Qian Jin, Liang Chong, Liu Run, Yu Jingyi, Yang Tangzhu, Bai Dingqun
Department of Rehabilitation Medicine, Wuchang Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, China.
Key Laboratory of Physical Medicine and Precision Rehabilitation of Chongqing Municipal Health Commission, Department of Rehabilitation Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Front Neurol. 2025 Jun 16;16:1602896. doi: 10.3389/fneur.2025.1602896. eCollection 2025.
This pilot study aimed to investigate the effects of combining mirror therapy with robot-assisted glove therapy (RMT) on upper limb functional recovery in patients with post-stroke hemiplegia.
Fifty-two patients with subacute stroke were randomly assigned to three groups mirror therapy (MT) group, robot-assisted therapy (RT) group or RMT group-using a computer-generated randomization table. Patients in all three groups received routine rehabilitation training, MT group received mirror therapy on the basis of this, RT group received rehabilitation robot glove training on the basis of conventional rehabilitation treatment, and the RMT group received rehabilitation robot glove training and mirror therapy at the same time. All interventions lasted for 4 weeks, 5 times a week. Before treatment, 4 weeks after treatment, Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Brunnstrom Hemiplegic Rating Scale, Functional test for the Hemiplegic Upper Extremity-HongKong (FTHUE-HK), Functional Independence Measure (FIM) were used to evaluate the upper limb function and activities of daily living (ADL) of patients.
Compared with baseline, FMA-UE, Brunnstrom upper limb and hand grade and FIM score were observed across all three groups post-intervention ( < 0.05). Compared with MT group, FMA-UE (37.61 ± 11.09), Brunnstrom upper limb (4.06 ± 0.87) and hand grades (4.67 ± 1.24) and FIM scores (94.17 ± 9.49) in RMT group were superior after treatment ( < 0.05), and the differences were statistically significant.
Mirror therapy combined with rehabilitation robot glove may be an effective treatment method to improve the upper limb function, promote the recovery of motor function and improve the ability of daily living of patients with hemiplegia in subacute stroke.
本初步研究旨在探讨镜像疗法与机器人辅助手套疗法（RMT）相结合对中风后偏瘫患者上肢功能恢复的影响。
52例亚急性中风患者使用计算机生成的随机分组表随机分为三组：镜像疗法（MT）组、机器人辅助疗法（RT）组或RMT组。三组患者均接受常规康复训练，MT组在此基础上接受镜像疗法，RT组在常规康复治疗基础上接受康复机器人手套训练，RMT组同时接受康复机器人手套训练和镜像疗法。所有干预持续4周，每周5次。治疗前、治疗4周后，采用Fugl-Meyer上肢评估量表（FMA-UE）、Brunnstrom偏瘫评定量表、偏瘫上肢功能测试-香港版（FTHUE-HK）、功能独立性测量量表（FIM）评估患者上肢功能及日常生活活动能力（ADL）。
与基线相比，三组干预后FMA-UE、Brunnstrom上肢及手部分级和FIM评分均有改善（P<0.05）。治疗后，RMT组FMA-UE（37.61±11.09）、Brunnstrom上肢分级（4.06±0.87）、手部分级（4.67±1.24）及FIM评分（94.17±9.49）均优于MT组（P<0.05），差异有统计学意义。
镜像疗法联合康复机器人手套可能是改善亚急性中风偏瘫患者上肢功能、促进运动功能恢复及提高日常生活能力的有效治疗方法。
