學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Combining afferent stimulation and mirror therapy for
rehabilitating motor function, motor control, ambulation, and daily functions
after stroke |
作者 |
Lin, K-C., Huang, P-C., Chen, Y-T., Wu, C-Y. *,
& Huang, W-L. |
期刊名稱 |
Neurorehabilitation and Neural
Repair. (SCI 期刊) |
發表日期 |
2013 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Stroke, Rehabilitation, Mirror therapy, Electrical
stimulation, Kinematics, Activities of daily
living. |
摘要
|
Background. Mirror therapy (MT) and mesh glove (MG) afferent stimulation are
effective in reducing motor impairment after stroke. A hybrid intervention of
MT combined with MG (MT+MG) may broaden aspects of treatment benefits. Objective. To demonstrate the comparative effects of MG+MT, MT, and a control
treatment (CT) on the outcomes of motor impairments, manual dexterity,
ambulation function, motor control, and daily function. Methods.
Forty-three chronic stroke patients with mild to
moderate upper extremity impairment were randomly assigned to receive MT+MG,
MT, or CT for 1.5 hours/day, 5 days/week, for 4 weeks. Outcome measures were
the Fugl-Meyer Assessment (FMA) and muscle tone measured by Myoton-3 for
motor impairment, and the Box and Block Test (BBT) and 10-Meter Walk Test (10
MWT) for motor function. Secondary outcomes included kinematic parameters for
motor control, and the Motor Activity Log and ABILHAND Questionnaire for
daily function. Results. FMA total scores were significantly higher and synergistic shoulder abduction during reach was less in the MT+MG and
MT groups compared with the CT group. Performance on the BBT and the 10 MWT
(velocity and stride length in self-paced task and velocity in
as-quickly-as-possible task) were improved after MT+MG compared with MT. Conclusions. MT+MG improved manual dexterity and ambulation function. MT+MG and MT
reduced motor impairment and synergistic shoulder abduction, more than CT.
Future studies may integrate functional task practice into treatments to
enhance daily function outcomes in patients with various levels of motor
severity. The long-term effects of MG+MT remain to be evaluated. |