İkizler May Hatice, Özdolap Şenay, Mengi Alper, Sarıkaya Selda
Department of Physical Medicine and Rehabilitation, Antalya Atatürk State Hospital, Antalya, Turkey.
Department of Physical Medicine and Rehabilitation, Bülent Ecevit University Faculty of Medicine, Zonguldak, Turkey.
Turk J Phys Med Rehabil. 2020 Mar 9;66(2):154-160. doi: 10.5606/tftrd.2020.2719. eCollection 2020 Jun.
This study aims to evaluate the effects of mirror therapy (MT) on lower extremity motor function and ambulation in post-stroke patients.
A total of 42 post-stroke patients (25 males, 17 females; mean age 58 years; range, 32 to 71 years) were included. All patients were randomly divided into two groups as the control group (n=21) receiving a conventional rehabilitation program for four weeks (60 to 120 min/day for five days a week) and as the MT group (n=21) receiving MT for 30 min in each session in addition to the conventional rehabilitation program. The Brunnstrom stages of stroke recovery, Functional Independence Measure (FIM), Berg Balance Scale (BBS) and Motricity Index (MI) scores, six-minute walking test (6MWT), Functional Ambulation Category (FAC), and the degree of ankle plantar flexion spasticity using the Modified Ashworth Scale (MAS) were evaluated at baseline (Day 0), at post-treatment (Week 4), and eight weeks after the end of treatment (Week 12).
There were significant differences in all parameters between the groups, except for the degree of ankle plantar flexion spasticity, and in all time points between Week 0 and 4 and between Week 0 and 12 (p<0.05).
These results suggest that MT in addition to conventional rehabilitation program yields a greater improvement in the lower extremity motor function and ambulation, which sustains for a short period of time after the treatment.
本研究旨在评估镜像疗法（MT）对中风后患者下肢运动功能和步行能力的影响。
共纳入42例中风后患者（男性25例，女性17例；平均年龄58岁；范围32至71岁）。所有患者随机分为两组，对照组（n = 21）接受为期四周的常规康复计划（每天60至120分钟，每周五天），镜像疗法组（n = 21）除常规康复计划外，每次接受30分钟的镜像疗法。在基线（第0天）、治疗后（第4周）和治疗结束后八周（第12周）评估中风恢复的Brunnstrom阶段、功能独立性测量（FIM）、伯格平衡量表（BBS）和运动指数（MI）评分、六分钟步行测试（6MWT）、功能性步行分类（FAC）以及使用改良Ashworth量表（MAS）评估的踝关节跖屈痉挛程度。
除踝关节跖屈痉挛程度外，两组之间所有参数以及第0周与第4周之间和第0周与第12周之间的所有时间点均存在显著差异（p<0.05）。
这些结果表明，除常规康复计划外，镜像疗法可使下肢运动功能和步行能力有更大改善，且在治疗后短期内持续存在。
