Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke
ObjectiveTo observe the effect of mirror therapy (MT) combined with functional electrical stimulation (FES) on upper limb motor dysfunction and thenar muscle atrophy in stroke patients.MethodsA total of 120 patients with upper limb motor dysfunction after stroke in the Xingtai Third Hospital from Au...
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Editorial Office of Rehabilitation Medicine
2023-08-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.04010 |
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| author | LI Xiuli JI Jinglei DU Xiaomin XIN Hui DOU Lihui LI Peng |
| author_facet | LI Xiuli JI Jinglei DU Xiaomin XIN Hui DOU Lihui LI Peng |
| author_sort | LI Xiuli |
| collection | DOAJ |
| description | ObjectiveTo observe the effect of mirror therapy (MT) combined with functional electrical stimulation (FES) on upper limb motor dysfunction and thenar muscle atrophy in stroke patients.MethodsA total of 120 patients with upper limb motor dysfunction after stroke in the Xingtai Third Hospital from August 2017 to August 2020 were randomly divided into control group and observation group, with 60 cases in each group. Both groups received routine drug treatment and conventional rehabilitation training. The control group received FES therapy in addition to the conventional therapy, while the observation group received MT therapy in addition to the conventional therapy. Before and after treatment, Fugl-Meyer assessment of upper extremity (FMA-UE), Wolf motor function test (WMFT) and Brunnstrom hemiplegia stage were used to evaluate the motor function of upper limbs of patients with stroke; functional independence measure (FIM) was used to evaluate the functional independence; modified Barthel index (MBI) was used to assess the activities of daily living of patients; and color ultrasound diagnostic instrument was used to measure the cross sectional area (CSA) and circumference of thenar muscles.Results(1) Motor function of upper limbs: compared with those before treatment, FMA-UE, WMFT and Brunnstrom hemiplegia stage scores of both groups after treatment significantly improved, and the differences were statistically significant (<italic>P</italic><0.05); compared with the control group, FMA-UE, WMFT and Brunnstrom hemiplegia stage scores in the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05). (2) FIM and MBI scores: compared with those before treatment, the FIM and MBI scores of both groups after treatment significantly increased, and the differences were statistically significant (<italic>P</italic><0.05); compared with the control group, the FIM and MBI scores of the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05). (3) CSA and circumference of thenar muscles: compared with those before treatment, CSA and circumference of thenar muscles of both groups after treatment significantly increased (<italic>P</italic><0.05). Compared with the control group, the CSA and circumference of thenar muscles in the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05).ConclusionMT combined with FES can effectively improve the upper limb motor function of stroke patients, reduce the degree of thenar muscle atrophy, and improve the activities of daily living of patients. |
| format | Article |
| id | doaj-art-c037ded7c47f4ec8a3902d6f82355a01 |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-c037ded7c47f4ec8a3902d6f82355a012025-01-14T10:08:22ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282023-08-013335335841637904Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with StrokeLI XiuliJI JingleiDU XiaominXIN HuiDOU LihuiLI PengObjectiveTo observe the effect of mirror therapy (MT) combined with functional electrical stimulation (FES) on upper limb motor dysfunction and thenar muscle atrophy in stroke patients.MethodsA total of 120 patients with upper limb motor dysfunction after stroke in the Xingtai Third Hospital from August 2017 to August 2020 were randomly divided into control group and observation group, with 60 cases in each group. Both groups received routine drug treatment and conventional rehabilitation training. The control group received FES therapy in addition to the conventional therapy, while the observation group received MT therapy in addition to the conventional therapy. Before and after treatment, Fugl-Meyer assessment of upper extremity (FMA-UE), Wolf motor function test (WMFT) and Brunnstrom hemiplegia stage were used to evaluate the motor function of upper limbs of patients with stroke; functional independence measure (FIM) was used to evaluate the functional independence; modified Barthel index (MBI) was used to assess the activities of daily living of patients; and color ultrasound diagnostic instrument was used to measure the cross sectional area (CSA) and circumference of thenar muscles.Results(1) Motor function of upper limbs: compared with those before treatment, FMA-UE, WMFT and Brunnstrom hemiplegia stage scores of both groups after treatment significantly improved, and the differences were statistically significant (<italic>P</italic><0.05); compared with the control group, FMA-UE, WMFT and Brunnstrom hemiplegia stage scores in the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05). (2) FIM and MBI scores: compared with those before treatment, the FIM and MBI scores of both groups after treatment significantly increased, and the differences were statistically significant (<italic>P</italic><0.05); compared with the control group, the FIM and MBI scores of the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05). (3) CSA and circumference of thenar muscles: compared with those before treatment, CSA and circumference of thenar muscles of both groups after treatment significantly increased (<italic>P</italic><0.05). Compared with the control group, the CSA and circumference of thenar muscles in the observation group after treatment were significantly higher, and the differences were statistically significant (<italic>P</italic><0.05).ConclusionMT combined with FES can effectively improve the upper limb motor function of stroke patients, reduce the degree of thenar muscle atrophy, and improve the activities of daily living of patients.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.04010strokeupper limb motor dysfunctionfunctional electrical stimulationmirror therapyactivities of daily livingthenar muscle |
| spellingShingle | LI Xiuli JI Jinglei DU Xiaomin XIN Hui DOU Lihui LI Peng Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke 康复学报 stroke upper limb motor dysfunction functional electrical stimulation mirror therapy activities of daily living thenar muscle |
| title | Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke |
| title_full | Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke |
| title_fullStr | Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke |
| title_full_unstemmed | Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke |
| title_short | Clinical Study of Mirror Therapy Combined with Functional Electrical Stimulation for Upper Limb Motor Dysfunction in Patients with Stroke |
| title_sort | clinical study of mirror therapy combined with functional electrical stimulation for upper limb motor dysfunction in patients with stroke |
| topic | stroke upper limb motor dysfunction functional electrical stimulation mirror therapy activities of daily living thenar muscle |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.04010 |
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