切换至 "中华医学电子期刊资源库"

中华脑科疾病与康复杂志(电子版) ›› 2019, Vol. 09 ›› Issue (05) : 311 -314. doi: 10.3877/cma.j.issn.2095-123X.2019.05.013

所属专题: 文献

综述

镜像治疗与脑卒中后手功能康复
陈洁1, 邓远飞1, 张丽芳2,()   
  1. 1. 518036 深圳,北京大学深圳医院特诊及老年病科
    2. 750004 银川,宁夏医科大学总医院康复科
  • 收稿日期:2019-09-20 出版日期:2019-10-15
  • 通信作者: 张丽芳
  • 基金资助:
    深圳市卫健委三名工程(SZSM201812096); 宁夏科技厅重点项目(2016KJHM64)

Effect of mirror therapy on hand function after stroke

Jie Chen1, Yuanfei Deng1, Lifang Zhang2,()   

  1. 1. Department of Geriatrics, Peking University Shenzhen Hospital, Shenzhen 518036, China
    2. Department of Rehabilitation, General Hospital of Ningxia Medical University, Yinchuan 750004, China
  • Received:2019-09-20 Published:2019-10-15
  • Corresponding author: Lifang Zhang
  • About author:
    Corresponding author: Zhang Lifang, Email:
引用本文:

陈洁, 邓远飞, 张丽芳. 镜像治疗与脑卒中后手功能康复[J/OL]. 中华脑科疾病与康复杂志(电子版), 2019, 09(05): 311-314.

Jie Chen, Yuanfei Deng, Lifang Zhang. Effect of mirror therapy on hand function after stroke[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2019, 09(05): 311-314.

脑卒中是我国成年人致死、致残的首位原因,脑卒中后手功能的恢复是世界性难题。镜像治疗是指在健侧肢体运动的同时观察其在镜面中的反射影像,使健侧肢体活动的图像与患侧肢体叠加,让患者产生肢体运动能力增强的视错觉。镜像治疗可以显著改善脑卒中后手功能障碍,对脑卒中亚急性期及慢性期、认知障碍正常或异常的患者均有效。此外,镜像治疗可以联合其他康复治疗手段提升治疗效果。结合我国康复治疗现状,镜像治疗作为一种简便、安全、适用范围广的康复治疗手段,具有明确的推广价值。

Stroke is the leading cause of long-term disability and death in adults in China. Recovery of hand function after stroke is a worldwide problem. Mirror therapy is used to improve motor function after stroke. During mirror therapy, a mirror is placed in the person’s midsagittal plane, thus reflecting movements of the non-paretic side as if it were the affected side. Mirror therapy can significantly improve hand function after stroke, and the effect on motor function was significant for both subacute and chronic stage after stroke, and for patients with normal or abnormal cognitive function. In addition, the effect of mirror therapy combined with other rehabilitation treatments is more significant. Based on the current status of rehabilitation therapy in China, as a simple, safe, and widely applicable method, mirror therapy definitely has generalized value.

