Jan Shafqatullah, Arsh Aatik, Darain Haider, Gul Shehla
Department of Physiotherapy, Pakistan Institute of Prosthetics and Orthotics Peshawar.
Department of Physiotherapy, Paraplegic Centre Peshawar.
J Pak Med Assoc. 2019 Sep;69(9):1242-1245.
To compare the effectiveness of motor relearning programme with mirror therapy in upper limb motor functions of stroke patients.
The randomised control trial was conducted in Rafsan Neuro Rehabilitation Centre, Peshawar, Pakistan, from June to December 2017, and comprised stroke patients who had Mini Mental State Examination score over 24. Participants were randomly allocated into treatment and control groups. The treatment group underwent a Motor Relearning Programme, while the control group received Mirror therapy. Upper limb sub-scales of the motor assessment scale were used as data collection tool. SPSS 20 was used for data analysis.
Of the 66 subjects, 46(69.7%) were males and 20(30.3%) were females. The overall mean age was 55.44±9.21 years. Left hemiplegia was found in 31(47%) subjects, while 35(53%) had right hemiplegia. Each of the two groups had 33(50%) subjects. There were significant differences between pre-treatment and post-treatment mean scores of upper arm functions, hand function and advance hand activities of the two groups (p<0.05 each). All the three variables significantly improved in the treatment group compared to the control group (p<0.001).
Motor Relearning Programme and Mirror therapy were found to be effective in improving upper limb motor functions of stroke patients, but the former was found to be more effective than the latter.
比较运动再学习方案与镜像疗法对脑卒中患者上肢运动功能的疗效。
2017年6月至12月在巴基斯坦白沙瓦的拉夫桑神经康复中心进行了一项随机对照试验，纳入简易精神状态检查表得分超过24分的脑卒中患者。参与者被随机分为治疗组和对照组。治疗组接受运动再学习方案，而对照组接受镜像疗法。使用运动评估量表的上肢分量表作为数据收集工具。采用SPSS 20进行数据分析。
66名受试者中，46名（69.7%）为男性，20名（30.3%）为女性。总体平均年龄为55.44±9.21岁。31名（47%）受试者为左侧偏瘫，35名（53%）为右侧偏瘫。两组各有33名（50%）受试者。两组治疗前和治疗后上臂功能、手部功能和手部高级活动的平均得分存在显著差异（均p<0.05）。与对照组相比，治疗组的这三个变量均有显著改善（p<0.001）。
运动再学习方案和镜像疗法均能有效改善脑卒中患者的上肢运动功能，但前者比后者更有效。
