Effect of visual feedback training using mirror neuron theory on limb function and activities of daily living in patients with hemiplegia during early stroke / 中国基层医药

ABSTRACT

Objective To explore the effect of visual feedback training using mirror neuron theory in patients with hemiplegia in early stroke.Methods From July 2014 to July 2017,122 early stroke patients with hemiplegic stroke in the First Peopleˊs Hospital of Wenling were selected in the study.After the patientsˊcondition was stable, visual feedback training based on mirror neuron theory was performed.The functional status of upper limbs before and after treatment was evaluated by the simplified Fugl －Meyer motor function evaluation.The modified Ashworth scale was used to evaluate the upper limb muscle tension before and after treatment.The Barthel index was used to evaluate the ability of daily living activities before and after treatment.Results The FMA score of patients after treatment was (35.74 ±11.24)points,which was significantly higher than that before treatment [(28.81 ±9.68)points,t＝5.160, P＝0.000].The BI score after treatment was (76.24 ±14.77) points,which was significantly higher than before treatment[(52.93 ±12.28) points,t＝13.404,P＝0.000].After treatment,the muscle tension of the flexor elbow muscle group was (1.57 ±0.76)grades,which was significantly lower than before treatment [(3.24 ±0.72)grades, t＝17.619,P＝0.000].The forearm pronation muscle group muscle tension grade was (2.14 ±0.96)grades,which was significantly lower than before treatment [(3.28 ±0.75) grades,t＝10.336,P＝0.000].Conclusion Visual feedback training based on mirror neuron theory can help improve the upper limb function of patients with hemiplegia in early stroke,alleviate the symptoms of paralysis ,improve the ability of daily living activities of patients ,and has positive effect on promoting their rehabilitation.