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首页> 外文期刊>Physiotherapy research international: the journal for researchers and clinicians in physical therapy >Unilateral dorsiflexor strengthening with mirror therapy to improve motor function after stroke: A pilot randomized study
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Unilateral dorsiflexor strengthening with mirror therapy to improve motor function after stroke: A pilot randomized study

机译：单侧背屈加强镜面治疗，以改善冲程后的运动功能：试点随机研究

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Abstract Background Independently, cross‐education, the performance improvement of the untrained limb following unilateral training, and mirror therapy have shown to improve lower limb functioning poststroke. Mirror therapy has shown to augment the cross‐education effect in healthy populations. However, this concept has not yet been explored in a clinical setting. Objectives This study set out to investigate the feasibility and potential efficacy of applying cross‐education combined with mirror therapy compared with cross‐education alone for lower limb recovery poststroke. Methods Thirty‐one chronic stroke participants (age 61.7?±?13.3) completed either a unilateral strength training (ST; n ?=?15) or unilateral strength training with mirror‐therapy (MST; n ?=?16) intervention. Both groups isometrically strength trained the less‐affected ankle dorsiflexors three times per week for 4?weeks. Only the MST group observed the mirror reflection of the training limb. Patient eligibility, compliance, treatment reliability, and outcome measures were assessed for feasibility. Maximal voluntary contraction (MVC; peak torque, rate of torque development, and average torque), 10‐m walk test, timed up and go (TUG), Modified Ashworth Scale (MAS), and the London Handicap Scale (LHS) were assessed at pretraining and posttraining. Results Treatment and assessments were well tolerated without adverse effects. No between group differences were identified for improvement in MVC, MAS, TUG, or LHS. Only the combined treatment was associated with functional improvements with the MST group showing an increase in walking velocity. Conclusion Cross‐education plus mirror therapy may have potential for improving motor function after stroke. This study demonstrates the feasibility of the combination treatment and the need for future studies with larger sample sizes to investigate the effectiveness of the treatment.
机译：抽象背景独立，交叉教育，未经监测肢体的性能改善，遵循单侧训练，镜面治疗表明，提高了较低的肢体运作失败。镜子治疗表明，增加了健康人群的跨教育效果。但是，这一概念尚未在临床环境中探讨。目的本研究旨在调查应用跨教育与镜子治疗相结合的可行性和潜在疗效与单独的跨越肢体恢复失误相比。方法三十一慢性中风参与者（61.7岁？两组均等化力量培训了每周三次受影响的踝关节减少三次，持续4次。只有MST组观察到训练肢体的镜面反射。评估患者资格，合规性，治疗可靠性和结果措施进行可行性。最大自愿收缩（MVC;峰值扭矩，扭矩开发速率和平均扭矩），10米的步行试验，定时和去（拖船），改进的Ashworth Scale（MAS），以及伦敦障碍秤（LHS）进行了评估在预磨和后训练。结果治疗和评估良好耐受性耐受性。在MVC，MAS，拖船或LHS中确定了组分差之间的差异。只有组合的处理与MST组的功能改进有关，显示出速度的增加。结论跨教育加镜治疗可能有可能在中风后改善电机功能。本研究表明了组合治疗的可行性以及对更大样本尺寸的未来研究的需要，以研究治疗的有效性。

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