Effect Of Mirror Image Therapy Combined With Transcranial Direct Current Stimulation On Upper Limb Motor Dysfunction In Patients With Stroke

Objective With the gradual increase of the aging population in China,the incidence rate of stroke is on the rise.The development of medical level has made the stroke treatment rate increase obviously.However,the high disability rate seriously affects the quality of life of the patients,especially the upper limb movement function,while the upper limb function recovery is generally lower than the lower limbs.Rehabilitation of the upper limb movement dysfunction in stroke patients is the difficulty of rehabilitation at present.one of.In this paper,through the comparison of conventional rehabilitation therapy and image therapy combined with transcranial direct current stimulation,we study the effect of image therapy and transcranial direct current stimulation on upper limb motor dysfunction of stroke patients,find more effective methods for the rehabilitation of upper limb motor dysfunction of stroke patients,and improve the clinical treatment system of stroke Provide new theoretical and experimental basis.Methods120 patients with stroke and hemiplegia who were admitted to the rehabilitation center of Taihe Hospital,Shiyan City,Hubei Province from July 2018 to July 2019,and met the inclusion and exclusion criteria were randomly divided into the control group(control group,CG)and the mirror treatment group(Mirrortherapy,MT),transcranial direct current stimulation(t DCS)and MT + t DCS groups,30 patients in each group.The CG group was only treated with conventional rehabilitation.The MT group was combined with mirror therapy based on conventional rehabilitation therapy.The t DCS group was combined with transcranial magnetic stimulation therapy based on conventional therapy.The MT + t DCS group was combined with mirror therapy based on conventional rehabilitation therapy.Transcranial direct current stimulation,The time is 20 min / day,5 times / week for 4 weeks.After 4 weeks,the upper limb motor function part of the Fugl-Meyer scale,the modified Barthel index,the simple upper limb function check scale(STEF),and the neurological impairment assessment scale(NIHSS)were used to evaluate patients' upper limb motor function,daily living activity ability,Changes in refined movements of hands and upper limbs and neurological deficits.SPSS 21.0 statistical software was used for data processing,and the comparison of count data used the x2 test;the comparison of measurement data used the T test.Significance level ? = 0.05.P <0.05 was considered statistically significant.Results(1)In the comparison within the group,after 4 weeks of treatment,the FMA-UE score,Barthel index score,and ARAT index score of CG group,MT group,t DCS group,and MT + t DCS group were higher than before treatment.MT group,t DCS group,The NIHSS index scores of MT + t DCS group were lower than before treatment,and the differences were statistically significant(P <0.05).(2)In comparison between groups,there were no significant differences in FMA-UE scores,Barthel index scores,ARAT index scores,and NIHSS index scores between CG group,MT group,t DCS group,and MT + t DCS group before treatment.(P>0.05);After 4 weeks of treatment,the FMA-UE score,Barthel index score,and ARAT index score of the MT group,t DCS group,and MT + t DCS group were higher than CG group,and the NIHSS index score was significantly lower than CG group.Statistical significance(P <0.05).The ARAT index score of MT + t DCS group was significantly higher than that of MT group and t DCS group,and the difference was statistically significant(P <0.05).Conclusions(1)In terms of improving upper limb motor dysfunction and daily life activities in patients with upper limb motor dysfunction after stroke,mirror therapy,transcranial direct current stimulation and combination therapy are superior to conventional rehabilitation training.(2)The combination therapy has the best effect in improving the hand and upper limb mobility of patients with upper limb motor dysfunction after stroke,followed by mirror therapy and transcranial direct current stimulation.(3)In terms of improving neurological deficits in patients with upper limb motor dysfunction after stroke,mirror image therapy,transcranial direct current stimulation,and combination therapy have certain effects.