Hand-brain perception and movement training based on mirror neuron theory promote the recovery of upper limb function after a stroke
10.3760/cma.j.issn.0254-1424.2024.10.004
- VernacularTitle:基于镜像神经元理论的手-脑感知及手-脑运动训练对脑卒中后上肢功能恢复的影响
- Author:
Meihong ZHU
1
;
Hongjing BAO
;
Linlin CHEN
;
Yeping ZHENG
;
Meifang SHI
;
Ming ZENG
;
Chenjie HU
;
Huihong ZHAO
;
Ya SUN
Author Information
1. 嘉兴大学附属第二医院康复医学中心,嘉兴 314000
- Keywords:
Stroke;
Upper limb dysfunction;
Hand-brain perception;
Hand-brain movement;
Mirror neuron theory
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(10):887-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of combining hand-brain perception training with hand-brain motor training based on mirror neuron theory on the recovery of upper limb function after a stroke.Methods:A group of 105 stroke survivors with upper limb dysfunction were randomly divided into a hand-brain perception (HP) group, a hand-brain motor (HM) group, and a combination (C) group, each of 35. In addition to conventional rehabilitation treatment (including exercise therapy, occupational therapy and physical factor therapy), the HP and HM groups were given hand-brain perception training and hand-brain motor training respectively, while group C was provided with both. Before the intervention and after 4 weeks, the upper limb motor functioning of all of the participants was assessed using the simplified version of the Fugl-Meyer upper limb motor function scale (FMA-UE). Sensory functioning was quantified using the tactile Semmes Weinstein monofilament examination (SWME), and the modified Barthel index (MBI) was used to quantify the participants′ ability in the activities of daily living.Results:After the intervention the average FMA-UE, MBI and SWME scores of all three groups had improved significantly, with group C′s average FMA-UE and MBI scores significantly better than the other two groups′ averages. The average SWME score of group C was then significantly better than that of group HM.Conclusions:Hand-brain perception combined with hand-brain motor training based on mirror neuron theory can further promote the recovery of upper limb sensory and motor functioning of stroke survivors., Such therapy is worthy of clinical promotion and application.