學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Combining afferent stimulation
and mirror therapy for improving muscular, sensorimotor, and daily functions
after chronic stroke: A randomized, placebo-controlled
study |
作者 |
Lee, Y-Y., Lin, K-C., Wu, C-Y.*, Liao, C-H., Lin, J-C., & Chen,
C-L. |
期刊名稱 |
American Journal of
Physical Medicine & Rehabilitation |
發表日期 |
2015 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
stroke,
electric stimulation, muscle hypertonia, rehabilitation |
摘要 |
Objective: Mirror
therapy (MT) combined with mesh glove (MG) afferent stimulation (MT+MG) has
been suggested as an effective intervention for motor recovery in patients
with stroke. This study aimed to further determine the treatment effects of
the MT+MG approach on muscular properties, sensorimotor functions, and daily
function. Design: This
was a single-blind, randomized, placebo-controlled study. Forty-eight
participants with chronic stroke were recruited from medical centers and were randomly assigned to the MT, MT+MG,
and MT with sham MG stimulation (MT+Sham) groups. The intervention consisted
of 1.5 hours/day, 5 days/week for 4 weeks. Primary outcomes were the
Fugl-Meyer Assessment (FMA) and muscular properties (muscle tone and
stiffness). Secondary outcomes included measures of sensorimotor and daily
functions. Results:
Compared with the MT and MT+Sham groups, the MT+MG group demonstrated
improved muscular properties. The MT+MG and MT+Sham groups showed greater
improvement in manual dexterity and daily function than the MT group. No
beneficial effects on the FMA and other sensorimotor outcomes were found for
the MT+MG group. Conclusions: Although no significant group differences were found in the FMA, the
MT+MG induced distinctive effects on muscular properties, manual dexterity, and daily function. |