CAJ | 학술논문

目的：探讨镜像疗法对脑卒中偏瘫患者上肢功能和手功能的影响。方法将40例脑卒中偏瘫患者随机分为对照组和康复组，各20例。对照组进行常规康复训练，包括良肢位摆放、被动关节活动、肌力训练、平衡训练、步行训练、作业疗法、物理因子疗法等。康复组在此基础上增加镜像疗法。两组均治疗4周，治疗前及治疗2周后、4周后采用Fugl-Mayer（FMA）量表、STEF和Barthel（BI）指数进行评价。结果康复组治疗2周、4周后FMA评分分别为36．37±16．36、44．36±14．58，STEF评分分别为58．75±7．57、73．32±8．81，BI评分分别为57．33±15．26、67．50±13．48，治疗后两组评分较治疗前以及对照组均有提高，且康复组明显优于对照组（P＜0．05）。结论镜像疗法可改善脑卒中偏瘫患者的上肢功能和手功能，对提高患者日常生活活动能力有一定促进作用。
목적：탐토경상요법대뇌졸중편탄환자상지공능화수공능적영향。방법장40례뇌졸중편탄환자수궤분위대조조화강복조，각20례。대조조진행상규강복훈련，포괄량지위파방、피동관절활동、기력훈련、평형훈련、보행훈련、작업요법、물리인자요법등。강복조재차기출상증가경상요법。량조균치료4주，치료전급치료2주후、4주후채용Fugl-Mayer（FMA）량표、STEF화Barthel（BI）지수진행평개。결과강복조치료2주、4주후FMA평분분별위36．37±16．36、44．36±14．58，STEF평분분별위58．75±7．57、73．32±8．81，BI평분분별위57．33±15．26、67．50±13．48，치료후량조평분교치료전이급대조조균유제고，차강복조명현우우대조조（P＜0．05）。결론경상요법가개선뇌졸중편탄환자적상지공능화수공능，대제고환자일상생활활동능력유일정촉진작용。
Objective To explore mirror therapy on upper extremity function in patients with cerebral apoplexy hemiplegia and hand function .Methods Forty patients with of stroke hemiplegia were divided into control group and rehabilitation group.Control group had routine rehabilitation training , including the good limb position puts , the passive joints , muscle strength training, balance training, walk training therapy, homework therapy, physical factor and so on.Rehabilitation group added mirror therapy besides those routine trainings .Both groups had finished 4 weeks treatment , before treatment and 2 weeks and 4 weeks after treatment for the Fugl -Mayer scale, STEF and Barthel index evaluation .Results Two and four weeks after rehabilitation treatment group FMA score were 36.37 ±16.36, 44.36 ±14.58, STEF score were 58.75 ± 7.57, 73.32 ±8.81, BI score were 57.33 ±15.26, 67.50 ±13.48, score before the treatment and control group in the two groups after treatment were increased , and the rehabilitation group was better than control group (P<0.05).Conclu-sion Mirror therapy can improve the stroke patients with hemiplegia of upper limb function and hand function , and to im-prove their ability of daily life activities has a role in promoting .