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中风的镜像疗法康复:上肢恢复与脑活动的范围综述

Mirror Therapy Rehabilitation in Stroke: A Scoping Review of Upper Limb Recovery and Brain Activities.

作者信息

Jaafar Nurulhuda, Che Daud Ahmad Zamir, Ahmad Roslan Nor Faridah, Mansor Wahidah

机构信息

Centre for Occupational Therapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia.

Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.

出版信息

Rehabil Res Pract. 2021 Dec 31;2021:9487319. doi: 10.1155/2021/9487319. eCollection 2021.

DOI:10.1155/2021/9487319
PMID:35003808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8741383/
Abstract

BACKGROUND

Mirror therapy (MT) has been used as a treatment for various neurological disorders. Recent application of electroencephalogram (EEG) to the MT study allows researchers to gain insight into the changes in brain activity during the therapy.

OBJECTIVE

This scoping review is aimed at mapping existing evidence and identifying knowledge gaps about the effects of MT on upper limb recovery and its application for individuals with chronic stroke.

METHODS AND MATERIALS

A scoping review through a systematic literature search was conducted using PubMed, CINAHL, PsycINFO, and Scopus databases. Twenty articles published between 2010 and 2020 met the inclusion criteria. The efficacy of MT on upper limb recovery and brain activity during MT were discussed according to the International Classification of Functioning, Disability and Health (ICF).

RESULTS

A majority of the studies indicated positive effects of MT on upper limb recovery from the body structure/functional domain. All studies used EEG to indicate brain activation during MT.

CONCLUSION

MT is a promising intervention for improving upper limb function for individuals with chronic stroke. This review also highlights the need to incorporate EEG into the MT study to capture brain activity and understand the mechanism underlying the therapy.

摘要

背景

镜像疗法(MT)已被用作治疗各种神经系统疾病的方法。最近将脑电图(EEG)应用于MT研究,使研究人员能够深入了解治疗过程中大脑活动的变化。

目的

本综述旨在梳理现有证据,并找出关于MT对上肢恢复的影响及其在慢性中风患者中的应用的知识空白。

方法和材料

通过使用PubMed、CINAHL、PsycINFO和Scopus数据库进行系统的文献检索,进行了一项综述。2010年至2020年间发表的20篇文章符合纳入标准。根据国际功能、残疾和健康分类(ICF),讨论了MT对上肢恢复的疗效以及MT期间的大脑活动。

结果

大多数研究表明MT对身体结构/功能领域的上肢恢复有积极影响。所有研究都使用EEG来表明MT期间的大脑激活情况。

结论

MT是改善慢性中风患者上肢功能的一种有前景的干预措施。本综述还强调了将EEG纳入MT研究以捕捉大脑活动并理解治疗潜在机制的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e31/8741383/35e19aa0ccb5/RERP2021-9487319.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e31/8741383/35e19aa0ccb5/RERP2021-9487319.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e31/8741383/35e19aa0ccb5/RERP2021-9487319.001.jpg

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