Kim HyunJin, Lee GyuChang, Song ChangHo
Department of Physical therapy, Graduate School of Sahmyook University, Seoul, Republic of Korea.
Department of Physical Therapy, Kyungnam University, College of Natural Sciences, Changwon-si, Republic of Korea.
J Stroke Cerebrovasc Dis. 2014 Apr;23(4):655-61. doi: 10.1016/j.jstrokecerebrovasdis.2013.06.017. Epub 2013 Jul 16.
Motor recovery of the upper extremity in stroke patients is an important goal of rehabilitation. In particular, motor recovery can be accelerated when physical and cognitive interventions are combined. Thus, the aim of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy (MT) on motor function of upper extremity in stroke patients.
Twenty-seven stroke patients were recruited, and the 23 subjects who met the inclusion criteria were randomly allocated into 2 groups: the experimental group (n = 12) and the control group (n = 11). Both groups received conventional rehabilitation training for 60 minutes/day and 5 days/week for 4 weeks. In addition, members of the experimental group received FES with MT and members of the control group received FES without MT for 30 minutes/day and 5 days/week for 4 weeks. Immediately before and after intervention, motor recovery was measured using the Fugl-Meyer (FM) assessment, Brunnstrom's motor recovery stage (BMRS), the Manual Function Test (MFT), and the Box and Block Test (BBT).
Significant upper extremity motor improvements were observed in the experimental and control groups according to the FM, BMRS, MFT, and BBT (P < .05). In particular, FM subscores for wrist, hand, and co-ordination and MFT subscores for hand function were more significantly improved in the experimental group (P < .05).
Motor functions of the upper extremity were improved by FES with MT versus controls. The study shows that FES with MT during poststroke rehabilitation may effectively improve motor functions of the upper extremity.
中风患者上肢运动功能的恢复是康复治疗的重要目标。特别是，将物理和认知干预相结合时，运动功能的恢复可以加速。因此，本研究的目的是探讨功能性电刺激（FES）联合镜像疗法（MT）对中风患者上肢运动功能的影响。
招募了27名中风患者，23名符合纳入标准的受试者被随机分为两组：实验组（n = 12）和对照组（n = 11）。两组均接受每天60分钟、每周5天、共4周的常规康复训练。此外，实验组的成员接受FES联合MT，对照组的成员接受无MT的FES，每天30分钟、每周5天、共4周。在干预前后，使用Fugl-Meyer（FM）评估、Brunnstrom运动恢复阶段（BMRS）、手动功能测试（MFT）和箱块测试（BBT）来测量运动功能恢复情况。
根据FM、BMRS、MFT和BBT评估，实验组和对照组的上肢运动功能均有显著改善（P < 0.05）。特别是，实验组的手腕、手部和协调性的FM子评分以及手部功能的MFT子评分改善更为显著（P < 0.05）。
与对照组相比，FES联合MT可改善上肢运动功能。该研究表明，中风后康复期间采用FES联合MT可能有效改善上肢运动功能。
