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首页> 外文期刊>Frontiers in Neurology >Comparison Between Movement-Based and Task-Based Mirror Therapies on Improving Upper Limb Functions in Patients With Stroke: A Pilot Randomized Controlled Trial
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Comparison Between Movement-Based and Task-Based Mirror Therapies on Improving Upper Limb Functions in Patients With Stroke: A Pilot Randomized Controlled Trial

机译：基于运动和基于任务的镜子疗法对改善中风患者上肢功能的比较：一项随机对照试验

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Objective: The aim of this trial was to compare the effect of movement-based mirror therapy (MMT) and task-based mirror therapy (TMT) on improving upper limb functions in patients with stroke. Methods: A total of 34 patients with sub-acute stroke with mildly to moderately impaired upper limb motor functions. The participants were randomly allocated to one of three groups: MMT, TMT, and conventional treatment (CT). The MMT group underwent movement-based mirror therapy for around 30 min/day, 5 days/week, for 4 weeks, whereas the TMT group underwent dose-matched TMT. The CT group underwent only conventional rehabilitation. The MMT and TMT groups underwent CT in addition to their mirror therapy. Blinded assessments were administered at baseline and immediately after the intervention. Upper limb motor functions, measured using Fugl-Meyer Assessment-upper extremity (FMA-UE), Wolf Motor Function Test (WMFT), and hand grip strength; upper limb spasticity, measured using the modified Ashworth scale (MAS); and activities of daily living, measured using the modified Barthel index (MBI). Results: A significant time-by-group interaction effect was noted in FMA-UE. Post-hoc analysis of change scores showed that MMT yielded a better effect on improving FMA-UE than the other two therapies, at a marginally significant level ( P = 0.050 and 0.022, respectively). No significant interaction effect was noted in WMFT, hand grip strength, MAS, and MBI. Conclusion: Both MMT and TMT are effective in improving the upper limb function of patients with mild to moderate hemiplegia due to stroke. Nevertheless, MMT seems to be superior to TMT in improving hemiplegic upper extremity impairment. Further studies with larger stroke cohorts are expected to be inspired by this pilot trial. Trial registration number: No. ChiCTR1800019043 ( http://www.chictr.org.cn/index.aspx )
机译：目的：该试验的目的是比较基于运动的镜像疗法（MMT）和基于任务的镜像疗法（TMT）在改善卒中患者上肢功能方面的作用。方法：总共34例亚急性中风，轻度至中度上肢运动功能受损。参与者被随机分配到三组之一：MMT，TMT和常规治疗（CT）。 MMT组每天进行约30分钟，每天，5天/周，连续4周的基于运动的镜像治疗，而TMT组则进行剂量匹配的TMT。 CT组仅接受常规康复治疗。 MMT和TMT组除接受镜面治疗外还接受了CT检查。在基线和干预后立即进行盲法评估。上肢运动功能，使用Fugl-Meyer评估-上肢（FMA-UE），狼运动功能测试（WMFT）和握力进行测量;上肢痉挛，使用改良的Ashworth量表（MAS）进行测量;以及使用修正的Barthel指数（MBI）衡量的日常生活活动。结果：在FMA-UE中注意到了显着的逐组交互作用。事后对变化评分的分析表明，MMT在改善FMA-UE方面比其他两种疗法产生了更好的效果，处于边际显着水平（分别为P = 0.050和0.022）。在WMFT，握力，MAS和MBI中未发现明显的相互作用。结论：MMT和TMT均可有效改善中风偏瘫中风患者的上肢功能。尽管如此，MMT在改善偏瘫上肢功能障碍方面似乎优于TMT。这项试验性试验有望激发更大卒中人群的进一步研究。试用注册号：ChiCTR1800019043（http://www.chictr.org.cn/index.aspx）

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