Abdelraouf Osama R, Abdel Ghafar Mohamed A, Mohamed Mariam E, Ibrahim Zizi M, Harraz Eman M, Seyam Mohamed K, Mousa Gihan Samir, Radwan Rafik E, El-Bagalaty Amira E
Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia; Department of Physical Therapy for Cardiovascular/ Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
J Rehabil Med. 2025 Aug 28;57:jrm43482. doi: 10.2340/jrm.v57.43482.
This study aimed to compare the long-term effects of soft robotic gloves (SRGs) and mirror therapy on hand function and motor recovery in post-stroke patients.
A single-blinded, randomized controlled comparative study was conducted on 49 patients with chronic stroke assigned randomly to either the SRGs or mirror therapy group. Both groups underwent an 8-week intervention alongside conventional rehabilitation. The Box and Block Test (BBT), hand grip strength, and Fugl-Meyer Assessment-Upper Extremity (FMA-UE), were assessed at baseline, post-intervention, and 6-month follow-up.
Post-intervention, the SRGs group demonstrated significantly greater improvements in all outcome measures compared with the mirror therapy group (p = 0.004, 0.011, and 0.021, respectively). These improvements were sustained at follow-up (p < 0.001, < 0.001, and 0.003, respectively). Within-group comparisons showed significant post-intervention improvements in both groups; however, the mirror therapy group exhibited no significant changes between post-intervention and follow-up (p = 0.197, 0.125, and 0.317, respectively), whereas the SRGs group maintained significant gains (p = 0.003, 0.012, and 0.005, respectively).
Findings suggest that SRGs provide superior improvements in hand function and motor recovery compared with mirror therapy in post-stroke rehabilitation. The long-term benefits highlight the potential of SRGs as an effective intervention for promoting functional independence in stroke survivors.
本研究旨在比较软机器人手套（SRG）和镜像疗法对中风后患者手部功能和运动恢复的长期影响。
对49例慢性中风患者进行了一项单盲、随机对照比较研究，这些患者被随机分配到SRG组或镜像疗法组。两组均在接受传统康复治疗的同时进行为期8周的干预。在基线、干预后和6个月随访时评估箱块测试（BBT）、握力和Fugl-Meyer上肢评估（FMA-UE）。
干预后，与镜像疗法组相比，SRG组在所有结局指标上的改善均显著更大（p分别为0.004、0.011和0.021）。这些改善在随访时得以维持（p分别<0.001、<0.001和0.003）。组内比较显示两组干预后均有显著改善；然而，镜像疗法组在干预后和随访之间无显著变化（p分别为0.197、0.125和0.317），而SRG组维持了显著的改善（p分别为0.003、0.012和0.005）。
研究结果表明，在中风后康复中，与镜像疗法相比，SRG在手部功能和运动恢复方面提供了更优的改善。长期益处凸显了SRG作为促进中风幸存者功能独立的有效干预措施的潜力。
