• 1. Department of Rehabilitation Medicine, Huashan Hospital Fudan University, Shanghai 200040, P. R. China;
  • 2. Department of Rehabilitation, the First Rehabilitation Hospital of Shanghai, Shanghai 200090, P. R. China;
  • 3. Department of Rehabilitation, Shanghai Changning Tianshan Traditional Medicine Hospital, Shanghai 200051, P. R. China;
  • 4. Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350122, P. R. China;
  • 5. Department of Rehabilitation Medicine, Huashan Hospital Fudan University Jing’an Branch, Shanghai 200040, P. R. China;
  • 6. National Clinical Research Center for Geriatric Disease, Huashan Hospital Fudan University, Shanghai 200040, P. R. China;
JIA Jie, Email: shannonjj@126.com
Export PDF Favorites Scan Get Citation

Objective To explore the effect of " closed-loop rehabilitation”-based digital mirror therapy (MT) on the recovery of upper limb function after stroke. Methods Between December 2017 and April 2018, 90 stroke patients were recruited and randomly assigned to digital MT group (MG) or conventional group (CG), with 45 in each group. Patients in MG received digital MT for 60 minutes and subsequent hand function rehabilitation for 30 minutes, which was a " closed-loop rehabilitation”; moreover, patients in CG received therapeutic exercises, occupational therapy, and hand function rehabilitation for 30 minutes separately (totally 90 minutes). Both interventions were daily provided, 5 days per week and lasting for 4 weeks. Clinical assessments were provided before and after the interventions, including the Fugl-Meyer Assessment Upper Limb (FAM_UL) for motor function evaluation, the Modified Barthel Index (MBI) for the activities of daily life (ADL) evaluation, and the Modified Ashworth Scale (MAS) for the spasticity of wrist extensor/flexor. Results Five patients did not complete the study (3 in MG and 2 in CG), so there were totally 85 subjects analysed in the end. After 4-week interventions, significant improvements of FMA_UL scores (Pre: MG, 25.86±17.41; CG, 21.71±15.60. Post: MG, 33.43±17.08; CG, 26.48±16.47) and MBI scores (Pre: MG, 66.62±21.73; CG, 59.14±21.58. Post: MG, 84.62±15.06; CG, 71.10±19.95) were found in both groups; moreover, higher scores of FMA_UL and MBI were investigated in MG comparing with CG after interventions. However, there were no significantly differences in MAS. Conclusions The " closed-loop rehabilitation”-based digital MT can improve the motor function of upper limb and the ability of ADL in patients with stroke. Moreover, it is more effective than conventional treatments.

Citation: DING Li, RONG Jifeng, CUI Xiao, TIAN Jing, SHAO Peng, WANG Hewei, CHEN Shugeng, YU Luying, JIA Jie. Effects of “closed-loop rehabilitation”-based digital mirror therapy on upper limb function in patients with stroke. West China Medical Journal, 2018, 33(10): 1232-1237. doi: 10.7507/1002-0179.201805135 Copy

  • Previous Article

    Research report on treatment techniques, deadlines and institutional access conditions for early rehabilitation
  • Next Article

    Relationship between resistance components in spastic wrist flexors and clinical scales of stroke survivors