关键词: 镜像疗法, 痉挛型偏瘫, 脑性瘫痪, 上肢功能

Abstract: Objective To investigate the effect of mirror therapy on upper limb function of children with spastic hemiplegia,so as to provide evidence on treatment. Methods A total of 60 children with spastic hemiplegia in Huanggang Pingan and Rehabilitation Hospital were divided into observation group (n=30) and control group (n=30) by random number table from January 2014 to January 2016.The control group was given routine treatment and rehabilitation training,and the observation group was given the mirror therapy based on the control group.The Quality of Upper Extremity Skill Test (QUEST),Peabody fine motor development scale (Peabody-FM),Pediatrics Evaluation of Disability Inventory(PEDI) were used to assess children's upper limb function before treatment,8 weeks and 12 weeks after treatment and data were compared between the two groups. Results There were no significant differences on the scores of QUEST,Peabody-FM and PEDI of 2 groups before treatment (P＞0.05).After 8 and 12 weeks of treatment,the scores of QUEST,Peabody-FM and PEDI in two groups significantly increased(P＜0.05).Compared with the control group,the scores of QUEST,Peabody-FM and PEDI had improved significantly in the observation group(P＜0.05).The scores of 12 weeks of treatment improved most obviously. Conclusion Mirror therapy is helpful to improve the hand arm structure,function,hand coordination performance and activities of daily living in spastic hemiplegia children with upper limb dysfunction, so it is recommended to be used widely.

Key words: mirror therapy, spastic hemiplegia, cerebral palsy, upper extremity function