Effects of action observation therapy assisted training by dynamic wrist-hand orthosis on hand function in patients with stroke

doi:10.3877/cma.j.issn.2095-123X.2020.06.010

Abstract

Abstract:

Objective

To observe the effect of action observation therapy training assisted by dynamic wrist-hand orthosis on hand function in patients with hemiplegia after stroke.

Methods

A total of 40 patients with hemiplegic hand dysfunction after stroke in the Neurorehabilitation Department of Suzhou Ruisheng Rehabilitation Hospital from March 2017 to September 2020 were randomly divided into control group (20 cases) and observation group (20 cases). The control group received conventional rehabilitation treatment and action observation therapy training. The observation group received conventional rehabilitation therapy and action observation therapy training assisted by dynamic wrist-hand orthosis. Before treatment and 4 weeks after treatment, the flexor tone was assessed with the improved modified Ashworth scale (MAS), and the wrist and hand motor function was assessed with the Fugl-Meyer assessment-upper extremities (FMA-UE) motor function scale, modified Barthel index (MBI) was used to assess the ability of daily living.

Results

The scores of MAS in 2 groups were significantly lower than that before treatment (P<0.05), The score of the observation group was lower than that of the control group (P<0.05). The scores of FMA-UE and MBI in 2 groups were significantly higher than those before treatment (P<0.05), and the observation group was higher than the control group (P<0.05).

Conclusion

Action observation therapy training assisted by dynamic wrist-hand orthosis can improve hand motor function and activities of daily living in patients with hemiplegia after stroke.

Key words: Stroke, Motor function, Action observation therapy, Orthosis

Haibo Zhu, Yanping Guo, Zhanyu Yang, Xuemei Zhou, Fucui Dong, Ruijin Li. Effects of action observation therapy assisted training by dynamic wrist-hand orthosis on hand function in patients with stroke[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2020, 10(06): 361-364.

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References 21

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组别	例数	性别		年龄（岁，Mean±SD）	病程（月，Mean±SD）	病变性质
组别	例数	男	女	年龄（岁，Mean±SD）	病程（月，Mean±SD）	脑梗死	脑出血
对照组	20	13	7	50.30±12.35	8.45±1.43	15	5
观察组	20	14	6	49.30±13.26	8.25±1.65	16	4
χ²/t值		0.114		0.247	0.409	0.143
P值		0.736		0.806	0.685	0.705

组别	例数	性别		年龄（岁，Mean±SD）	病程（月，Mean±SD）	病变性质
组别	例数	男	女	年龄（岁，Mean±SD）	病程（月，Mean±SD）	脑梗死	脑出血
对照组	20	13	7	50.30±12.35	8.45±1.43	15	5
观察组	20	14	6	49.30±13.26	8.25±1.65	16	4
χ²/t值		0.114		0.247	0.409	0.143
P值		0.736		0.806	0.685	0.705

评分	组别	对照组（n=20）	观察组（n=20）	t值	P值
MAS	治疗前	1.68±0.29	1.70±0.32	-0.267	0.791
	治疗后	1.55±0.28	1.35±0.24	2.256	0.030
	t值	2.517	5.480
	P值	0.021	<0.001
FMA-UE	治疗前	6.80±1.06	6.70±1.17	0.283	0.779
	治疗后	12.20±2.14	14.70±2.39	-4.784	<0.001
	t值	-11.111	-19.806
	P值	<0.001	<0.001
MBI	治疗前	66.55±8.31	65.70±8.00	0.329	0.744
	治疗后	70.70±8.47	76.25±8.14	-2.113	0.041
	t值	-9.771	-11.009
	P值	<0.001	<0.001

评分	组别	对照组（n=20）	观察组（n=20）	t值	P值
MAS	治疗前	1.68±0.29	1.70±0.32	-0.267	0.791
	治疗后	1.55±0.28	1.35±0.24	2.256	0.030
	t值	2.517	5.480
	P值	0.021	<0.001
FMA-UE	治疗前	6.80±1.06	6.70±1.17	0.283	0.779
	治疗后	12.20±2.14	14.70±2.39	-4.784	<0.001
	t值	-11.111	-19.806
	P值	<0.001	<0.001
MBI	治疗前	66.55±8.31	65.70±8.00	0.329	0.744
	治疗后	70.70±8.47	76.25±8.14	-2.113	0.041
	t值	-9.771	-11.009
	P值	<0.001	<0.001

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