Abstract
Effect of hand-function robotic mirror therapy on hand function in patients with complex regional pain syndrome after stroke
  
DOI:10.3870/zgkf.2024.08.003
EN KeyWords: mirror therapy  robots  stroke  complex regional pain
Fund Project: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)
作者单位
刘智岚 上海市第四康复医院老年康复科上海 200040 
贺桂萍 上海市第四康复医院老年康复科上海 200040 
袁景 上海市第四康复医院老年康复科上海 200040 
王年 上海市第四康复医院老年康复科上海 200040 
林桦 上海市第四康复医院老年康复科上海 200040 
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EN Abstract:
  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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