The effects of upper limb rehabilitation robot-assisted training combined with mirror therapy on unilateral spatial neglect in stroke patients_West China Medical Journal

Authors：

WANG Liang , ZHU Dongyan , XU Qian , HAN Zhenzhen , ZHOU Sanlian ,  HUANG Zhidong

Department of Rehabilitation Medicine, the Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, P. R. China;

Corresponding author：

HUANG Zhidong, Email: winterhzd@163.com

Keywords：

Upper limb rehabilitation robot-assisted training; Mirror therapy; Unilateral spatial neglect

DOI：

10.7507/1002-0179.201912247

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To observe the effects of upper limb rehabilitation robot-assisted training combined with mirror therapy on unilateral spatial neglect (USN) in stroke patients.Methods A total of 40 patients with USN admitted to the Department of Rehabilitation Medicine of the Second Affiliated Hospital of Nantong University from January 2017 to December 2018 were selected and randomly divided into the trial group and the control group, with 20 cases in each group. The trial group used upper limb rehabilitation robot-assisted training combined with mirror therapy and USN comprehensive rehabilitation treatment. The control group patients only received USN comprehensive rehabilitation treatment. All patients continued treatment for 4 weeks. Before treatment and after 4 weeks of treatment, the modified Barthel index (MBI) was used to assess the activities of daily living, the Fugl-Meyer assessment (FMA) was used to assess motor function, and the Catherine-Bergego scale was used to assess the degree of USN.Results There was no statistically significant difference in general information between the two groups of patients (P>0.05). There was no significant difference in MBI, FMA or USN degree scores between the two groups before treatment (P>0.05). After 4 weeks of treatment, the MBI, FMA and USN degree scores of the two groups were improved compared with those before treatment (P<0.05). The improvements in MBI, FMA and USN degree scores of the trial group were 14.75±1.97, 17.05±3.93 and 5.25±2.29, respectively, and those of the control group were 9.75±4.44, 8.30±2.06 and 3.10±0.72, respectively, and the differences were statistically significant (P<0.05).Conclusions Upper limb rehabilitation robot-assisted training combined with mirror therapy can effectively improve the spatial neglect of USN patients, and improve the ability of daily living and motor functions.

Citation： WANG Liang, ZHU Dongyan, XU Qian, HAN Zhenzhen, ZHOU Sanlian, HUANG Zhidong. The effects of upper limb rehabilitation robot-assisted training combined with mirror therapy on unilateral spatial neglect in stroke patients. West China Medical Journal, 2021, 36(4): 471-475. doi: 10.7507/1002-0179.201912247 Copy

