改良Barthel(BI)量表评分,以及Berg量表评分,治疗前后血清血神经营养素-3(NT-3)、神经生长因子(NGF)水平,以及治疗前后上、下肢Fugl-Meyer运动功能评定量表(FMA)评分进行比较。结果:研究组患者临床有效率为95.74%,比对照组的80.43%高;治疗后2组患者NIHSS评分均下降,且研究组比对照组低,而BI、Berg评分均相较于治疗前上升,且研究组比对照组高;治疗后2组患者血清NT-3、NGF水平均相较于治疗前上升,且研究组比对照组高;治疗后2组患者上肢、下肢FMA评分均相较于治疗前上升,且研究组比对照组高,差异均有统计学意义。结论:镜像治疗结合Bobath技术治疗偏瘫患者,有助于减轻神经受损状况,加速肢体功能、平衡功能的恢复,提升日常生活水平,改善神经细胞因子,疗效确切。

Objective:To explore the effect and mechanism of mirror therapy combined with Bobath technique on the Fugl-Meyer motor function assessment scale(FMA)score of hemiplegic patients.Methods:A total of 93 patients with hemiplegic stroke who received rehabilitation treatment in Zhumadian Central Hospital from October 2020 to October 2022 were randomly divided into a control group(46 cases,conventional rehabilitation training)and a study group(47 cases,mirror therapy combined with Bobath technique)according to the random number table method.The treatment effect,the National Institutes of Health Stroke Scale(NIHSS)score,modified Barthel(BI)scale score,and Berg scale score before and after treatment between the two groups were compared,the serum neurotrophin-3(NT-3)and nerve growth factor(NGF)levels before and after treatment,and the Fugl-Meyer motor function assessment scale(FMA)scores of the upper and lower limbs before and after treatment.Results:The clinical effective rate of the study group was 95.74%,which was higher than 80.43%in the control group.After treatment,the NIHSS scores of the two groups of patients decreased,and the study group was lower than the control group,while the BI and Berg scores increased compared with before treatment,and the study group was higher than the control group.After treatment,the serum NT-3 and NGF levels of the two groups of patients increased compared with before treatment,and the study group was higher than the control group.After treatment,the upper and lower limb FMA scores of the two groups of patients increased compared with before treatment,and the study group was higher than the control group,and the differences were statistically significant. Conclusion: Mirror therapy combined with Bobath technique in the treatment of hemiplegic patientscan help alleviate nerve damage, accelerate the recovery of limb function and balance function, improve daily life, andimprove nerve cell factors, with a definite effect.