镜像疗法配合康复训练对脑卒中偏瘫患者上肢运动功能的临床疗效分析

摘要

Objective:To evaluate the curative effect of mirror therapy combined with rehabilitation training in the treatment of stroke hemiplegic upper limb motor dysfunction. Methods:To choose 48 patients, were randomly divided into control group, 24 cases in each group to observe, are basic rehabilitation training, observation group joint mirror therapy, using FMA, ARAT, BMI, respectively, evaluation of patients with general motor function, upper limb motor function, daily life ability, numerical measurement of radial carpal extensor emg. Results:After the treatment, the control group, the observation group the FMA level, ARAT level, MBI level, EMG level was higher than that before treatment, the observation group than that in the control group, the observation group FMA, ARAT, MBI, the difference of EMG signals is higher than that of control group, with significant difference(t=14.14,t=4.55,t=5.84, t=9.14;P<0.05).Conclusion: mirror therapy combined with rehabilitation training is really helpful to upper extremity motor functional recovery of stroke patients with hemiplegia, is of positive significance to improve the living ability of the patients.%目的：评价镜像疗法配合康复训练治疗脑卒中偏瘫上肢运动功能障碍的疗效。方法：选取48例脑卒中偏瘫患者，按入院时间顺序将其分为对照组和观察组，每组24例。所有患者均进行基础康复训练，观察组联合镜像疗法，采用Fugle-Meyer运动功能评定量表(FMA)、上肢运动研究测试(ARAT)及改良Barthel指数(BMI)评定量表，分别评价患者总体运动功能、上肢运动功能及日常生活能力，以YD-5500生物反馈治疗仪测量桡侧腕伸肌表面肌电数值。结果：治疗后对照组和观察组FMA、ARAT、MBI评定以及肌电信号高于治疗前，且观察组高于对照组；观察组FMA、ARAT、MBI评定以及肌电信号治疗前后差值高于对照组，差异有统计学意义(t=14.14， t=4.55，t=5.84，t=9.14；P＜0.05)。结论：镜像疗法配合康复训练确实有助于脑卒中偏瘫患者上肢运动功能恢复，对于改善患者生活能力具有积极意义。