Volume 42 Issue 6
Jul.  2021
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Si-jin HE, Xiao-xia CHEN, Kai-xuan LUO, Li-hua GU, Zhi-juan HE, Jian-ying ZHOU. Influence of Mirror Therapy Combined with Occupational Therapy on Upper Limb Motor Function and ADL in Hemiplegia after Stroke[J]. Journal of Kunming Medical University, 2021, 42(6): 129-133. doi: 10.12259/j.issn.2095-610X.S20210611
Citation: Si-jin HE, Xiao-xia CHEN, Kai-xuan LUO, Li-hua GU, Zhi-juan HE, Jian-ying ZHOU. Influence of Mirror Therapy Combined with Occupational Therapy on Upper Limb Motor Function and ADL in Hemiplegia after Stroke[J]. Journal of Kunming Medical University, 2021, 42(6): 129-133. doi: 10.12259/j.issn.2095-610X.S20210611

Influence of Mirror Therapy Combined with Occupational Therapy on Upper Limb Motor Function and ADL in Hemiplegia after Stroke

doi: 10.12259/j.issn.2095-610X.S20210611
  • Received Date: 2021-03-25
    Available Online: 2021-07-09
  • Publish Date: 2021-07-21
  •     Objective   To observe the influence of mirror therapy combined with occupational therapy on upper limb motor function and ADL in hemiplegia after stroke.    Methods   Totally 72 patients with hemiplegia after stroke were randomly assigned to the mirror therapy group and the control group, with 36 cases in each group. Both groups accepted occupational therapy. Additionally, the mirror therapy group accepted mirror therapy to train the non-paretic upper limb. The motor function of upper limb and activities of daily living were evaluated by FMA-UE, MSS, Brunnstrom Stage, Modified Ashworth and MBI at baseline, after 2-weeks and 4-weeks training.    Results   Before training, there were no significant difference between groups in all indexes mentioned above (P > 0.05). FMA-UE and MBI scores of the upper limb in the mirror therapy group were improved at 2 week and 4 weeks after treatment compared with that of pre-treatment (P < 0.05); MSS score and Brunnstrom score of mirror therapy group were significantly improved at 4 weeks after treatment compared with that of pre-treatment (P < 0.05) ; After treatment, all indexes mentioned above in the control group had no significant difference compared with pre-treatment (P > 0.05); Compared with the control group at the same period, the FMA-UE 、MSS and MBI scores of the mirror therapy group at 4 weeks of treatment was higher than that of the control group (P < 0.05).    Conclusion   Mirror therapy combined with occupational therapy is helpful for the recovery of upper limb motor function and ADL of hemiplegia patients after stroke, and can be used as an adjuvant treatment for motor function of upper limb after stroke.
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  • [1]
    王陇德, 刘建民, 杨弋, 等. 我国脑卒中防治仍面临巨大挑战—《中国脑卒中防治报告2018》概要[J]. 中国循环杂志,2019,34(02):105-119.
    [2]
    Hou S, Ivanhoe C, Li S. Botulinum toxin injection for spastic scapular dyskine after stroke: Case series[J]. Medicine(Baltimore),2015,94(32):1-4.
    [3]
    Yuki Ishihara, Kenri Kodaka. Vision-Driven Kinesthetic Illusion in Mirror Visual Feedback[J]. I Perception,2018,9(3):1-11.
    [4]
    Nojima I, Mima T, Koganemaru S, et al. Human motor plasticity induced by mirror visual feedback[J]. J Neurosci,2012,32(4):1293-1300. doi: 10.1523/JNEUROSCI.5364-11.2012
    [5]
    Garry MI, Loftus A, Summers JJ. Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability[J]. Exp Brain Res,2005,163(1):118-122. doi: 10.1007/s00221-005-2226-9
    [6]
    全国第四届脑血管病学术会议. 各类脑血管疾病诊断要点[J]. 中华神经科杂志,1996,29(6):379-380. doi: 10.3760/j.issn:1006-7876.1996.06.006
    [7]
    Cumming T B, Churilov L, Linden T, et al. Montreal cognitive assessment and mini-mental state examination are both valid cognitive tools in stroke[J]. Acta Neurol Scand,2013,128(2):122-129. doi: 10.1111/ane.12084
    [8]
    Fugl-meyer A R, Jaasko L, Leyman I, et al. The post- stroke hemiplegic patient[J]. Scand J eha Rbil Med,1975,7 (7):13-21.
    [9]
    Ferraro M, Demaio J H, Krol J, et al. Assessing the motor status score: a scale for the evaluation of upper limb motor outcomes in patients after stroke[J]. Neurorehabil Neural Repair,2002,16(3):283-289. doi: 10.1177/154596830201600306
    [10]
    励建安, 王彤. 康复医学[M]. 北京: 科学出版社, 2002: 187.
    [11]
    Hong I, Lim Y, Han H, et al. Application of the Korean version of the modified barthel index: Development of a keyform for use in clinical practic[J]. Null,2017,29(1):39-46.
    [12]
    Altschuler E L, Wisdom S B, Stone L, et al. Rehabilitation of hemiparesis after stroke with a mirror[J]. Lancet,1999,353(9169):2035-2036. doi: 10.1016/S0140-6736(99)00920-4
    [13]
    Zult T, Howatson G, Kádár E E, et al. Role of the mirror-neuron system in cross-education[J]. Sports Med,2014,44(2):159-178. doi: 10.1007/s40279-013-0105-2
    [14]
    Garrison K A, Winstein C J, Aziz-Zadeh L. The mirror neuron system: A neural substrate for methods in stroke rehabilitation[J]. Neurorehabil Neural Repair,2010,24(5):404-412. doi: 10.1177/1545968309354536
    [15]
    Murase N, Duque J, Mazzocchio R, Cohen LG. Influence of interhemispheric interactions on motor function in chronic stroke[J]. Ann Neurol,2004,55(3):400-409. doi: 10.1002/ana.10848
    [16]
    Läppchen C H, Ringer T, Blessin J, et al. Optical illusion alters M1 excitability after mirror therapy: a TMS study[J]. J Neurophysiol,2012,108(10):2857-2861. doi: 10.1152/jn.00321.2012
    [17]
    Perez M A, Cohen L G. Mechanisms underlying functional changes in the primary motor cortex ipsilateral to an active hand[J]. J Neurosci,2008,28(22):5631-5640. doi: 10.1523/JNEUROSCI.0093-08.2008
    [18]
    Lee M M, Cho H Y, Song C H. The mirror therapy programenhances upper-limb motor recovery and motor function inacute stroke patients[J]. Am J Phys Med Rehabil,2012,91(8):689-696. doi: 10.1097/PHM.0b013e31824fa86d
    [19]
    Mirela Cristina L, Matei D, Ignat B. Mirror therapy enhances upper extremity motor recovery in stroke patients[J]. Acta neurologica Belgica,2015,115(4):597-603. doi: 10.1007/s13760-015-0465-5
    [20]
    Yavuzer G, Selles R, Sezer N, et al. Mirror therapy improves hand function in subacute stroke: A randomized controlled trial[J]. Arch Phys Med Rehabil,2008,89(3):393-398. doi: 10.1016/j.apmr.2007.08.162
    [21]
    Dohle C, Püllen J, Nakaten A, et al. Mirror therapy promotes recovery from severe hemiparesis: A randomized controlled trial[J]. Neurorehabil Neural Repair,2009,23(3):209-217. doi: 10.1177/1545968308324786
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