| 刘智岚,贺桂萍,袁景,王年,林桦.手功能机器人镜像疗法对脑卒中后复杂性区域性疼痛综合征患者手功能的疗效[J].中国康复,2024,39(8):461-464 |
| 手功能机器人镜像疗法对脑卒中后复杂性区域性疼痛综合征患者手功能的疗效 |
| Effect of hand-function robotic mirror therapy on hand function in patients with complex regional pain syndrome after stroke |
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| DOI：10.3870/zgkf.2024.08.003 |
| 中文关键词: 镜像疗法 机器人 脑卒中 复杂性区域性疼痛 |
| 英文关键词: mirror therapy robots stroke complex regional pain |
| 基金项目:上海市静安区卫生科研课题面上青年项目（2021QN06）；上海市静安区科委、上海市静安区卫生健康委员会科研课题（2022MS15）；上海市卫生健康委员会卫生行业临床研究专项(201940055) |
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| 中文摘要: |
| 目的：观察手功能机器人镜像疗法治疗脑卒中后复杂性区域性疼痛综合征(CRPS)患者的康复疗效。方法：选取脑卒中CRPS I型患者40例，按照随机数字法分为对照组21例和研究组19例，对照组接受常规康复治疗，研究组接受常规康复治疗及手功能机器人镜像治疗。在治疗前及治疗6周后采用CRPS 严重性评分（CSS）综合评价疾病严重程度，视觉模拟评分法(VAS)评估疼痛程度，握力体重指数评价抓握能力，Fugl-Meyer上肢运动功能评定（FMA-UE）手部评分评估手功能，以及水置换法测量患手水肿体积的观察指标变化。结果：治疗6周后，2组的CSS、VAS评分、患手水肿体积均低于治疗前（P＜0.01），研究组握力体重指数、FMA-UE手部评分均高于治疗前（P＜0.05）；治疗后研究组CSS总分、患手水肿体积显著低于对照组（P＜0.05），握力体重指数、FMA-UE手部评分显著高于对照组（P＜0.05）。结论：手功能机器人镜像疗法对脑卒中后CRPS患者的手功能的恢复有良好的改善作用。 |
| 英文摘要: |
| Objective: To observe the efficacy of hand-function robotic mirror therapy on hand function in patients with complex regional pain syndrome (CRPS) after stroke. Methods: Totally, 40 inpatients with CRPS after stroke were randomly divided into a control group (n=21) and an experimental group (n=19) according to the random number method. The control group received conventional rehabilitation treatment, and the experimental group received conventional rehabilitation treatment and hand-function robotic mirror treatment. Before and 6 weeks after treatment, CRPS Severity Score (CSS) was recorded to evaluate the severity of the disease, visual analogue scale (VAS) was assessed for pain degree, grip strength body mass index was used to evaluate grip ability, Fugl-Meyer assessment upper extremity (FMA-UE) hand score was used to assess hand function, and water displacement method was used to measure changes in hand volume. Results: After 6 weeks of treatment, the CSS, VAS and volume of affected hand in both groups were lower than before treatment (P<0.01), and the body mass index of grip strength, FMA-UE hand score in the experimental group were higher than before treatment (P<0.05). CSS and edema volume of affected hand in the experimental group were significantly lower than those in the control group (P<0.05), and body mass index of grip strength and FMA-UE score in the experimental group were significantly higher than those in the control group (P<0.05). Conclusion: Hand-function robotic mirror therapy could promote the recovery of hand function in patients with CRPS after stroke. |
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