| 张倩,孙新亭.视频镜像疗法对卒中后肩痛的疗效观察[J].中国康复,2023,38(6):336-339 |
| 视频镜像疗法对卒中后肩痛的疗效观察 |
| Effectiveness of video-based mirror therapy for post-stroke shoulder pain |
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| DOI： |
| 中文关键词: 镜像疗法 卒中后肩痛 运动功能 康复 |
| 英文关键词: mirror therapy post-stroke shoulder pain motor function rehabilitation |
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| 中文摘要: |
| 目的：观察视频镜像疗法对卒中后肩痛的疗效。方法：将符合纳入标准的40例患者随机分为对照组和镜像组各20例，进行为期4周，每周5d的康复训练。对照组患者仅接受常规康复训练，镜像组在常规康复训练基础上每天增加30min镜像训练。在治疗前以及治疗后4周对2组患者进行数字分级量表（NRS）评估肩关节在主动和被动运动下的疼痛程度；Fugl-Meyer运动功能评分上肢部分（FMA-UE）进行上肢运动功能评定；功能独立性评分（FIM）运动部分评估日常生活独立能力。结果：治疗4周后，2组NRS评分均较治疗前显著降低（均P＜0.01），FMA-UE及FIM评分均较治疗前显著提高（均P＜0.01）；治疗4后，镜像组的主、被动NRS评分显著低于对照组（P＜0.05），而镜像组的FMA-UE及FIM评分显著高于对照组（P＜0.05）。结论：视频镜像疗法可显著改善卒中患者的肩痛、上肢运动功能以及日常生活独立能力。 |
| 英文摘要: |
| Objective: To observe the effectiveness of video-based mirror therapy for post-stroke shoulder pain. Methods: A total of 40 qualified chronic stroke patients were included and randomly divided into control group (CG) and mirror therapy group (MG), with 20 patients in each group. Patients in both groups received routine rehabilitation for 4 weeks, 5 days a week. Patients in MG also received 30 min video-based mirror training except routine rehabilitation. All patients were evaluated before and after treatment. The measurements were as follows: Numeral Rating Scale (NRS) for severities of the shoulder pain during active and passive motion; Fugl-Meyer assessment-upper extremities (FMA-UE) for upper limb motor functions; Function Independent Measure (FIM) for the independence of daily life. Results: Before treatment, there were no significant differences in active and passive NRS, FMA-UE and FIM scores between two groups. After 4 weeks of treatment, active and passive NRS scores were significantly decreased (P<0.01), and FMA-UE and FIM scores were significantly increased (P<0.01) in both groups. After 4 weeks of treatment, active and passive NRS scores were significantly decreased in MG as compared with CG (P<0.05), and FMA-UE and FIM scores in MG were significantly higher than CG (P<0.05). Conclusion: Video-based mirror therapy can significantly alleviate shoulder pain, and improve upper limb motor function and independence of daily life in chronic stroke patients. |
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