Effectiveness of Home-Based Mirror Therapy on Enhancing the Upper Limb Sensory-Motor Recovery of Elderly Patients Post-Stroke

Neamit Elemam Elashri, Nancy Elsakhy, Mohammed Senna, Eman Meawad Elsayed
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Abstract

Background: Stroke is a major health disorder in the twenty-one century and it's one of the leading causes of elderly death and disability in the upper limbs sensory-motor functions. Mirror therapy is currently used in rehabilitation for stroke elderly patients in either clinical or home-based settings to accelerate upper limb sensory-motor recovery. Aim: To evaluate the effectiveness of home-based mirror therapy on enhancing the upper limb sensory-motor recovery of elderly patients post-stroke. Design: A pre to post-test experimental design was utilized Subjects: A purposive sample of 40 elderly patients post-stroke was recruited Setting: The study was conducted in the Rheumatology and Rehabilitation Unit of Mansoura University Hospital and at Elders Homes. Tools: An interview schedule sheet and three standardized tools were used Results: The mean age of elderly patients post-stroke in both the intervention and comparison group was 65.70±6.11 and 65.35±7.34 years, respectively with no significant difference (p>0.05). A highly statistically significant difference was found in all parameters of the sensory-motor recovery of the upper limb in the intervention group (p<0.01) at pre, and follow-up phases of intervention. Also, highly statistically significant differences were noted between both groups regarding all parameters (p< 0.01) in post-test I and II. Conclusion: Home-based mirror therapy is a practical, easy, and cheap nursing intervention that can be used as an adjunct therapy with conventional therapy for recovery of the upper limb in elderly patients post-stroke. Recommendation: Mirror therapy should be practiced in either clinical or community settings.
居家镜像疗法对促进中风后老年患者上肢感觉运动恢复的效果
背景:脑卒中是二十一世纪的主要健康疾病,是导致老年人死亡和上肢感觉运动功能残疾的主要原因之一。目前,镜像疗法被用于脑卒中老年患者的临床或家庭康复中,以加速上肢感觉运动功能的恢复。目的:评估家庭镜像疗法对促进脑卒中后老年患者上肢感觉运动功能恢复的效果。设计:采用前测到后测的实验设计:有目的性地抽取 40 名中风后老年患者:研究在曼苏拉大学医院风湿病和康复科以及老人院进行。工具采用访谈日程表和三种标准化工具:干预组和对比组脑卒中后老年患者的平均年龄分别为(65.70±6.11)岁和(65.35±7.34)岁,差异无显著性(P>0.05)。在干预前和干预后阶段,干预组上肢感觉运动恢复的所有参数均有非常显著的统计学差异(P<0.01)。此外,在后测试 I 和 II 中,两组在所有参数上的差异也具有高度统计学意义(P<0.01)。结论家庭镜子疗法是一种实用、简便、廉价的护理干预措施,可作为常规疗法的辅助疗法,用于中风后老年患者上肢的恢复。建议:镜子疗法应在临床或社区环境中实施。
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