| 刘英震,韦道天,王敬雪,胡川.镜像疗法同步气动式手康复装置对脑卒中后肩手综合征患者的疗效研究[J].中国康复,2023,38(11):654-658 |
| 镜像疗法同步气动式手康复装置对脑卒中后肩手综合征患者的疗效研究 |
| Mirror Therapy Combined with Pneumatic Hand Rehabilitation Glove in Patients with Shoulder-hand Syndrome after Stroke: a Randomized Controlled Trial |
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| DOI： |
| 中文关键词: 气动式手康复装置 镜像神经元 脑卒中 肩手综合征 日常生活活动能力 |
| 英文关键词: pneumatic hand glove mirror neuron system stroke shoulder-hand syndrome activities of daily living |
| 基金项目:山东省医药卫生科技发展计划项目(202020011003) |
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| 中文摘要: |
| 目的：探讨镜像疗法同步气动式手康复装置对脑卒中后肩手综合征（SHS）患者的手肿胀程度、疼痛程度、手功能及日常生活活动能力的影响。方法：将48例脑卒中后肩手综合征患者随机分为对照组、观察组各24例。2组均进行常规康复治疗，对照组在常规治疗基础上加入气动手治疗，观察组在常规治疗基础上进行镜像疗法及气动手同步治疗，2组均进行4周的干预治疗，在干预前后，采用手肿胀程度评估（掌指关节、8字缠绕法围度）、视觉模拟评估法（VAS）、上田敏手功能分级(MFT)、改良Barthel指数（MBI）评估患者手肿胀程度、疼痛程度、运动功能及日常生活活动能力。结果：治疗4周后，与组内治疗前比较，2组患者上田敏手功能分级评分、MBI、VAS评分均明显提高，手肿胀程度减轻（P＜0.05），且观察组上田敏手功能分级、MBI、手肿胀程度改善效果优于对照组（P＜0.05），在VAS评分方面，治疗后2组差异无统计学意义。 结论：采用镜像疗法及气动式手康复装置同步治疗有利于提升患者日常生活活动能力及手功能，降低手肿胀程度。 |
| 英文摘要: |
| Objective: To investigate the clinical effects of mirror therapy combined with pneumatic hand rehabilitation glove on the severity of hand swelling, pain, hand function, and activities of daily living (ADL) in patients with shoulder-hand syndrome (SHS) after stroke. Methods: A total of 48 patients with SHS after stroke admitted to our hospital from August 2020 to June 2022 were recruited and randomly divided into observation group (n=24) and control group (n=24). The patients in both groups received routine physical treatment at first. In the control group, patients received pneumatic hand rehabilitation glove therapy. In the observation group, patients received mirror therapy and pneumatic glove treatment at the same time. The patients of both groups received continuous treatment for 4 weeks. We evaluated the severity of hand swelling (circumferential measurements at the metacarpophalangeal joint, figure-of-eight method), visual simulation evaluation (VAS), Ueda Satoshi hand function score (MFT), and modified Barthel index (MBI) before and after treatment. Results: After 4 weeks of treatment, MFT, MBI, hand swelling severity and VAS scores in both groups were significantly improved as compared with those before treatment (all P<0.05), and the MFT, MBI and hand swelling degree in the observation group were better than those in the control group (all P<0.05). VAS scores after treatment exhibited no significant differences between the two groups. Conclusion: The mirror therapy combined with pneumatic hand rehabilitation glove could improve ADL and hand function of the patients and reduce the severity of hand swelling. |
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