镜像训练对脑卒中患者上肢运动功能和心理状态的影响

目的 观察镜像训练对脑卒中患者上肢运动功能和心理状态的影响。方法 采用随机数字表将64例恢复期脑卒中偏瘫患者分为治疗组和对照组,每组各32例; 2组患者均给予相同常规康复治疗(偏瘫肢体功能综合训练、作业治疗、中低频电刺激治疗和气压泵治疗),对照组在此基础上增加2次/d,20min/次的镜像训练治疗; 以上治疗均5次/周,连续治疗4周; 2组患者均于治疗前和治疗4周后采用Fugl-Meyer量表上肢部分(FMA-UE)、Wolf运动功能测试量表(WMFT)、贝克抑郁量表(BDS)以及改良Barthel指数(MBI)进行评估。结果 治疗前2组FMA-UE评分、WMFT评分、BDS评分、MBI评分比较无明显差异(P>0.05); 治疗4周后除对照组BDS评分无明显变化,其余组别各评分均较治疗前有明显进步(P<0.05),且治疗组FMA-UE、WMFT、BDS、MBI评分与对照组比较有明显差异(P<0.05)。结论 镜像训练可明显提高脑卒中患者上肢运动功能,改善心理状态,提高生活质量。

The effects of early mirror therapy training on the recovery of motor function of upper extremity and psychological states in recovery period brain stroke patients

ObjectiveTo investigate the effects of early mirror therapy training on the recovery of motor function of upper extremity and psychological states in recovery period brain stroke patients.Methods Sixty-four recovery period brain stroke patients with upper limb motor dysfunction were randomly divided into the treatment group(n=32)and the control group(n=32)according to the random number table.All the patients in both groups were given the same conventional rehabilitation therapy(Hemiplegic limb comprehensive function training,Operating training,Electrical stimulation therapy,Pneumatic pump therapy).In addition,the patients in treatment group were given the mirror therapy for twice a day,20 min each.All treatments above were performed conventional rehabilitation therapy once a day for 5 days per week,totally 4 weeks.Fugl-Meyer assessment of upper extremity(FMA-UE),Wolf motor function test(WMFT),Beck Depression Scale(BDS)and Modified Barthel Index(MBI)are used to evaluate the functional changes before and after 4 weeks of intervention.Results There was no significant difference between the two groups in the scores of FMA-UE scores,WMFT scores,BDS scores and MBI scores before training.Compared with before training,all measurements in both groups were significantly improved(P<0.05)expect for BDS in the control group.Compared with the control group after training,the FMA-UE scores,WMFT scores,BDS scores and MBI scores in the treatment group after training significantly exceeded(P<0.05).Conclusion Early mirror training could significantly improve the upper limb motor function,mental state of brain stroke patients and improve the quality of life.