Abstract
Construction and clinical application effect of continuous family intervention program for stroke hemiplegic patients based on mirror neuron theory
  
DOI:10.3870/zgkf.2025.10.005
EN KeyWords: mirror neuron theory  stroke hemiplegia  continuation intervention  protocol construction  application effect
Fund Project:福建省自然科学基金资助项目(2021JO11270)
作者单位
陈灿冰 联勤保障部队第九〇〇医院康复医学科福州 350000 
刘小英 联勤保障部队第九〇〇医院康复医学科福州 350000 
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EN Abstract:
  Objective: To construct a continuous family intervention program based on the theory of mirror neurons and evaluate its clinical application in patients with hemiplegia after stroke. Methods: A total of 70 patients with hemiplegia following stroke were selected. Using a random number table method, these patients were divided into a control group and an observation group, each consisting of 35 cases. The control group received routine ongoing interventions, and the observation group was treated with a continuous intervention plan based on the mirror neuron theory. Fugl-Meyer assessment of lower extremity (FMA-LE), Berg balance scale (BBS), and Tinetti gait analysis (TGA) were assessed. The daily living activities (ADL), anxiety self-rating scale (SAS), and depression self-rating scale (SDS) were used to evaluate the patients’ daily living abilities and psychological states. High-sensitivity C-reactive protein (hs-CRP), homocysteine (Hcy), and lipoprotein (Lp) levels were measured using the ELISA method. General self-efficacy scale (GSES) and stroke quality of life measurement scale (QLICD-ST) were used to assess the patients’self-efficacy and quality of life. Results: After the intervention, the FMA-LE score, BBS score, TGA score, ADL score, GSES score, and QLICD-ST score all increased, and the SAS score, SDS score, hs-CRP, Hcy, and Lp levels all decreased in both groups as compared with those before intervention (all P<0.01). After the intervention, the observation group showed increases in the FMA-LE score, BBS score, TGA score, ADL score, GSES score, and QLICD-ST score(all P<0.01), and decreases in the SAS score, SDS score, hs-CRP, Hcy, and Lp levels as compared with the control group (all P<0.01). Conclusion: The continuous family intervention program based on the theory of mirror neurons was constructed to conduct clinical intervention for patients with hemiplegia after stroke, which could improve their limb function and balance ability, relieve negative psychological emotions, and improve their self-efficacy and quality of life.
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