The Clinical Study Of Biofeedback Therapy And Mirror Image Therapy In Upper Limb Disorder After Stroke

ObjectiveObjective to study the effect of electromyographic biofeedback combined with mirror therapy on upper limb motor dysfunction after stroke,and to provide a more effective and safe treatment for patients with upper limb motor dysfunction after stroke.MethodsSelect 60 patients with stroke in the Department of rehabilitation medicine,neurology and Department of Neurosurgery of ×× People’s Hospital from May 2014 to July 2015.These patients were randomly divided into 3 groups,20 case in each.The control group was treated with routine rehabilitation training,including nerve facilitation,good limb position and activities of daily living(ADL).The biofeedback group included routine rehabilitation training and biofeedback therapy.The combined treatment group included routine rehabilitation,biofeedback and mirror therapy.Assessed the score of BN(Brunnstrom)stage,Fugl-Meyer movement evaluation,motor assessment scale(MAS)from the three groups of patients with upper limb motor function improved respectively before treatment and after treatment for 2 weeks,4 weeks and 8 weeks.The experimental data were analyzed by SPSS15.0 statistical software,and the data were compared between groups before and after treatment.Set P < 0.05 for statistical difference.Results1.The BN stage,Fugl-Meyer movement evaluation(FMA)and motor assessment scale(MAS)of the upper limb and hand had no statistically significant difference in the three groups before treatment,the difference was not statistically significant(P>0.05).The results were comparable.2.The comparison in the group:(1)The BN stage,FMA and MAS scores of the upper limb and hand in the combined treatment group and the biofeedback group of the treatment for 2 weeks,4 week and 8 weeks were higher than that of the time corresponding before treatment,treatment for 2 weeks and 4 weeks,the difference was statistically significant(P < 0.05).(2)The BN stage scores of the upper limb in the control group of the treatment for 2 weeks and 8 weeks were higher than before treatment and the treatment for 4 weeks,the difference was statistically significant(P < 0.05);Although the treatment for 4 weeks were higher than the treatment for 2 weeks,but the difference was not statistically significant(P>0.05)..3.The comparison between groups:(1)The treatment for 2 weeks,the BN stage and FMA scores of the upper limb in combined therapy group were significantly higher than those in control group,the difference was statistically significant(P < 0.05);the BN stage and FMA scores of the upper limb in biofeedback group were higher than those in the control group,but the difference was not statistically significant(P>0.05);There was no significant difference in BN stage and MAS scores of the hand in the three groups(P>0.05).(2)The treatment for 4 weeks,the BN stage,FMA and MAS scores of the upper limb and hand in the combined treatment group were higher than that in the control group,the difference was statistically significant(P < 0.01);The BN stage,FMA and MAS scores of the upper limb and hand in the biofeedback group were higher than in the control group,the difference was statistically significant(P < 0.05).(3)The treatment for 8 weeks,the BN stage,FMA and MAS scores of the upper limb and hand in the combined treatment group were higher than that in the control group,the difference was statistically significant(P < 0.001);The BN stage,FMA and MAS scores of the upper limb and hand in the biofeedback group were higher than in the control group,the difference was statistically significant(P < 0.05).Conclusion1.The routine rehabilitation therapy had effective in upper limb function and hand function in stroke patients.2.The clinical efficacy by biofeedback therapy on upper limb function and hand function in stroke patients is better than that by conventional rehabilitation therapy.3.The clinical efficacy by biofeedback therapy combined with mirror therapy on upper limb function and hand function in stroke patients is better than that by biofeedback and conventional rehabilitation therapy.