Simple and Task-oriented Mirror Therapy for Upper Extremity Function in Stroke Patients: A Pilot Study

IF 0.8 4区医学 Q4 REHABILITATION Hong Kong Journal of Occupational Therapy Pub Date : 2014-06-01 DOI:10.1016/j.hkjot.2014.01.002

Young-Rim Paik , Su-Kyoung Kim , Jae-Shin Lee , Byoung-Jin Jeon

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引用次数: 23

Abstract

Objective/Background

To compare the effects of simple and task-oriented mirror therapies on upper extremity function in stroke patients with hemiplegia.

Methods

A single-subject, reversal (applied behaviour analysis) research design was used, and the study included four patients and two treatments. Treatment 1 involved simple mirror therapy that was performed using simple upper limb movements. Treatment 2 involved task-oriented mirror therapy that required each patient to perform functional movements associated with the tasks of daily living. Changes in upper extremity function were assessed during 23 sessions using box and block test, cube carry, and card turning tests. The Fugl-Meyer Assessment of upper extremity function was also performed.

Results

The upper extremity function of all patients increased after mirror therapy. However, the improved upper extremity function of the patients undergoing simple mirror therapy was not maintained after the conclusion of the therapy. By contrast, the improved upper extremity function of the patients receiving task-oriented mirror therapy continued to improve, even after therapy cessation.

Conclusion

Task-oriented mirror therapy in stroke patients provided more effective improvement in the upper extremity function of the hemiplegic stroke victims.

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脑卒中患者上肢功能的简单和任务导向镜像治疗:一项试点研究

目的/背景比较简单镜像疗法和任务导向镜像疗法对脑卒中偏瘫患者上肢功能的影响。方法采用单受试者逆转(应用行为分析)研究设计，纳入4例患者和2种治疗方法。治疗1包括简单的镜像疗法，通过简单的上肢运动进行。治疗2包括任务导向的镜像疗法，要求每个病人进行与日常生活任务相关的功能性运动。在23个疗程中，通过盒块测试、立方体携带和卡片翻转测试评估上肢功能的变化。同时进行Fugl-Meyer上肢功能评估。结果所有患者经镜像治疗后上肢功能均有所改善。然而，接受简单镜像治疗的患者上肢功能的改善在治疗结束后并没有得到维持。相比之下，接受任务导向镜像治疗的患者上肢功能的改善持续改善，即使在治疗停止后也是如此。结论任务导向的镜像治疗对偏瘫脑卒中患者上肢功能的改善更为有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Journal of Occupational Therapy 医学-康复医学

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.