Clinical Study On Effects Of Mirror Therapycombined With Rehabilitation Training On The Motor Function Of The Affected Upper Extremity In Stroke Patients

Objective:Stroke is a common and disabling global health-care problem in elderly people, which is one of the main causes of acquired adult disability and Function of upper extremity recovers less than the lower Extremity in stroke Patients. In the last few years, mirror therapy has emerged as interesting options as add-on interventions to standard physical therapies. In this review, we will discuss mirror therapy in combination with routine rehabilitation training employed to enhance the upper extremity functional recovery in stroke patients and we will provide an guidance to clinical work which is evidence-based medicine.Methods:Taking88stroke patients as research objectives, which were randomly divided into Control Group(CG) and Experimental Group(EG), respectively44cases. Both of them accepted basic treatment,that is, physical therapy,occupational therapy and transcranial magnetic stimulation, six times a week, every30minutes per therapy.The EG were represented by the mirror therapy. In this technique a mirror is placed at90°in the patient midsagittal plane, so that the paretic limb is hidden behind the mirror. The patient watches the image on the mirror of the unaffected arm as if it was the affected arm and the affected arm did what the unaffected had done as far as possible. The CG just did the same without the mirror,15min,12times per week. The training lasted for8weeks.The motor function should be evaluated respectively at admission time,4weeks after symptom and8weeks months after symptom, to confirm the improving degree of motor function and judge rehabilitation effects. The evaluation of limbs motor function applied brunnstrom stage, Manual Muscle Test, Fugl-Meyer scale to evaluate the states of the patients’ upper extremity. The evaluation of ADL (Activity of Daily Living) applied Barthel Index.Results:1. The comparison from the initial evaluation shows that there was no significant difference between CG and EG (p>0.05).2.Data collected from treatment for8weeks Brunnstrom stage and MMT about upper extremity were significantly higher than for4weeks. Data in EG were significantly higher than that in CG and the difference was statistically significant (p <0.05).3. The FMA score collected before treatment, treatment for4weeks and for8weeks respectively was, CG9.2174±2.845、12.6120±4.0023、19.2133±2.7508; EG10.3461±3.2014、19.0468±3.9515、35.6300±4.2573. After repeated measurement test, there was a difference between movement function scores according to different time point,that was, F=126.0130, P<0.05.Motor function evaluation existed differences between different training methods, F=17.5933,P<0.05.ADL assessment evaluated by Barthel index found before treatment,4weeks and8weeks respectively was:CG18.0058±2.5471、27.0548±3.4612、38.2914±4.1415, EG17.8232±3.1046、32.2534±4.1258、55.2054±3.5415. After repeated measurement test, results showed that, there was a difference at different time, F=180.991, P<0.05; The Barthel index showed there was a difference between different training methods, F=16.1677, P<0.05, which showed that daily life activities ability scored significantly higher in EG than that in CG.Conclusion After routine rehabilitation training, the motor function and ADL (Activity of Daily Living) of88patients have improved. That in the EG (Experimental Group) is apparently better than that of CG (Control Group). After given routine rehabilitation training, namely, the activities of the upper extremity function in patients were significantly better than the before training. Routine rehabilitation training can effectively promote the recovery of upper limb movement function in patients with cerebral apoplexy hemiplegia and improve their quality of life. The fact that the EG were higher than CG in the assessment shows that the mirror therapy with conventional rehabilitation training also had this function, and the effect was superior to the simple routine rehabilitation training. The curative effect in early cerebral apoplexy had a longer duration of treatment and the curative effect also had a tendency to progress.