1.	洪文军, 陶静. 脑卒中后单侧忽略的研究进展. 中国康复, 2016, 31(4): 305-308.
2.	张庆, 肖洪奇, 余佳丹, 等. 重复经颅磁刺激对脑卒中患者单侧忽略康复疗效的系统评价. 中国循证医学杂志, 2018, 18(2): 163-171.
3.	Chechlacz M, Rotshtein P, Bickerton WL, et al. Separating neural correlates of allocentric and egocentric neglect: distinct cortical sites and common white matter disconnections. Cogn Neuropsychol, 2010, 27(3): 277-303.
4.	Rorden C, Hjaltason H, Fillmore P, et al. Allocentric neglect strongly associated with egocentric neglect. Neuropsychologia, 2012, 50(6): 1151-1157.
5.	Eskes GA, Butler B. Using limb movements to improve spatial neglect: the role of functional electrical stimulation. Restor Neurol Neurosci, 2006, 24(4/5/6): 385-398.
6.	杜晓霞, 宋鲁平, 徐莹, 等. 棱镜适应技术治疗卒中后偏侧空间忽略的临床研究. 中国医学前沿杂志(电子版), 2013(10): 26-30.
7.	王永慧, 杨广军, 董磊. 经颅磁刺激对脑卒中后单侧空间忽略患者运动功能康复的作用. 医学临床研究, 2014(5): 876-878.
8.	陈峤鹦, 杨叶珠, 朱美红, 等. 感觉整合训练对脑卒中单侧空间忽略患者生活质量的影响. 中华物理医学与康复杂志, 2012, 34(3): 176-177.
9.	顾琦, 田湉, 张芳芳, 等. 上肢康复机器人辅助治疗对改善脑卒中单侧忽略的疗效观察. 中国康复医学杂志, 2020, 35(2): 166-170.
10.	全国第四届脑血管病学术会议. 各类脑血管疾病诊断要点. 中华神经科杂志, 1996, 29(6): 379-380.
11.	Dormal V, Schuller AM, Nihoul J, et al. Causal role of spatial attention in arithmetic problem solving: evidence from left unilateral neglect. Neuropsychologia, 2014, 60: 1-9.
12.	中华医学会. 临床诊疗指南物理医学与康复分册. 北京: 人民卫生出版社, 2005: 181.
13.	张华. 引导性上肢协调训练对脑卒中所致单侧空间忽略的疗效观察. 中国康复, 2016, 31(1): 42-44.
14.	Gladstone DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair, 2002, 16(3): 232-240.
15.	熊蓓, 周晓琴. 急性期脑卒中伴单侧空间忽略患者的康复指导. 现代医药卫生, 2016(3): 431-432.
16.	许通文, 余木生, 王伟锋. 针刺联合改良强制性运动疗法对脑卒中单侧忽略和日常生活活动能力的效果. 广东医学, 2015, 36(17): 2745-2748.
17.	李艳丽, 徐基民, 陈之罡, 等. 单侧空间忽略治疗的中西医研究进展. 中国中医急症, 2016, 25(2): 279-281, 288.
18.	梁文锐, 张启富. 强化躯干旋转训练对脑卒中单侧空间忽略的影响. 广西医科大学学报, 2012, 29(3): 410-411.
19.	王永慧. 运动再学习方法干预对脑卒中后单侧空间忽略患者运动功能的影响. 山东医药, 2014, 54(5): 30-31.
20.	Saroul N, Akkari M, Pavier Y, et al. Baha-mediated rehabilitation of patients with unilateral deafness: selection criteria. Audiol Neurootol, 2014, 19(2): 85-90.
21.	Azouvi P, Jacquin-Courtois S, Luauté J. Rehabilitation of unilateral neglect: evidence-based medicine. Ann Phys Rehabil Med, 2017, 60(3): 191-197.
22.	李元进, 万裕萍. 头针与上肢机器人联动疗法对脑卒中偏瘫上肢功能的影响. 长江大学学报(自科版), 2016, 13(30): 38-40, 47.
23.	唐朝正, 陈昌成, 丁政, 等. 基于镜像神经元理论的动作观察在脑卒中后肩手综合征疼痛康复中的应用. 中国康复医学杂志, 2016, 31(2): 145-149.
24.	李怡君, 林克忠, 郑筱儒. 台湾地区脑卒中作业治疗的科研发展: 以镜像治疗为例. 中国康复, 2015, 30(6): 432-434.
25.	蒋金鹏, 刘洪武, 王志双. 镜像疗法配合康复训练对脑卒中偏瘫患者上肢运动功能的临床疗效分析. 中国医学装备, 2015(9): 107-109.
26.	王萍, 单春雷, 王健. 单侧空间忽略的康复研究进展. 中国康复理论与实践, 2020, 26(1): 59-61.
27.	何思锦, 周剑英, 陈小霞, 等. 镜像疗法在脑卒中后康复治疗中的研究进展. 华西医学, 2020, 35(6): 729-733.
28.	梁天佳, 吴小平, 莫明玉. 上肢康复机器人在脑卒中单侧空间忽略康复中的作用. 中国康复理论与实践, 2012, 18(4): 369-371.
29.	Pandian JD, Arora R, Kaur P, et al. Mirror therapy in unilateral neglect after stroke (MUST trial): a randomized controlled trial. Neurology, 2014, 83(11): 1012-1017.
30.	朱朝叠, 董娅南, 郑发宇, 等. 上肢机器人在脑卒中患者功能恢复中的应用. 中国继续医学教育, 2018, 10(25): 146-147.
31.	荣积峰, 丁力, 张雯, 等. 康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果. 中国康复理论与实践, 2019, 25(6): 709-713.

