The Clinic Study On The Effcet Of Rehabilitation Techniques Based On Mirror-neuron System On UPPer Limb And Hand Function In Post-stroke Patients With Hemiplegia

Objective:To study the effects of three rehabilitation techniques based on mirror nervous system(Graded motor imagery,Mirror therapy,Action observation treatment)on the function of upper limb and hand of hemiplegic patients,in order to provide more effective training methods for patients with upper limb and hand motor dysfunction.Methods:Select 42 post-stroke patients with hemiplegia in the department of rehabilitation medicine in Second Hospital of Jilin University from January2018 to March 2019 according to the standard strictly.These Patients were divided into 5 groups,Graded motor imagery,Mirror therapy and Action observation treatment,control group 1 and control group 2.The number of each group is,8,10,8,8,8.All the three treatments were 20min/ time and 1 time/day,21 days in total.All cases were treated with routine rehabilitation training.At baseline and after 21-day training,the Wolf motor function test(WMFT),upper limb of Fugl-Meyer assessment(FMA),Motor evoked potential(MEP)were used to evaluate the Patients’ motor function of lower limb and hand.All the experimental data were analyzed by SPSS statistical software,and the data were compared both inter-group and intra-group.Set P < 0.05 for statistical difference.Results:1.Wolf motor function test(WMFT),upper limb of Fugl-Meyer assessment(FMA),Motor evoked potential(MEP)and basic information had no statistically significant difference in Graded motor imagery and Mirror therapy and control group before treatment,the difference was not statistically significant(P>0.05).The results were comparable.Action observation treatment and its same level control group were comparable.2.The comparison intra-group:The evaluation scores of WMFT and FMA after treatment are higher than baseline in all five groups.The difference was statistically significant.The evaluation scores of MEP after treatment are higher than baseline in Graded motor imagery.The difference was statistically significant.The evaluation scores of MEP after treatment are higher than baseline in Action observation treatment.The difference was statistically significant.3.The comparison inter-group:The MEP and FMA scores in Graded motor imagery group is better than those in control group.The difference was statistically significant.The FMA scores in Graded motor imagery group is better than those in Mirror therapy.The difference was statistically significantThe FMA and WMFT scores in Action observation treatment group is better than those in control group.The difference was statistically significant.Conclusions:1.All the three treatments and routine rehabilitation training had effective on upper limb and hand function in post-stroke patients with hemiplegia.2.Graded motor imagery is better than Mirror therapy and routine rehabilitation training on upper limb and hand function in Post-stroke patients with hemiplegia.3.Action observation treatment is better than routine rehabilitation training on upper limb and hand function in post-stroke patients with hemiplegia.