|
作者
|
Lin, K-C., Chen, Y-T., Huang, P-C., Wu,
C-Y.*, Huang, W-L., Yang, H-W., Lai, H-T.,
Lu, H-J.
|
|
關鍵字
|
Activities of Daily Living, Motor
Function, Rehabilitation, Stroke, Upper Extremity
|
|
摘要
|
Background/Purpose: Mirror therapy (MT) has been recommended as a simple,
inexpensive approach to treat motor dysfunction. Mesh Glove (MG) was
suggested to normalize muscle tone that ameliorates motor impairment.
Combining two efficient treatment protocols might maximize the benefits from
training. This study investigated the effects of MT combined with MG (MG+MT)
vs MT alone on motor performance and daily function.
Methods: Sixteen patients with chronic unilateral stroke were recruited. A
randomized two-group pretest and posttest design was used to randomly assign
participants to MG+MT or MT groups. MT involves repetitive bimanual,
symmetrical movement practice in which the individual moves the affected limb
as much as she/he could while watching the reflective illusion of the
unaffected limb’s movements from a mirror. The MG+MT
group wore a MG on the affected hand during the MT. The Modified Ashworth
scale of muscle spasticity (MAS), Action Research Arm Test (ARAT), Box and
Block Test (BBT), and Functional Independence Measure (FIM) were administered
to evaluate spasticity, motor and daily function.
Results: The results for BBT (p = 0.013), total scores (p = 0.031), grasping subscales (p =
0.036) of ARAT, and FIM transfer scores (p =
0.013) presented significantly large effects in favor of MG+MT group.
Conclusion: Combining MG with MT significantly improves manual dexterity,
grasping, and transfer performance. Adding the MG component into the MT
likely increased the richness of sensory input and improved the movement
performance more the MT alone.
|