1. 洪文军, 陶静. 脑卒中后单侧忽略的研究进展. 中国康复, 2016, 31(4): 305-308.
2. 张庆, 肖洪奇, 余佳丹, 等. 重复经颅磁刺激对脑卒中患者单侧忽略康复疗效的系统评价. 中国循证医学杂志, 2018, 18(2): 163-171.
3. Chechlacz M, Rotshtein P, Bickerton WL, et al. Separating neural correlates of allocentric and egocentric neglect: distinct cortical sites and common white matter disconnections. Cogn Neuropsychol, 2010, 27(3): 277-303.
4. Rorden C, Hjaltason H, Fillmore P, et al. Allocentric neglect strongly associated with egocentric neglect. Neuropsychologia, 2012, 50(6): 1151-1157.
5. Eskes GA, Butler B. Using limb movements to improve spatial neglect: the role of functional electrical stimulation. Restor Neurol Neurosci, 2006, 24(4/5/6): 385-398.
6. 杜晓霞, 宋鲁平, 徐莹, 等. 棱镜适应技术治疗卒中后偏侧空间忽略的临床研究. 中国医学前沿杂志(电子版), 2013(10): 26-30.
7. 王永慧, 杨广军, 董磊. 经颅磁刺激对脑卒中后单侧空间忽略患者运动功能康复的作用. 医学临床研究, 2014(5): 876-878.
8. 陈峤鹦, 杨叶珠, 朱美红, 等. 感觉整合训练对脑卒中单侧空间忽略患者生活质量的影响. 中华物理医学与康复杂志, 2012, 34(3): 176-177.
9. 顾琦, 田湉, 张芳芳, 等. 上肢康复机器人辅助治疗对改善脑卒中单侧忽略的疗效观察. 中国康复医学杂志, 2020, 35(2): 166-170.
10. 全国第四届脑血管病学术会议. 各类脑血管疾病诊断要点. 中华神经科杂志, 1996, 29(6): 379-380.
11. Dormal V, Schuller AM, Nihoul J, et al. Causal role of spatial attention in arithmetic problem solving: evidence from left unilateral neglect. Neuropsychologia, 2014, 60: 1-9.
12. 中华医学会. 临床诊疗指南物理医学与康复分册. 北京: 人民卫生出版社, 2005: 181.
13. 张华. 引导性上肢协调训练对脑卒中所致单侧空间忽略的疗效观察. 中国康复, 2016, 31(1): 42-44.
14. Gladstone DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabil Neural Repair, 2002, 16(3): 232-240.
15. 熊蓓, 周晓琴. 急性期脑卒中伴单侧空间忽略患者的康复指导. 现代医药卫生, 2016(3): 431-432.
16. 许通文, 余木生, 王伟锋. 针刺联合改良强制性运动疗法对脑卒中单侧忽略和日常生活活动能力的效果. 广东医学, 2015, 36(17): 2745-2748.
17. 李艳丽, 徐基民, 陈之罡, 等. 单侧空间忽略治疗的中西医研究进展. 中国中医急症, 2016, 25(2): 279-281, 288.
18. 梁文锐, 张启富. 强化躯干旋转训练对脑卒中单侧空间忽略的影响. 广西医科大学学报, 2012, 29(3): 410-411.
19. 王永慧. 运动再学习方法干预对脑卒中后单侧空间忽略患者运动功能的影响. 山东医药, 2014, 54(5): 30-31.
20. Saroul N, Akkari M, Pavier Y, et al. Baha-mediated rehabilitation of patients with unilateral deafness: selection criteria. Audiol Neurootol, 2014, 19(2): 85-90.
21. Azouvi P, Jacquin-Courtois S, Luauté J. Rehabilitation of unilateral neglect: evidence-based medicine. Ann Phys Rehabil Med, 2017, 60(3): 191-197.
22. 李元进, 万裕萍. 头针与上肢机器人联动疗法对脑卒中偏瘫上肢功能的影响. 长江大学学报(自科版), 2016, 13(30): 38-40, 47.
23. 唐朝正, 陈昌成, 丁政, 等. 基于镜像神经元理论的动作观察在脑卒中后肩手综合征疼痛康复中的应用. 中国康复医学杂志, 2016, 31(2): 145-149.
24. 李怡君, 林克忠, 郑筱儒. 台湾地区脑卒中作业治疗的科研发展: 以镜像治疗为例. 中国康复, 2015, 30(6): 432-434.
25. 蒋金鹏, 刘洪武, 王志双. 镜像疗法配合康复训练对脑卒中偏瘫患者上肢运动功能的临床疗效分析. 中国医学装备, 2015(9): 107-109.
26. 王萍, 单春雷, 王健. 单侧空间忽略的康复研究进展. 中国康复理论与实践, 2020, 26(1): 59-61.
27. 何思锦, 周剑英, 陈小霞, 等. 镜像疗法在脑卒中后康复治疗中的研究进展. 华西医学, 2020, 35(6): 729-733.
28. 梁天佳, 吴小平, 莫明玉. 上肢康复机器人在脑卒中单侧空间忽略康复中的作用. 中国康复理论与实践, 2012, 18(4): 369-371.
29. Pandian JD, Arora R, Kaur P, et al. Mirror therapy in unilateral neglect after stroke (MUST trial): a randomized controlled trial. Neurology, 2014, 83(11): 1012-1017.
30. 朱朝叠, 董娅南, 郑发宇, 等. 上肢机器人在脑卒中患者功能恢复中的应用. 中国继续医学教育, 2018, 10(25): 146-147.
31. 荣积峰, 丁力, 张雯, 等. 康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果. 中国康复理论与实践, 2019, 25(6): 709-713.

West China Medical Journal

The effects of upper limb rehabilitation robot-assisted training combined with mirror therapy on unilateral spatial neglect in stroke patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content