Applied Research Of Improved Mirror Therapy Based On The Theory Of Embodied Cognition To Upper Extremity Motor Dysfunction In Patients With Cerebral Infarction

ObjectiveTo Apply the theory of embodied cognition to the clinical practice of rehabilitation nursing to verify the validity,scientificity and rationality of the theory;To explore the clinical effect of improved mirror therapy on upper extremity dysfunction of hemiplegia patients with cerebral infarction from the perspective of embodied cognition;To compare the effect of traditional mirror therapy and improved mirror therapy based on the theory of embodied cognition,in order to improve the effect of traditional mirror therapy.MethodsThis is a randomized controlled clinical study.From December 2018 to December 2019,We recruited 80 patients with upper extremity dysfunction of cerebral infarction who met the experimental criteria and assigned them to the experimental group(modified mirror group)and the control group(traditional mirror group)by computer random method,40 cases in both groups.Both the experimental group and the control group followed the basic treatment and nursing plan,including the establishment of improved mirror therapy and mirror therapy rehabilitation nursing group,assessment before rehabilitation and nursing,determination of rehabilitation nursing objectives,reference to authoritative guidelines and combined with the actual situation of the hospital to provide basic treatment and nursing for patients.On the basis of the implementation of this program,the experimental group used improved mirror therapy,the control group used traditional mirror therapy.FMA-UE 、Brunnstrom motor function assessment、MBI、SS-QOL were assessed before and 4weeks after the intervention.The two groups were compared and analyzed to explore the effect of improved mirror therapy on upper extremity dysfunction in hemiplegic patients with cerebral infarction.Results1.Baseline data results : gender,age,course of disease,hemiplegia,related complications,hypertension and diabetes,smoking history,drinking history,marital status,education level,occupation,infarction area and other general data of the two groups showed no significant difference(P>0.05).There was no statistical difference in FMA-UE、Brunnstrom motor function assessment、MBI、SS-QOL scores between the two groups before intervention(P>0.05).2.Intra-group comparison after intervention results:FMA-UE、Brunnstrom motor function assessment 、 MBI and SS-QOL scores of the two groups were significantly improved compared with those before intervention,and the differences were statistically significant(P<0.05).3.Comparison between groups after intervention results:FMA-UE、Brunnstrom motor function assessment、MBI and SS-QOL scores in the experimental group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Conclusions1.Both the traditional mirror therapy and the modified mirror therapy based on the theory of embodied cognitiontheory can safely and effectively promote the recovery of upper limb motor function in patients with cerebral infarction and hemiplegia,and at the same time accelerate the recovery process of upper limb Brunnstrom staged exercise,so as to further improve their daily activities and quality of life.2.Based on the theory of embodied cognition,the improved mirror therapy is significantly better than the traditional mirror therapy in the intervention of upper limb motor function and overall rehabilitation in patients with cerebral infarction and hemiplegia.3.Based on the theory of embodiment、situational、generative and dynamic characteristics of embodied cognitiontheory,the defects of traditional mirror therapywere improved,and significant clinical effect was achieved,thus proving the effectiveness and scientificity of embodied cognition theory in clinical practice.