| 陶徉聿,王晓光,薛新宏,高珺,胡志雯,张赛雪,董海欣,张哲.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[J].中国康复,2026,41(5):263-268 |
| 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 |
| The influence of mirror therapy on the early rehabilitation efficacy and muscle attenuation of patients with stroke-related sarcopenia |
| |
| DOI：10.3870/zgkf.2026.05.002 |
| 中文关键词: 脑卒中 卒中相关性肌少症 镜像疗法 |
| 英文关键词: stroke stroke-related sarcopenia mirror therapy |
| 基金项目: |
|
| 摘要点击次数: 361 |
| 全文下载次数: 161 |
| 中文摘要: |
| 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-Meyer 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。 |
| 英文摘要: |
| Objective: This study adopted the mirror therapy method to preliminarily explore the early rehabilitation efficacy of patients with stroke-related sarcopenia and its impact on muscle atrophy. Methods: Totally, 60 patients 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 therapy 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 assess 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 evaluate the upper limb motor function of the patients. The Modified Barthel Index (MBI) was used to assess the activities 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 rehabilitation 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 patients. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
