การฟื้นฟูสมรรถภาพ Effect of Innovative การบำบัดด้วยกระจกเงา on Upper Limb Impairment in โรคหลอดเลือดสมอง Patients - โรคหลอดเลือดสมอง Center

Background:

Upper limb dysfunction is one of the common and important functional disorders in โรคหลอดเลือดสมอง patients. Upper limb dysfunction is often more difficult to recover than lower limb dysfunction, and it can also have a negative impact on lower limb function Therefore, the การฟื้นฟูสมรรถภาพ of upper limb dysfunction in โรคหลอดเลือดสมอง patients has always been regarded as the focus and difficulty of clinical การฟื้นฟูสมรรถภาพ.

 

การบำบัดด้วยกระจกเงา (MT) is a hand function การฟื้นฟูสมรรถภาพ training method. The doctor asks the patient to place the healthy hand outside the mirror box and the affected hand inside the mirror box. When the healthy hand moves, the patient is asked to observe the mirror image in the mirror, so that the patient has an illusion that the affected hand is moving. The purpose of this treatment method is to stimulate the patient's brain to observe, imagine and imitate movements through visual feedback, so as to implement การฟื้นฟูสมรรถภาพ training. The theoretical basis of MT is the mirror neuron theory. The theory holds that when observing the behavior of others, certain neurons in the observer's brain will be activated, as if the observer is also performing the same action. This phenomenon suggests that the brain has a certain plasticity and can change its structure and function through visual feedback to achieve the purpose of การฟื้นฟูสมรรถภาพ. At present, MT has been widely used in the การฟื้นฟูสมรรถภาพ of upper limb dysfunction in โรคหลอดเลือดสมอง patients. Many studies have shown that MT has a good effect in improving upper limb motor function and daily living activities in โรคหลอดเลือดสมอง patients. With the development of science and technology, especially the advancement of intelligent การฟื้นฟูสมรรถภาพ technology, more and more MT based on intelligent การฟื้นฟูสมรรถภาพ equipment have sprung up, which undoubtedly opens up more new possibilities for the development of MT. This study compared the การฟื้นฟูสมรรถภาพ effects of innovative MT and traditional MT on upper limb dysfunction in โรคหลอดเลือดสมอง patients.

Figure 1 Innovative MT(Syrebo Hand หุ่นยนต์ฟื้นฟูสมรรถภาพ SY-HR08E) and traditional MT hand function training diagram

 

Objective

To evaluate the การฟื้นฟูสมรรถภาพ effect of innovative การบำบัดด้วยกระจกเงา (MT) on the upper limb function and daily living activity ability of โรคหลอดเลือดสมอง patients.

 

Methods

Sixty patients with impaired hand function after โรคหลอดเลือดสมอง were enrolled and divided into the intervention (n = 30) and control groups (n = 30) according to the random number table method. Patients in the intervention group received conventional การฟื้นฟูสมรรถภาพ training combined with innovative MT, and those in the control group received conventional การฟื้นฟูสมรรถภาพ training and conventional MT. Before treatment and 4 weeks after treatment, the Fugl-Meyer Assessment Scale for the upper limb (FMA-UE), the Fugl-Meyer Assessment Scale for the wrist and fingers (FMA-WH), and the modified Barthel Index (MBI) were evaluated to compare the การฟื้นฟูสมรรถภาพ effects between two groups.

 

Results

After 4 weeks of treatment, the FMA-UE, FMA-WH, and MBI scores of patients in two groups were higher than those before treatment (all P < 0.05). The FMA-UE, FMA-WH, and MBI scores in the intervention group were higher than those in the control group (50.00 (25.75, 57.25) vs.24.00 (9.75, 51.50), 12.00(1.75, 14.75) vs. 0(0, 12.50), 24.50(13.00, 28.75) vs.13.00(4.75, 21.00), all P < 0.05). The differences before and after treatment of FMA-UE, FMA-WH and MBI scores in the intervention group were all higher than those in the control group (all P < 0.05).

Conclusion

Compared with traditional MT, innovative MT(Syrebo Hand หุ่นยนต์ฟื้นฟูสมรรถภาพ SY-HR08E) yields higher efficacy in improving upper limb function and enhancing the daily living capability of patients with impaired hand function after โรคหลอดเลือดสมอง. As a new การฟื้นฟูสมรรถภาพ treatment technology, innovative MT has high clinical application value for hand dysfunction caused by neurological diseases.

 

Reference: CHEN Tao , LIU Shaxin , CHEN Xuelian , MAO Lei , LI Debo , GAN Linyu. การฟื้นฟูสมรรถภาพ effect of innovative การบำบัดด้วยกระจกเงา on upper limb impairment in โรคหลอดเลือดสมอง patients[J]. JOURNAL OF NEW MEDICINE, 2024, 55(6): 397-402 https://doi.org/10.3969/j.issn.0253-9802.2024.06.001