Arya Kamal Narayan, Pandian Shanta, Kumar Dharmendra
Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.
Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.
J Bodyw Mov Ther. 2017 Apr;21(2):334-341. doi: 10.1016/j.jbmt.2016.08.001. Epub 2016 Aug 11.
To examine the effect of Mirror therapy (MT) on dexterity, coordination, and muscle strength of the less-affected upper limb in stroke.
Pre-test post-test, single group, experimental design.
Rehabilitation institute.
Post-stroke hemiparetic chronic subjects (N = 21).
Forty sessions of MT using various tasks in addition to the conventional rehabilitation. Tasks such as lifting a glass, ball-squeezing, and picking-up objects were performed by the less-affected side in front of the mirror-box creating an illusion for the affected side.
Minnesota Manual Dexterity Test (MMDT), Purdue Peg Board Test (PPBT), and Manual Muscle Testing (MMT) were used to measure the deficits of the less-affected side.
Post-intervention, the less-affected side of the participants exhibited significant improvement on MMDT (p < 0.001), PPBT (p < 0.001), and MMT (shoulder flexors, wrist extensors and deviators, and finger flexors-extensors; p = 0.005-0.046).
In post-stroke hemiparesis, MT also led to the improvement in dexterity, coordination, and strength of the less-affected side. In addition to the affected side, the technique may augment the subtle motor deficits of the less-affected side.
研究镜像疗法（MT）对中风患者患侧上肢灵活性、协调性和肌肉力量的影响。
前后测单组实验设计。
康复机构。
中风后偏瘫慢性患者（N = 21）。
除常规康复治疗外，进行40次MT治疗，使用各种任务。在镜箱前由患侧上肢完成诸如举起杯子、挤压球和捡起物品等任务，为健侧上肢营造错觉。
采用明尼苏达手灵活性测试（MMDT）、普渡钉板测试（PPBT）和徒手肌力测试（MMT）来评估患侧上肢的功能缺陷。
干预后，参与者患侧上肢在MMDT（p < 0.001）、PPBT（p < 0.001）和MMT（肩部屈肌、腕部伸肌和外展肌以及手指屈伸肌；p = 0.005 - 0.046）方面均有显著改善。
在中风后偏瘫患者中，MT还可改善患侧上肢的灵活性、协调性和力量。除患侧上肢外，该技术可能会改善患侧上肢细微的运动功能缺陷。
