https://scholars.lib.ntu.edu.tw/handle/123456789/479167
標題: | Effect of mirror therapy combined with somatosensory stimulation on motor recovery and daily function in stroke patients: A pilot study | 作者: | KEH-CHUNG LIN Chen Y.-T. Huang P.-C. Wu C.-Y. Huang W.-L. Yang H.-W. Lai H.-T. Lu H.-J. |
公開日期: | 2014 | 出版社: | Elsevier | 卷: | 113 | 期: | 7 | 起(迄)頁: | 422-428 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Mirror therapy (MT) has been recommended as a simple, inexpensive approach to treat motor dysfunction. The use of a mesh glove (MG) was suggested to normalize muscle tone that ameliorates motor impairment. Combining two efficient treatment protocols might maximize the benefits from training. This study investigated the effects of MT combined with MG (MG+MT) versus MT alone on motor performance and daily function after stroke. Methods: Sixteen patients with chronic unilateral stroke were recruited. A randomized two-group pretest and posttest design was used to randomly assign participants to MG+MT or MT groups. MT involves repetitive bimanual, symmetrical movement practice in which the individual moves the affected limb as much as she/he could while watching the reflective illusion of the unaffected limb's movements from a mirror. The MG+MT group wore a MG on the affected hand during the MT. The Modified Ashworth scale of muscle spasticity (MAS), Action Research Arm Test (ARAT), Box and Block Test (BBT), and Functional Independence Measure (FIM) were administered to evaluate spasticity, and motor and daily function. Results: The results for the BBT (. p=0.013), total scores (. p=0.031), grasping subscales (. p=0.036) of ARAT, and FIM transfer scores (. p=0.013) presented significantly large effects in favor of the MG+MT group. Conclusion: Combining MG with MT significantly improves manual dexterity, grasping, and transfer performance. Adding the MG component into the MT likely increased the richness of sensory input and improved the movement performance more than MT alone. ? 2012. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902813421&doi=10.1016%2fj.jfma.2012.08.008&partnerID=40&md5=1ddba91761a4a653f5c0f5c829684aa8 https://scholars.lib.ntu.edu.tw/handle/123456789/479167 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2012.08.008 | SDG/關鍵字: | Action Research Arm Test; adult; aged; article; Box and Block Test; cerebrovascular accident; clinical article; comparative study; controlled study; daily life activity; female; Functional Independence Measure; grip strength; human; limb movement; male; mirror therapy; Modified Ashworth scale of muscle spasticity; motor performance; muscle tone; named inventories, questionnaires and rating scales; pilot study; pretest posttest design; psychotherapy; randomized controlled trial; sensory stimulation; somatosensory stimulation; spasticity; stroke patient; arm; convalescence; daily life activity; electrostimulation therapy; kinesiotherapy; middle aged; multimodality cancer therapy; Muscle Spasticity; pathophysiology; procedures; sensory nerve; Stroke; Activities of Daily Living; Adult; Afferent Pathways; Aged; Combined Modality Therapy; Electric Stimulation Therapy; Exercise Movement Techniques; Female; Humans; Male; Middle Aged; Muscle Spasticity; Pilot Projects; Recovery of Function; Stroke; Upper Extremity |
顯示於: | 職能治療學系 |
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