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

摘要： 目的 探讨镜像疗法对痉挛型偏瘫患儿上肢功能的影响,为治疗提供更多的临床参考意见。方法 选取黄冈平安康复医院2014年1月-2016年1月期间收治的60例痉挛型偏瘫患儿作为研究对象,按照随机数字表的方法分为观察组(n=30)和对照组(n=30),其中对照组患儿予以常规的治疗和康复训练,观察组在对照组基础上采用镜像疗法。分别对两组患儿治疗前、治疗8周和治疗12周后的上肢功能评定量表(QUEST)、Peabody精细运动发育量表(Peabody-FM)、儿童残疾评定量表(PEDI)评分进行比较。结果 治疗前,两组患儿的QUEST分数、Peabody-FM分数和PEDI评分比较差异无统计学意义(P＞0.05);治疗8周和12周后,两组患儿的QUEST分数、Peabody-FM分数和PEDI评分均有不同程度地提高,与对照组比,观察组的QUEST分数、Peabody-FM分数和PEDI评分均明显增高 (P<0.05),以治疗12周后的效果最为明显(P<0.05)。结论 镜像疗法有助于痉挛型偏瘫儿童上肢功能障碍的手-臂结构、功能和双手协作表现及日常生活活动能力,值得推广。

关键词: 镜像疗法, 痉挛型偏瘫, 脑性瘫痪, 上肢功能