镜像疗法的早期介入对缺血性脑卒中患者偏瘫肢体功能的影响-康复医学与理疗学专业论文.docxVIP

Influence Influence of Mirror Therapy Early Intervention on Function Recovery of Patients with Hemiparesis after Ischemic Stroke Abstract：0bjective：The traditional rehabilitation therapy is limited to the treatment of severe hemiplegia after stroke，most of the patients still suffer from severe motor dysfunction．In recent years，more and more researches show that novel neural rehabilitation method based on the theory of mirror neurons———millror therapy (MT) ，which is worthy of clinical promotion because of better effect，low cost and simple operation．However，there are some problems in these researches of MT in the domestic and foreign，such as the non unification of the crowd and the difference of the assessment methods． Therefore，in this study,we observed the effect of MT early intervention on functional rehabilitation of ischemic stroke patients with hemiplegia，in order to explore the standard method of application-assessment of MT．Methods： Forty patients with hemiplegia within one month after ischemic stroke were ：lomly divideddivided ininto two groups：mirrorgrouos mlrror therapytheraov group(MTgroup MT ffroUD n=20 and routine rehabilitation control group(RRC group，n=20)．The participants in the MT group received for 45 mins／d，5 d／week，a total of 3 weeks of MT in addition to the conventional stroke clinical treatment and rehabilitation，but the RRC group received an additional same pattem of exercise therapy without mirror reflection．The Fugl—Meyer motor assessment of upper extremity ．3． 万方数据 (FMA—UE)and (FMA—UE)and Fugl—Meyer assessment of lower extremity(FMA．LE)，Wolf motor function test(WMFT)for gross manual hand dexterity，Functional ambulation category scale(FAC)for motor recovery，at the same time，the modified Barthel scale，Brunnstrom stages of motor recovery for the upper limb and lower limb，modified Ashworth scale(MAS)and visual analogue scale (VAS)were used for the assessment of the overall function of patientS after treatment intervention，followed up one and