摘要
目的:观察镜像疗法在改善脑卒中偏瘫患者下肢运动功能、日常生活活动能力及平衡能力方面的疗效。方法:将62例脑卒中患者按分层随机分组法分为镜像组和对照组,每组31例。对照组接受常规康复训练,镜像组在常规康复训练的基础上接受健侧下肢的镜像疗法训练。于治疗前和治疗4周后采用简化Fugl-Meyer评分法(FMA)下肢部分、Brunnstrom运动功能评价法、Barthel指数(BI)及Berg平衡量表(BBS)分别评定患者下肢运动功能、下肢运动功能分期、日常生活活动能力及平衡能力。结果:治疗前两组患者上述各指标差异无显著性意义(P>0.05)。治疗后两组患者上述各指标与同组治疗前相比均显著提高(P<0.05)。镜像组患者治疗前后FMA、BI评分差值均大于对照组,且差异均具有显著性意义(P<0.05)。治疗后镜像组与对照组Brunnstrom分期差异无显著性意义(P>0.05),但治疗后镜像组处于分离运动期的患者多于对照组。镜像组与对照组BBS评分差值虽无显著性意义(P>0.05),但镜像组BBS评分差值更大。结论:镜像疗法能有效提高脑卒中偏瘫患者下肢运动功能和日常生活活动能力,并可能对下肢分离运动及平衡能力恢复具有一定促进作用。
Objective: To observe the influence of mirror therapy on lower-limb motor function, ADL and balance in hemiplegia after stroke. Method: Totally 62 patients with hemiplegia after stroke were randomly assigned to the mirror group and the control group according to stratified random grouping method, 31 cases in each group. Both groups accepted routine rehabilitation training. Additionally, the mirror group accepted mirror therapy to train the non-paretic limb for 30 minutes per day, 5 days a week, for 4 weeks. The LE part of Fugl-Meyer Assessment (FMA), Brunnstrom Stage, Barthel Index and Berg Balance Scale were used to evaluate the lower-limb motor function, the lower-limb motor pattern and the ADL respectively at baseline and after 4-weeks training. Result: Before training, there were no significant difference between groups in all indexes said above (P>0.05). After training, there were significant improvements in both groups in all indexes said above compared with baseline (P<0.05). Compared with the control group, the change scores of FMA and BI in the mirror group were more prominent (P<0.05). After training, there was no significant difference between groups in the Brunnstrom Stage (P>0.05), but there were more patients having separation movement in mirror group. There was no significant difference in BBS between groups (P>0.05), but the change scores of BBS in mirror group was bigger. Conclusion: mirror therapy can prominently enhance lower-limb motor function and ADL, and also showed some advantage on promoting recovery of lower-limb voluntary movement and balance.
作者
陈秀秀
吴庆文
郭子梦
刘广天
崔颖
CHEN Xiuxiu;WU Qingwen;GUO Zimeng(College of Nursing and Rehabilitation of North China University of Science and Technology, Tangshan, Hebei, 063210)
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2019年第5期539-543,550,共6页
Chinese Journal of Rehabilitation Medicine
关键词
脑卒中
镜像疗法
下肢
日常生活活动能力
偏瘫
平衡
stroke
mirror therapy
lower limb
activities of daily living
hemiplegia
balance
