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卒中幸存者上肢功能中镜像疗法与传统康复的系统评价

Systematic review of mirror therapy compared with conventional rehabilitation in upper extremity function in stroke survivors.

作者信息

Pérez-Cruzado David, Merchán-Baeza Jose Antonio, González-Sánchez Manuel, Cuesta-Vargas Antonio I

机构信息

Department of Physiotherapy, University of Malaga, Clinimetric Group FE-14 Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain.

Department of Health Science, University of Jaen, Jaen, Spain.

出版信息

Aust Occup Ther J. 2017 Apr;64(2):91-112. doi: 10.1111/1440-1630.12342. Epub 2016 Dec 29.

Abstract

BACKGROUND/AIM: Stroke is a leading cause of disability in developed countries. One of the most widespread techniques in clinical practice is mirror therapy (MT). To determine the effectiveness of MT over other methods of intervention in the recovery of upper limb function in people who have had a stroke.

METHODS

A systematic review was conducted. The search string was established based on the last systematic review about MT that dated from 2009: "upper extremity" OR "upper limb "AND "mirror therapy" AND stroke. For this search Pubmed, Scopus and SciELO databases were used.

RESULTS

Fifteen studies were included in the systematic review. Recovery of the upper limb, upper limb function and gross manual dexterity were frequently measured in these studies.

CONCLUSIONS

In the primary variables in promoting recovery, MT alone showed better results in acute and chronic stroke patients in upper limb functioning than either conventional rehabilitation (CR) or CR plus MT. PROSPERO registration number: CRD42015026869.

摘要

背景/目的:在发达国家,中风是导致残疾的主要原因之一。临床实践中应用最广泛的技术之一是镜像疗法(MT)。本研究旨在确定镜像疗法相较于其他干预方法,对中风患者上肢功能恢复的有效性。

方法

进行了一项系统综述。搜索词基于2009年关于镜像疗法的上一篇系统综述确定:“上肢”或“upper limb”以及“镜像疗法”和“中风”。本次搜索使用了PubMed、Scopus和SciELO数据库。

结果

该系统综述纳入了15项研究。这些研究中经常测量上肢恢复情况、上肢功能和手部总体灵巧性。

结论

在促进恢复的主要变量方面,单独使用镜像疗法在急性和慢性中风患者的上肢功能恢复方面比传统康复(CR)或CR加镜像疗法效果更好。国际前瞻性系统评价注册编号:CRD42015026869。

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