镜像疗法对预防脑卒中患者上肢关节挛缩、改善日常生活活动能力的效果分析

摘要

Objective To observe the mirror therapy for preventing hemiplegia upper limb joint contracturesinstrokepatients,andtheimprovementintheactivitiesofdailyliving.Methods 63pa‐tients with stroke-induced paralysis were randomly divided into experimental and control groups ,ac‐cording to cerebrovascular disease treated with conventional therapy regimen I.f the patient is stable for 48 hours in the experimental group ,mirror therapy and routine rehabilitation therapy ;control group will get routine rehabilitation therapy only .Using a modified Ashworth scale (the Modified Ashworth Scale ,MAS) to assess the extent of contracture ,Barthel Index (BI) evaluate the activities of daily liv‐ing .Results After 6 months ,MAS scores of patients in the experimental group was significantly lower than the control group ( P <0 0.1) ,BI score was significantly higher ( P <0 0.1) .Conclusion Mirror therapy can reduce stroke upper limb joint contractures and improve activities of daily living .%①目的观察镜像疗法对预防脑卒中患者上肢关节挛缩、改善日常生活活动能力的疗效。②方法选取脑卒中致偏瘫患者63例，随机分为实验组、对照组，两组均按脑血管疾病治疗方案给予常规药物治疗。实验组患者病情稳定48小时开始进行镜像疗法及常规康复治疗。两组患者采用改良的Ashworth量表（the Modified Ashworth Scale ，MAS）评估患者的挛缩程度，BI（Barthel Index）评定日常生活活动能力评定疗效。③结果治疗6个月后，实验组患者MAS 评分显著低于对照组（P ＜00．1），BI评分显著高于对照组（P ＜00．1）。④结论镜像疗法能部分预防脑卒中患者上肢关节挛缩和提高日常活动能力。