[1]
《中国脑卒中防治报告2018》编写组.我国脑卒中防治仍面临巨大挑战-《中国脑卒中防治报告2018》概要[J].中国循环杂志, 2019, 34(2): 105-119.
[2]
Li Z, Jiang Y, Li H, et al. China’s response to the rising stroke burden[J]. BMJ (Clinical research ed.), 2019, 364: l879.
[3]
逄锦熙,倪克锋.脑卒中后手功能障碍的康复治疗进展[J].中国现代医生, 2015, 53(13): 143-146, 152.
[4]
Pollock A, Farmer SE, Brady MC, et al. Interventions for improving upper limb function after stroke[J]. Cochrane Database Syst Rev, 2014, (11): CD010820.
[5]
贾杰. "中枢-外周-中枢"闭环康复-脑卒中后手功能康复新理念[J].中国康复医学杂志, 2016, 31(11): 1180-1182.
[6]
丁力,贾杰. "镜像疗法"作为一种康复治疗技术的新进展[J].中国康复医学杂志, 2015, 30(5): 509-512.
[7]
Thieme H, Morkisch N, Mehrholz J, et al. Mirror therapy for improving motor function after stroke[J]. Cochrane Database Syst Rev, 2018, 7: Cd008449.
[8]
Altschuler EL, Wisdom SB, Stone L, et al. Rehabilitation of hemiparesis after stroke with a mirror[J]. Lancet (London, England), 1999, 353(9169): 2035-2036.
[9]
Dohle C, Pullen J, Nakaten A, et al. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial[J]. Neurorehabil Neural Repair, 2009, 23(3): 209-217.
[10]
Yavuzer G, Selles R, Sezer N, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2008, 89(3): 393-398.
[11]
Arya KN, Pandian S, Kumar D, et al. Task-based mirror therapy augmenting motor recovery in poststroke hemiparesis: a randomized controlled trial[J]. J Stroke Cerebrovasc Dis, 2015, 24(8): 1738-1748.
[12]
Antoniotti P, Veronelli L, Caronni A, et al. No evidence of effectiveness of mirror therapy early after stroke: an assessor-blinded randomized controlled trial[J]. Clin Rehabil, 2019, 33(5): 885-893.
[13]
Lee SA, Cha HG. The effect of motor imagery and mirror therapy on upper extremity function according to the level of cognition in stroke patients[J]. Int J Rehabil Res, 2019, 42(4): 330-336.
[14]
Morkisch N, Thieme H, Dohle C. How to perform mirror therapy after stroke? Evidence from a meta-analysis[J]. Restor Neurol Neurosci, 2019, 37(5): 421-435.
[15]
Perez-Cruzado D, Merchan-Baeza JA, Gonzalez-Sanchez M, et al. Systematic review of mirror therapy compared with conventional rehabilitation in upper extremity function in stroke survivors[J]. Aust Occup Ther J, 2017, 64(2): 91-112.
[16]
Amasyali SY, Yaliman A. Comparison of the effects of mirror therapy and electromyography-triggered neuromuscular stimulation on hand functions in stroke patients: a pilot study[J]. Int J Rehabil Res, 2016, 39(4): 302-307.
[17]
Lin KC, Huang PC, Chen YT, et al. Combining afferent stimulation and mirror therapy for rehabilitating motor function, motor control, ambulation, and daily functions after stroke[J]. Neurorehabil Neural Repair, 2014, 28(2): 153-162.
[18]
Schick T, Schlake HP, Kallusky J, et al. Synergy effects of combined multichannel EMG-triggered electrical stimulation and mirror therapy in subacute stroke patients with severe or very severe arm/hand paresis[J]. Restor Neurol Neurosci, 2017, 35(3): 319-332.
[19]
Guo J, Qian S, Wang Y, et al. Clinical study of combined mirror and extracorporeal shock wave therapy on upper limb spasticity in poststroke patients[J]. Int J Rehabil Res, 2019, 42(1): 31-35.
[20]
Xu Y, Lin S, Jiang C, et al. Synergistic effect of acupuncture and mirror therapy on post-stroke upper limb dysfunction: a study protocol for a randomized controlled trial[J]. Trials, 2018, 19(1): 303.
[21]
Jan S, Arsh A, Darain H, et al. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients[J]. J Pak Med Assoc, 2019, 69(9): 1242-1245.
[22]
Cho HS, Cha HG. Effect of mirror therapy with tDCS on functional recovery of the upper extremity of stroke patients[J]. J Phys Ther Sci, 2015, 27(4): 1045-1047.
[23]
Cha HG, Kim MK. Therapeutic efficacy of low frequency transcranial magnetic stimulation in conjunction with mirror therapy for sub-acute stroke patients[J]. J MAGN, 2015, 20(1): 52-56.
[24]
Choi HS, Shin WS, Bang DH. Mirror therapy using gesture recognition for upper limb function, neck discomfort, and quality of life after chronic stroke: a single-blind randomized controlled trial[J]. Med Sci Monit, 2019, 25: 3271-3278.
[25]
Chang CS, Lo YY, Chen CL, et al. Alternative motor task-based pattern training with a digital mirror therapy system enhances sensorimotor signal rhythms post-stroke[J]. Front Neurol, 2019, 10: 1227.
[1] 张怡, 王宇洋, 司梦娇, 曹燕, 李欢欢. 脑卒中前白蛋白与肺炎发生风险相关性分析[J/OL]. 中华肺部疾病杂志(电子版), 2024, 17(04): 648-651.
[2] 江西省神经外科质量控制中心. 江西省心源性脑卒中多学科协作防治专家共识[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(05): 264-277.
[3] 张洪, 杨琪, 罗静, 唐茜, 邓鸿, 巩文艳, 王丽坤, 刘静, 艾双春. 多靶点神经调控技术对卒中后上肢运动功能障碍患者的脑网络功能连接研究[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(05): 278-284.
[4] 许方军, 曹晓光, 王修敏, 王婷, 陈冬冬, 余程冬, 张鹤言. 基于闭环理论的动作观察疗法联合躯干控制训练对脑卒中后下肢运动的影响[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(05): 292-299.
[5] 张雅文, 尹昱, 陈江龙, 杨玉慧, 吕红香, 张琦, 吕佩源. Theta爆发式经颅磁刺激治疗失语症的研究进展[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(05): 306-311.
[6] 陈冬冬, 余程冬, 曹晓光. 上肢外骨骼机器人在脑卒中康复中的应用与研究进展[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(05): 312-317.
[7] 吉莉, 苏云楠, 王斌, 沈滔, 刘团结, 毛蕾, 徐玉萍, 张婷, 王博. 急性缺血性脑卒中患者脑白质微结构改变对长期认知功能损伤的预测价值研究[J/OL]. 中华脑科疾病与康复杂志(电子版), 2024, 14(04): 193-200.
[8] 李璇, 邓岚, 郭微, 邓永梅, 刘杰昕. 标准化皮肤管理流程在防治脑卒中患者失禁相关性皮炎中的应用[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 479-482.
[9] 刘志超, 胡风云, 温春丽. 山西省脑卒中危险因素与地域的相关性分析[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 424-433.
[10] 王丽娜, 吕书霞, 李亚男. 脑卒中偏瘫患者健康焦虑元认知与疾病接受度、恐惧疾病进展的相关性[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 434-440.
[11] 李芳, 戴西望, 王凯, 郭廷昊, 涂江龙. 非瓣膜性心房颤动相关性卒中的治疗研究进展[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(04): 393-397.
[12] 周洪千, 张煜坤, 顾天舒, 胡苏涛, 姜超, 张雪, 张昊, 陶华岳, 刘行, 刘彤, 陈康寅. 既往出血性脑卒中患者行经皮冠脉介入治疗后不良事件的危险因素分析[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(04): 323-329.
[13] 邓越, 白鹏, 洪秋阳, 王桂玲. 颈部七线调衡疗法探析并病例汇报一例[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(04): 345-349.
[14] 刘胜锋, 陈云强. 不同强度改良强制性运动疗法对脑卒中患者上肢肌肉形态及表面肌电的影响[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(03): 224-229.
[15] 施旭, 周敬杰, 滕飞, 张薛, 李会霞. 脑卒中患者应对方式在自我效能与社会参与间的中介作用[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(03): 250-254.
阅读次数
全文


摘要