镜像疗法对卒中相关性肌少症患者早期康复疗效及肌肉衰减情况的影响OA
The influence of mirror therapy on the early rehabilitation efficacy and muscle attenuation of patients with stroke-relat-ed sarcopenia
目的:本研究初步探讨镜像疗法对卒中相关性肌少症患者早期康复疗效及对肌肉衰减的影响.方法:将60例卒中相关性肌少症患者按随机数字表法分为对照组和治疗组,每组30例.所有患者均接受常规康复训练,100min/d,5d/周,共4周.治疗组在常规康复训练基础上增加镜像疗法训练,20min/d,5d/周,共4周;对照组在常规康复训练基础上增加与镜像疗法同时长的患侧上肢被动活动,20min/d,5d/周,共4周.于干预前和干预4周后对2组患者进行功能评定,分别评估患者健侧握力、四肢肌肉质量[骨骼肌质量指数(ASMI)];采用简式 Fugl-Mey-er运动功能量表上肢部分(FMA-UE)、上肢Brunnstrom 分期对患者的上肢运动功能进行评价;采用改良Barthel指数(MBI)对患者的日常生活能力进行评估.结果:干预后,2组患者 ASMI、健侧握力、FMA-UE、Brunnstrom 分期、MBI等评分较干预前均有不同程度的提高(P<0.05),且治疗组的各项评分明显高于对照组(P<0.05).结论:在常规康复治疗基础上,增加镜像疗法能减缓卒中相关性肌少症患者早期肌肉衰减程度、有效提高患者上肢功能及日常生活能力.
Objective:This study adopted the mirror therapy method to preliminarily explore the early rehabilita-tion efficacy of patients with stroke-related sarcopenia and its impact on muscle atrophy.Methods:Totally,60 pa-tients with stroke-associated sarcopenia were divided into a control group and a treatment group according to the random number table method,with 30 cases in each group.All patients received routine rehabilitation training in the rehabilitation department,100 min per day,5 days a week for 4 weeks.The treatment group added mirror ther-apy on the basis of routine rehabilitation,20 min per day,5 days a week for 4 weeks.On the basis of conventional rehabilitation,the control group was given passive activities of the affected upper limb for the same duration as the mirror therapy,20 min per day,5 days a week for 4 weeks.Functional evaluations of the two groups of patients were conducted before and 4 weeks after intervention.The bioelectrical impedance analysis(BIA)was used to as-sess the muscle index of the patients.A hand dynamometer was used to measure the grip strength of the healthy side of the patients to evaluate the muscle attenuation of the patients.The upper limb part of the simplified Fugl-Meyer Assessment of Motor Function Scale(FMA-UE)and the Brunnstrom stage of the upper limb were used to e-valuate the upper limb motor function of the patients.The Modified Barthel Index(MBI)was used to assess the ac-tivities of daily living of the patients.Results:After the intervention,the scores of muscle mass,grip strength of the healthy side,FMA-UE,Brunnstrom stage,and MBI of the two groups of patients were all improved to varying degrees compared with those before the intervention(P<0.05),and the scores of each item in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion:On the basis of conventional reha-bilitation treatment,adding mirror therapy can slow down the degree of early muscle attenuation in patients with stroke-associated sarcopenia and effectively improve the upper limb function and activities of daily living of pa-tients.
陶徉聿;王晓光;薛新宏;高珺;胡志雯;张赛雪;董海欣;张哲
华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000华北理工大学附属医院康复医学科,河北 唐山 063000
医药卫生
脑卒中卒中相关性肌少症镜像疗法
strokestroke-related sarcopeniamirror therapy
《中国康复》 2026 (5)
263-268,6
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