镜像疗法对中老年脑卒中患者上肢功能的疗效分析

发布时间：2018-03-06 05:14

本文选题：脑卒中　切入点：偏瘫　出处：《吉林大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：通过对镜像疗法治疗中老年脑卒中偏瘫患者上肢功能的疗效分析，找到改善中老年脑卒中偏瘫患者上肢功能的有效治疗手段。方法：将60例住院治疗的中老年脑卒中患者随机分为A、B两组，各组30例患者。A组作为对照组用透明塑料板代替镜子训练、B组作为实验组利用镜像疗法训练，两组均给予常规康复训练。分别于治疗前及4周治疗后，，采用Fugl-Meyer（FMA）上肢运动评价、上肢运动研究测试（ARAT）、运动功能评估量表（MAS）对上肢运动功能进行评价，改良Barthel指数（MBI）对患者的日常生活活动能力进行评估。结果：在治疗前，两组患者的性别、年龄（45岁患者）、病程、脑卒中类型、偏瘫侧别等比较，差异无统计学意义（p0.05）。 1．镜像治疗组与对照组治疗前后偏瘫侧上肢运动功能的比较治疗4周后，2组FMA、ARAT、MAS评分均较治疗前提高（P0.05)，且B组更高于A组（P0.05)。 2.镜像治疗组与对照组治疗前后日常生活活动能力的比较治疗4周后，2组MBI评分均较治疗前提高（P0.05)，且B组更高于A组（P0.05)。 3.对镜像治疗组患者进行表面肌电图采集结果镜像治疗组肌电图和收集到的肌电图数值均较治疗前提高。结论：在常规康复治疗基础上，联合镜像疗法的治疗手段能够有效地提高中老年偏瘫患者上肢的运动功能、缩短疗程，对其日常生活活动能力也有大幅度的提高。此联合疗法疗效显著，使患者能够早日回归家庭，回归社会。
[Abstract]:Objective:. By analyzing the curative effect of mirror image therapy on upper limb function of middle and old stroke patients with hemiplegia, an effective treatment method was found to improve upper limb function of middle and old stroke patients with hemiplegia. Methods:. Sixty middle-aged and aged stroke patients who were hospitalized were randomly divided into two groups: group A (n = 30) and group A (n = 30) as control group. Group B was treated with transparent plastic plate instead of mirror training and group B was trained by mirror therapy. The two groups were given routine rehabilitation training before and after 4 weeks of treatment. The upper limb motor function was evaluated by Fugl-Meyerman FMA, the upper limb motor research test and motor function assessment scale (MASS). Modified Barthel index was used to evaluate the activity of daily living (ADL) of patients. Results:. Before treatment, there was no significant difference in sex, age and age of 45 years old patients, course of disease, stroke type, hemiplegic side and so on. There was no significant difference between the two groups (p 0.05). 1. Comparison of the motor function of the hemiplegic upper limb between the mirrored treatment group and the control group before and after treatment. After 4 weeks of treatment, the FMA-ARATMA MAS scores in both groups were higher than those before treatment (P 0.05), and the scores in group B were higher than those in group A (P 0.05). 2. Comparison of activities of Daily living before and after treatment between the mirrored treatment group and the control group. After 4 weeks of treatment, the MBI scores in both groups were higher than those before treatment, and the scores in group B were higher than those in group A (P 0.05). 3.The surface electromyography of the patients in the mirror treatment group was collected. The electromyography (EMG) and the electromyogram (EMG) collected in the mirrored treatment group were higher than those before treatment. Conclusion:. On the basis of conventional rehabilitation therapy, combined with mirror image therapy can effectively improve the upper limb motor function of middle-aged and old patients with hemiplegia and shorten the course of treatment. The effect of this combination therapy is remarkable, which enables the patients to return to their families and society as soon as possible.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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