Department of Physical Therapy and Rehabilitation, Institue of Health Sciences, Hasan Kalyoncu University, Gaziantep, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey.
J Hand Ther. 2023 Oct-Dec;36(4):895-902. doi: 10.1016/j.jht.2022.10.008. Epub 2023 Jan 24.
Randomized controlled study.
Mirror therapy is a rehabilitation strategy based on the repeated use of the mirror illusion and also one of the treatment choice of brachial plexus injuries.
We aimed to determine the effects of mirror therapy combined with a routine rehabilitation program on upper limb motor function in children with obstetric brachial plexus injury.
Twenty children with obstetric brachial palsy were included in this study. They were randomly allocated to either control (n = 10) or mirror therapy (n = 10) group. The following clinical tools were used to assess the upper extremity function: Active Movement Scale (AMS), Modified Mallet Scale (MMS), Hand Grip Strength (HGS) Test, Finger Grip Strength (FGSM) Test, Box and Block Test (BBT), Nine Hole Peg Test (9-HPT), and goniometric measurement. Both groups received the same routine physiotherapy program for 8 weeks. The study group underwent mirror therapy in addition to the rehabilitation program.
The mean age of the study population was 11.35 ± 4.12 years. There was no change in the goniometric values, AMS and MMS scores after the treatment in both groups (p > 0.05), except for the improvement of the wrist extension in the study group (p < 0.05). There was an increase in both HGS and FGS scores in the study group. Only FGS scores improved in the control group after the intervention (p < 0.05). 9-HPT and BBT scores improved in both groups (p < 0.05). All other parameters tested were comparable between the two groups after the treatment.
The results of this study did not show any additional benefits of mirror therapy combined with a rehabilitation protocol compared to routine physiotherapy treatment, but was not adequately powered to do so.
随机对照研究。
镜像疗法是一种基于重复使用镜像错觉的康复策略，也是治疗臂丛神经损伤的选择之一。
我们旨在确定镜像疗法结合常规康复方案对产伤性臂丛神经损伤患儿上肢运动功能的影响。
本研究纳入了 20 例产伤性臂丛神经麻痹患儿。他们被随机分配到对照组（n=10）或镜像治疗组（n=10）。使用以下临床工具评估上肢功能：主动运动量表（AMS）、改良马利特量表（MMS）、手握力测试（HGS）、指握力测试（FGSM）、盒-块测试（BBT）、九孔插板测试（9-HPT）和关节角度测量。两组均接受 8 周相同的常规物理治疗方案。研究组除康复方案外还接受镜像治疗。
研究人群的平均年龄为 11.35±4.12 岁。两组治疗后关节角度值、AMS 和 MMS 评分均无变化（p>0.05），但研究组腕关节伸展度有所改善（p<0.05）。研究组的 HGS 和 FGS 评分均有所增加，而对照组仅在干预后 FGS 评分有所改善（p<0.05）。9-HPT 和 BBT 评分在两组均有所改善（p<0.05）。治疗后两组其他测试参数均无差异。
本研究结果未显示镜像疗法结合康复方案与常规物理治疗相比有任何额外益处，但本研究样本量不足以得出结论。
