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镜像疗法对亚急性脑卒中患者平衡能力的影响。

The effect of mirror therapy on balance ability of subacute stroke patients.

作者信息

Kim Myoung-Kwon, Ji Sang-Gu, Cha Hyun-Gyu

机构信息

Department of Physical Therapy, Daegu University, 201, Daegudae-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of Korea.

Department of Physical Therapy, Eulji University Hospital, Dunsan-dong 1306, Seo-gu, Daejeon, 302-799, Republic of Korea.

出版信息

Hong Kong Physiother J. 2016 Jan 25;34:27-32. doi: 10.1016/j.hkpj.2015.12.001. eCollection 2016 Jun.

DOI:10.1016/j.hkpj.2015.12.001
PMID:30931024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6385139/
Abstract

BACKGROUND

Rehabilitation of subacute stroke patients represents a major challenge.

OBJECTIVE

This study was conducted to examine the effects of mirror therapy on balance ability among subacute stroke patients.

METHODS

The patients were assigned to a mirror therapy group ( = 17) or a sham therapy group ( = 17). Participants in the experimental group received mirror therapy and conventional rehabilitation therapy for a total of 60 minutes (mirror therapy: 30 minutes; conventional rehabilitation therapy: 30 minutes) per day, with a 10 minute rest period halfway through the session. Participants in the experimental group received training 5 days/week for 4 weeks. Participants in the control group received sham therapy and conventional rehabilitation therapy for a total of 60 minutes (sham therapy: 30 minutes, conventional rehabilitation therapy: 30 minutes) per day on the same day. Balance Index (BI) scores were obtained using a balance measurement system.

RESULTS

A significant difference in post-training gains for the overall stability index and medial and lateral stability index was observed between the experimental group and the control group ( < 0.05).

CONCLUSION

We conclude that mirror therapy may be beneficial in improving balance ability among subacute stroke patients.

摘要

背景

亚急性中风患者的康复是一项重大挑战。

目的

本研究旨在探讨镜像疗法对亚急性中风患者平衡能力的影响。

方法

将患者分为镜像治疗组(n = 17)和假治疗组(n = 17)。实验组参与者每天接受总共60分钟的镜像疗法和传统康复治疗(镜像疗法:30分钟;传统康复治疗:30分钟),疗程中途休息10分钟。实验组参与者每周训练5天,共4周。对照组参与者在同一天接受总共60分钟的假治疗和传统康复治疗(假治疗:30分钟,传统康复治疗:30分钟)。使用平衡测量系统获得平衡指数(BI)分数。

结果

实验组和对照组在训练后总体稳定性指数以及内侧和外侧稳定性指数的提高方面存在显著差异(P < 0.05)。

结论

我们得出结论,镜像疗法可能有助于改善亚急性中风患者的平衡能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fc/6385139/ef89b56597f2/hkpj-34-027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fc/6385139/ef89b56597f2/hkpj-34-027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fc/6385139/ef89b56597f2/hkpj-34-027-g001.jpg

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本文引用的文献

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Changes in brain activation in stroke patients after mental practice and physical exercise: a functional MRI study.脑卒患者心理练习和身体锻炼后大脑激活的变化:一项功能磁共振成像研究。
Neural Regen Res. 2014 Aug 1;9(15):1474-84. doi: 10.4103/1673-5374.139465.
2
The mirror therapy program enhances upper-limb motor recovery and motor function in acute stroke patients.镜像疗法方案可促进急性脑卒中患者上肢运动功能的恢复。
Am J Phys Med Rehabil. 2012 Aug;91(8):689-96, quiz 697-700. doi: 10.1097/PHM.0b013e31824fa86d.
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Mirror therapy for improving motor function after stroke.
镜像反馈对轻度认知障碍老年人平衡运动表现的影响。
J Exerc Rehabil. 2020 Feb 26;16(1):58-63. doi: 10.12965/jer.2040036.018. eCollection 2020 Feb.
镜像疗法改善中风后的运动功能。
Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD008449. doi: 10.1002/14651858.CD008449.pub2.
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Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase II randomized controlled trial.慢性中风患者接受镜像治疗后的运动功能恢复和皮质重组:一项 II 期随机对照试验。
Neurorehabil Neural Repair. 2011 Mar-Apr;25(3):223-33. doi: 10.1177/1545968310385127. Epub 2010 Nov 4.
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Mirror visual feedback induces lower neuromuscular activity in children with spastic hemiparetic cerebral palsy.镜像视觉反馈可降低痉挛性偏瘫脑瘫患儿的神经肌肉活动。
Res Dev Disabil. 2010 Nov-Dec;31(6):1525-35. doi: 10.1016/j.ridd.2010.06.004. Epub 2010 Jun 29.
6
Cognitive and affective predictors of rehabilitation participation after stroke.脑卒中后康复参与的认知和情感预测因素。
Arch Phys Med Rehabil. 2010 Feb;91(2):203-7. doi: 10.1016/j.apmr.2009.10.026.
7
Post-stroke balance training: role of force platform with visual feedback technique.脑卒中后平衡训练:力台与视觉反馈技术的作用。
J Neurol Sci. 2009 Dec 15;287(1-2):89-93. doi: 10.1016/j.jns.2009.08.051. Epub 2009 Sep 6.
8
Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients.镜像疗法用于中风患者上肢1型复杂性区域疼痛综合征
Neurorehabil Neural Repair. 2009 Oct;23(8):792-9. doi: 10.1177/1545968309335977. Epub 2009 May 22.
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Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial.镜像疗法促进重度偏瘫恢复:一项随机对照试验。
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