康复 Effect of Innovative Mirror 治疗 on 上 肢体 Impairment in 卒中 患者 - 卒中 中心 - 司羿 智能的

Background:

上 肢体 功能障碍 is one of the 常见的 and 重要的 functional disorders in 卒中 患者. 上 肢体 功能障碍 is often more difficult to recover than 下 肢体 功能障碍, and it can also have a 消极的 impact on 下 肢体 功能 Therefore, the 康复 of 上 肢体 功能障碍 in 卒中 患者 has always been regarded as the focus and difficulty of 临床的 康复.

 

Mirror 治疗 (MT) is a 手 功能 康复 training method. The doctor asks the 患者 to place the healthy 手 outside the mirror box and the affected 手 inside the mirror box. When the healthy 手 moves, the 患者 is asked to observe the mirror image in the mirror, so that the 患者 has an illusion that the affected 手 is moving. The purpose of this 治疗 method is to stimulate the 患者's brain to observe, imagine and imitate movements through visual feedback, so as to implement 康复 training. The theoretical basis of MT is the mirror neuron theory. The theory holds that when observing the behavior of others, certain neurons in the observer's brain will be activated, as if the observer is also performing the 相同的 action. This phenomenon suggests that the brain has a certain plasticity and can change its structure and 功能 through visual feedback to achieve the purpose of 康复. At present, MT has been widely used in the 康复 of 上 肢体 功能障碍 in 卒中 患者. Many studies have shown that MT has a good effect in improving 上 肢体 运动 功能 and 日常生活 activities in 卒中 患者. With the development of science and technology, especially the advancement of 智能的 康复 technology, more and more MT based on 智能的 康复 设备 have sprung up, which undoubtedly opens up more new possibilities for the development of MT. This study compared the 康复 effects of innovative MT and traditional MT on 上 肢体 功能障碍 in 卒中 患者.

Figure 1 Innovative MT(司羿 手 康复 机器人 SY-HR08E) and traditional MT 手 功能 training diagram

 

Objective

To evaluate the 康复 effect of innovative mirror 治疗 (MT) on the 上 肢体 功能 and 日常生活 活动 ability of 卒中 患者.

 

Methods

Sixty 患者 with impaired 手 功能 after 卒中 were enrolled and divided into the intervention (n = 30) and control groups (n = 30) according to the random number table method. 患者 in the intervention group received conventional 康复 training combined with innovative MT, and those in the control group received conventional 康复 training and conventional MT. Before 治疗 and 4 weeks after 治疗, the Fugl-Meyer Assessment Scale for the 上 肢体 (FMA-UE), the Fugl-Meyer Assessment Scale for the wrist and fingers (FMA-WH), and the modified Barthel Index (MBI) were evaluated to compare the 康复 effects between two groups.

 

Results

After 4 weeks of 治疗, the FMA-UE, FMA-WH, and MBI scores of 患者 in two groups were higher than those before 治疗 (所有的 P < 0.05). The FMA-UE, FMA-WH, and MBI scores in the intervention group were higher than those in the control group (50.00 (25.75, 57.25) vs.24.00 (9.75, 51.50), 12.00(1.75, 14.75) vs. 0(0, 12.50), 24.50(13.00, 28.75) vs.13.00(4.75, 21.00), 所有的 P < 0.05). The differences before and after 治疗 of FMA-UE, FMA-WH and MBI scores in the intervention group were 所有的 higher than those in the control group (所有的 P < 0.05).

Conclusion

Compared with traditional MT, innovative MT(司羿 手 康复 机器人 SY-HR08E) yields higher efficacy in improving 上 肢体 功能 and enhancing the 日常生活 capability of 患者 with impaired 手 功能 after 卒中. As a new 康复 治疗 technology, innovative MT has high 临床的 application value for 手 功能障碍 caused by 神经学的 diseases.

 

Reference: CHEN Tao , LIU Shaxin , CHEN Xuelian , MAO Lei , LI Debo , GAN Linyu. 康复 effect of innovative mirror 治疗 on 上 肢体 impairment in 卒中 患者[J]. JOURNAL OF NEW MEDICINE, 2024, 55(6): 397-402 https://doi.org/10.3969/j.issn.0253-9802.2024.06.001