基于镜像视觉反馈的作业疗法对偏瘫儿童运动功能及生活能力的影响

The effects of occupational therapy based on mirror visual feedback on motor function and life ability of children with hemiplegia

目的探讨基于镜像视觉反馈的作业疗法对偏瘫儿童运动功能及生活能力的影响。方法选取2016年1月-2018年1月本院收治的偏瘫患儿200例,依据随机数字表法分为镜业组和常业组,每组各100例,常业组给予常规作业疗法治疗,镜业组给予基于镜像视觉反馈的作业疗法治疗,比较干预前后2组运动功能、生活能力、康复效果。结果镜业组和常业组干预3、6个月后Fugl-Meyer运动功能评分法(FMA)、日常生活能力量表(ADL)得分明显高于干预前,镜业组干预3、6个月后FMA、ADL得分明显高于常业组(P<0.05);镜业组治疗有效率明显高于常业组(P<0.05)。结论基于镜像视觉反馈的作业疗法可有效改善偏瘫患儿运动功能及生活能力,有利于提高康复效果。

Objective To discuss the effects of occupational therapy based on mirror visual feedback on motor function and life ability of children with hemiplegia.Methods 200 children with hemiplegia were selected from January2016to January2018in our Hospital,according to the random number table method,they were divided into the mirror occupational group and the routine occupational group,100 cases in each group.The routine occupational group was given routine occupational therapy,the mirror occupational group was given occupational therapy based on mirror visual feedback,the motor function,life ability,rehabilitation effect were compared between the two groups.Results The 3,6 months after intervention Fugl-Meyer motor function score(FMA)and daily life ability scale(ADL)scores in the mirror occupational347'group and the routine occupational group were significantly higher than those in two groups before intervention,the 3,6 months after intervention FMA and ADL scores in the mirror occupational group were significantly higher than those in the routine occupational group(P<0.05).The treatment effective rate in the mirror occupational group was significantly higher than that in the routine occupational group(P<0.05).Conclusion Occupational therapy based on mirror visual feedback could effectively improve the motor function and life ability of children with hemiplegia,and it was conducive to improving the rehabilitation effect.