Summary: | 碩士 === 國立臺北護理健康大學 === 運動保健研究所 === 100 === Upper extremity motor function impairment is the common syndrome in chronic
stroke patients and result in reducing the usage of the affected arm in daily living.
Recent research suggest that stroke patients may benefit from mirror therapy in upper
extremity motor functions. The purpose of this study is to evaluate the effects of the
mirror therapy on upper extremity motor function in patients of chronic stroke
patients. 16 chronic stroke (onset >6 months) patient were included in this study and
randomly assigned to the mirror therapy(MT) group (n=8) and the control (RC) group
(n=8). The mirror therapy group received mirror therapy program for 1 hour and
conventional therapy for 0.5 hour per day, 5 days a week, in 4 weeks. The control
group received the does-matched conventional therapy. The Fugl-Meyer Assessment
(FMA) and Micro-mini Motion-logger, were used to assess the changes in upper
extremity motor function and the ratio of affected arm use to non-affected arm use
after intervention. The visual analog scales were also applied for assessing the level of pain and fatigue that may be induced by intervention. In the upper extremity function, the scores of FMA increased more in MT group (6.5±4.3, Mean ± SD) than in RC
(3.12±2.03) group (p<.05). The ratio of affected arm use to non-affected arm use
reduced more in MT( -0.24±0.16) group than in RC(0.06±0.16) group significantly
(p<.05). No significant difference were found in pain and fatigue level between two
groups. This study supports that both therapy are effective for upper extremity motor
function rehabilitation in chronic stroke patients, Therefore, chronic stroke patients
made more improvement in upper motor functions with combined mirror therapy with
conventional therapy. However, it would be noticed that the ratio of affected arm use
to non-affected arm use may be reduced after mirror therapy intervention.
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