Lee Ho Jeong, Kim Young Mi, Lee Dong Kyu
Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
J Phys Ther Sci. 2017 Mar;29(3):523-526. doi: 10.1589/jpts.29.523. Epub 2017 Mar 22.
[Purpose] The aim of this study was to evaluate the effects of action observation training and mirror therapy to improve on balance and gait function of stroke patients. [Subjects and Methods] The participants were randomly allocated to one of three groups: The action observation training with activity group practiced additional action observation training with activity for three 30-minute session for six weeks (n=12). The mirror therapy with activity group practiced additional mirror therapy with activity for three 30-minute sessions for six weeks (n=11). The only action observation training group practiced additional action observation training for three 30-minute sessions for weeks (n=12). All groups received conventional therapy for five 60-minute sessions over a six-week period. [Results] There were significant improvements in balance and gait function. The action observation training with activity group significantly improved subjects' static balance. The action observation training with activity group and the mirror therapy with activity group significantly improved subjects' gait ability. [Conclusion] The activation of mirror neurons combined with a conventional stroke physiotherapy program enhances lower-extremity motor recovery and motor functioning in stroke patients.
[目的] 本研究旨在评估动作观察训练和镜像疗法对改善中风患者平衡和步态功能的效果。[对象与方法] 参与者被随机分配到三组中的一组：动作观察训练与活动组进行额外的动作观察训练与活动，为期六周，共三个30分钟的疗程（n = 12）。镜像疗法与活动组进行额外的镜像疗法与活动，为期六周，共三个30分钟的疗程（n = 11）。单纯动作观察训练组进行额外的动作观察训练，为期六周，共三个30分钟的疗程（n = 12）。所有组在六周内接受五个60分钟疗程的常规治疗。[结果] 平衡和步态功能有显著改善。动作观察训练与活动组显著改善了受试者的静态平衡。动作观察训练与活动组和镜像疗法与活动组显著改善了受试者的步态能力。[结论] 镜像神经元的激活与传统中风物理治疗方案相结合可增强中风患者的下肢运动恢复和运动功能。
