系统评价镜像疗法对上肢功能的有效性。
Systematic review of the effectiveness of mirror therapy in upper extremity function.
机构信息
Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
Disabil Rehabil. 2009;31(26):2135-49. doi: 10.3109/09638280902887768.
PURPOSE
This review gives an overview of the current state of research regarding the effectiveness of mirror therapy in upper extremity function.
METHOD
A systematic literature search was performed to identify studies concerning mirror therapy in upper extremity. The included journal articles were reviewed according to a structured diagram and the methodological quality was assessed.
RESULTS
Fifteen studies were identified and reviewed. Five different patient categories were studied: two studies focussed on mirror therapy after an amputation of the upper limb, five studies focussed on mirror therapy after stroke, five studies focussed on mirror therapy with complex regional pain syndrome type 1 (CRPS1) patients, one study on mirror therapy with complex regional pain syndrome type 2 (CRPS2) and two studies focussed on mirror therapy after hand surgery other than amputation.
CONCLUSIONS
Most of the evidence for mirror therapy is from studies with weak methodological quality. The present review showed a trend that mirror therapy is effective in upper limb treatment of stroke patients and patients with CRPS, whereas the effectiveness in other patient groups has yet to be determined.
目的
本综述概述了目前关于镜像疗法对上肢功能有效性的研究现状。
方法
进行了系统的文献检索，以确定有关上肢镜像疗法的研究。根据结构化图表对纳入的期刊文章进行了回顾，并评估了方法学质量。
结果
共确定并回顾了 15 项研究。研究了五个不同的患者类别：两项研究聚焦于上肢截肢后的镜像疗法，五项研究聚焦于中风后的镜像疗法，五项研究聚焦于复杂性区域疼痛综合征 1 型（CRPS1）患者的镜像疗法，一项研究聚焦于复杂性区域疼痛综合征 2 型（CRPS2）的镜像疗法，两项研究聚焦于手部手术后除截肢以外的镜像疗法。
结论
大多数镜像疗法的证据来自方法学质量较弱的研究。本综述表明，镜像疗法在手外科治疗中风患者和复杂性区域疼痛综合征患者方面具有一定的疗效，而在其他患者群体中的疗效尚待确定。
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