Effects of action observation therapy on upper extremity function, daily activities and motion evoked potential in cerebral infarction patients
| Autor: | Fang Shen, Ya Sun, Meihong Zhu, Xu-Dong Gu, Jianming Fu, Ming Zeng, Yao Cui |
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| Rok vydání: | 2017 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty motor evoked potential Activities of daily living Movement Observation Motor function rehabilitation law.invention Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law Activities of Daily Living medicine Humans Observation method cardiovascular diseases Range of Motion Articular Evoked potential Aged Cerebral infarction business.industry action observation therapy Stroke Rehabilitation Cerebral Infarction Recovery of Function Clinical Trial/Experimental Study upper extremity motor function General Medicine Middle Aged Evoked Potentials Motor medicine.disease Exercise Therapy Treatment Outcome Action observation Female mirror neuron system 0305 other medical science Range of motion business 030217 neurology & neurosurgery Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000008080 |
| Popis: | Background: The aim of this study was to explore the effects of action observation therapy on motor function of upper extremity, activities of daily living, and motion evoked potential in cerebral infarction patients. Method: Cerebral infarction survivors were randomly assigned to an experimental group (28 patients) or a control group (25 patients). The conventional rehabilitation treatments were applied in both groups, but the experimental group received an additional action observation therapy for 8 weeks (6 times per week, 20 minutes per time). Fugl-Meyer assessment (FMA), Wolf Motor Function Test (WMFT), Modified Barthel Index (MBI), and motor evoked potential (MEP) were used to evaluate the upper limb movement function and daily life activity. Results: There were no significant differences between experiment and control group in the indexes, including FMA, WMFT, and MBI scores, before the intervention. However, after 8 weeks treatments, these indexes were improved significantly. MEP latency and center-motion conduction time (CMCT) decreased from 23.82 ± 2.16 and 11.15 ± 1.68 to 22.69 ± 2.11 and 10.12 ± 1.46 ms. MEP amplitude increased from 0.61 ± 0.22 to 1.25 ± 0.38 mV. A remarkable relationship between the evaluations indexes of MEP and FMA was found. Conclusions: Combination of motion observation and traditional upper limb rehabilitation treatment technology can significantly elevate the movement function of cerebral infarction patients in subacute seizure phase with upper limb dysfunction, which expanded the application range of motion observation therapy and provided an effective therapy strategy for upper extremities hemiplegia in stroke patients. |
| Databáze: | OpenAIRE |
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