Introduction: Mental exercise using the mirror therapy (MT) improves the retention of newly acquired skills and the performance of sequential motor skills in subjects with post-stroke hemiparesis. Objectives: The stud...Introduction: Mental exercise using the mirror therapy (MT) improves the retention of newly acquired skills and the performance of sequential motor skills in subjects with post-stroke hemiparesis. Objectives: The study aimed to analyze the mirror therapy effect on the range of motion and the lower limb functionality in post-stroke hemiparesis subjects. Materials and Methods: Eleven participants with hemiparesis in the lower limb were subjected to the 10 sessions of a MT protocol. The interventions were three times per week per 30 minutes each day. Evaluation of active and passive ankle goniometry (dorsiflexion and eversion movements);Ascent and Descent Ladder Rate (ADLR);Time Up and Go test (TUG test);EFEI scale;and FAAM scale were performed. The data were collected before and after the intervention using MT, and then statistically compared. Results: The MT improved significantly (p < 0.01) the range of motion of the paretic lower limb both evaluated by active and passive ankle goniometry. An increase in the speed of gait and other functional tasks related to the paretic lower limbs were found through the TUG and ADLR tests. It also demonstrated a positive influence on the functionality of the paretic lower limb motor control through the analysis of the scores in the FAAM and EFEI scales. Conclusion: It is concluded that the MT therapy can help the patients with post-stroke hemiparesis in the improvement of several functions. Probably, the mirror therapy would aid in the repair of the injuries in the cortical areas.展开更多
目的:研究反馈式功能性电刺激(Biofeedback and functional electric stimulation,BFES)治疗对脑卒中后继发上肢运动障碍患者临床疗效、运动功能及神经功能的影响。方法:回顾性收集2021年3月至2023年12月期间在本院就诊的102例脑卒中后...目的:研究反馈式功能性电刺激(Biofeedback and functional electric stimulation,BFES)治疗对脑卒中后继发上肢运动障碍患者临床疗效、运动功能及神经功能的影响。方法:回顾性收集2021年3月至2023年12月期间在本院就诊的102例脑卒中后继发上肢运动障碍患者的临床资料。根据治疗方案不同将患者分为对照组(功能性电刺激治疗,n=49)和观察组(反馈式功能性电刺激治疗,n=53)。分析对比两组的临床疗效、上肢运动功能评分(Fugl-Meyer Assessment Upper Extremity Scale,FMA)、美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)(神经功能评分)、改良的Barthel指数评定量表(Modified Barthel index,MBI)(日常生活能力)以及手感觉功能(Brunnstrom运动功能评分)。结果:观察组的治疗总疗效比对照组显著提高(P<0.05)。治疗后,两组的FMA评分均比治疗前显著提高,且观察组的FMA评分明显高于对照组(P<0.05)。治疗后,两组的NIHSS评分均比治疗前显著降低,且观察组的NIHSS评分明显低于对照组(P<0.05)。治疗后,两组的MBI评分均比治疗前显著上升,且观察组的MBI评分明显高于对照组(P<0.05)。治疗后,观察组的Brunnstrom手感觉功能分级评分明显高于对照组(P<0.05)。结论:对脑卒中后继发上肢运动障碍患者采取BFES治疗,能提高疗效,改善患者的上肢运动功能、神经功能,促进手功能的恢复,提升患者的日常生活能力。展开更多
文摘Introduction: Mental exercise using the mirror therapy (MT) improves the retention of newly acquired skills and the performance of sequential motor skills in subjects with post-stroke hemiparesis. Objectives: The study aimed to analyze the mirror therapy effect on the range of motion and the lower limb functionality in post-stroke hemiparesis subjects. Materials and Methods: Eleven participants with hemiparesis in the lower limb were subjected to the 10 sessions of a MT protocol. The interventions were three times per week per 30 minutes each day. Evaluation of active and passive ankle goniometry (dorsiflexion and eversion movements);Ascent and Descent Ladder Rate (ADLR);Time Up and Go test (TUG test);EFEI scale;and FAAM scale were performed. The data were collected before and after the intervention using MT, and then statistically compared. Results: The MT improved significantly (p < 0.01) the range of motion of the paretic lower limb both evaluated by active and passive ankle goniometry. An increase in the speed of gait and other functional tasks related to the paretic lower limbs were found through the TUG and ADLR tests. It also demonstrated a positive influence on the functionality of the paretic lower limb motor control through the analysis of the scores in the FAAM and EFEI scales. Conclusion: It is concluded that the MT therapy can help the patients with post-stroke hemiparesis in the improvement of several functions. Probably, the mirror therapy would aid in the repair of the injuries in the cortical areas.
文摘目的:研究反馈式功能性电刺激(Biofeedback and functional electric stimulation,BFES)治疗对脑卒中后继发上肢运动障碍患者临床疗效、运动功能及神经功能的影响。方法:回顾性收集2021年3月至2023年12月期间在本院就诊的102例脑卒中后继发上肢运动障碍患者的临床资料。根据治疗方案不同将患者分为对照组(功能性电刺激治疗,n=49)和观察组(反馈式功能性电刺激治疗,n=53)。分析对比两组的临床疗效、上肢运动功能评分(Fugl-Meyer Assessment Upper Extremity Scale,FMA)、美国国立卫生院卒中量表(National Institutes of Health Stroke Scale,NIHSS)(神经功能评分)、改良的Barthel指数评定量表(Modified Barthel index,MBI)(日常生活能力)以及手感觉功能(Brunnstrom运动功能评分)。结果:观察组的治疗总疗效比对照组显著提高(P<0.05)。治疗后,两组的FMA评分均比治疗前显著提高,且观察组的FMA评分明显高于对照组(P<0.05)。治疗后,两组的NIHSS评分均比治疗前显著降低,且观察组的NIHSS评分明显低于对照组(P<0.05)。治疗后,两组的MBI评分均比治疗前显著上升,且观察组的MBI评分明显高于对照组(P<0.05)。治疗后,观察组的Brunnstrom手感觉功能分级评分明显高于对照组(P<0.05)。结论:对脑卒中后继发上肢运动障碍患者采取BFES治疗,能提高疗效,改善患者的上肢运动功能、神经功能,促进手功能的恢复,提升患者的日常生活能力。
