Abstract: Objective To observe the effects of mirror therapy (MT) compared with the conventional trainingtherapy (CTT) on hemiplegic upper extremity recovery after stroke.Methods Thirty sub-acute patients with upper limb paralysis were randomly divided into twogroups: MT group and CTT group. All 30 patients received physical treatment for a period of 4weeks. All patients were assessed with Fugl-Meyer motor assessment (FMA), motor assessmentscale (MAS), the action research arm test (ARAT), the modified Ashworth scale, visual analoguescore (VAS) and the modified Barthel index before treatment and after 4 weeks.Results After 4 weeks, FMA, MAS, ARAT and Barthel index scores in the two groups hadimproved (P <0.01), and the FMA, ARAT scores in the MT group were significantly higher thanthose of the control group (P <0.05), but the scores of MAS, Barthel index had no significantdifference between the two groups (P> 0.05). After 4 weeks, VAS had decreased in the MT group(P <0.05), but it had no difference in CTT group. In two groups, there were no significant differencesof the modified Ashworth scale after treatment (P> 0.05).Conclusion Mirror therapy can improve the functional performance of the upper extremity ofstroke patients.

Key words: Stroke; Hemiplgia; Rehabilitation; Upper extremity; Functional laterality; Exercise

摘要： 目的 观察镜像疗法对卒中后偏瘫患者上肢功能康复的疗效。方法 选择30例入选卒中后8周内偏瘫患者随机分为两组：镜像疗法组和对照组，分别于治疗前及治疗后4周采用Fugl-Meyer运动评价（Fugl-Meyer motor assessment，FMA）（上肢部分），上肢运动研究测试（the action research arm test，ARAT）、运动功能评估量表（motor assessment scale，MAS）对上肢运动功能进行评分，同时评定患者的视觉模拟评分（visual analogue scale/score，VAS）、痉挛程度以及改良Barthel指数，以观察镜像疗法对偏瘫患者上肢功能康复的疗效。结果 治疗4周后，两组上肢运动能力FMA评分、ARAT评分、MAS评分、改良Barthel指数均较治疗前提高（P＜0.01）；治疗组FMA评分、ARAT评分高于对照组（P＜0.05），两组间MAS评分、改良Barthel指数提高，但差别无统计学意义（P＞0.05）。治疗组VAS评分较治疗前有下降（P＜0.05），但对照组治疗前后，VAS评分差异无统计学意义（P＞0.05），治疗后两组间的VAS差异有统计学意义（P＜0.05）。两组治疗前后及治疗后组间痉挛改善差异无统计学意义（P＞0.05）。结论 镜像疗法能提高偏瘫患者的上肢运动功能，且能减轻患者偏瘫上肢的疼痛，但对患者日常生活活动能力（activity of daily living scale，ADL）及患肢痉挛程度的改善无明显影响。

关键词: 卒中; 偏瘫; 康复; 上肢; 功能偏侧化; 运动