| Objective: 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——mirror 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 randomly divided into two groups: mirror therapy group(MT group, n=20)and routine rehabilitation control group(RRC group, n=20). The participants in the MT group received for 45 mins/d, 5d/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 pattern of exercise therapy without mirror reflection. The Fugl-Meyer motor assessment of upper extremity(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 two months. Using SPSS17.0 software for statistical processing, P<0.05 as statistically significant. Results:1. 37 cases of ischemic stroke patients were finally included in the study, including 19 cases in MT group, 18 cases in RRC group.Within group comparison, FMA, WMFT, FMA, MAS, Brunnstrom stage and VAS scores of MT group and RRC group increased comparing with those before treatment, and MT did not appear related adverse reaction reports; 2. Compared with the RRC group, FMA-UE of MT group was significantly higher after MT intervention, followed up one and two months(P<0.05); mean scores were significantly greater in the MT group than in the RRC group for WMFT after followed up one and two months(P<0.05); compared with the RRC group, FMA-LE and FAC of the MT group was significantly higher after followed up two months(P<0.05); 3.Compared with RRC group, the modified Barthel scale scores of MT group were significantly increased after followed up two month(P<0.05); Compared with the RRC group, Brunnstrom stages of motor recovery for the the upper limb in MT group was also significantly increased after followed up one and two month(P<0.05). 4. No significant difference was found between the MT and RRC groups for MAS and VAS(P>0.05). Conclusions:1. After treatment both in MT and RRC group, motor function and whole function recovery index of ischemic stroke patients were improved, MT did not appear related adverse reaction reports. 2. MT early intervention was effective in improving motor performance of the paretic upper limb and hand after stroke compared with conventional therapy without MT. 3.MT early intervention also promoted lower extremity motor function and walking ability as time went by. 4. MT had no obvious advantage in improving spasm and limb pain after stroke. |
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