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The majority of the studies were heterogeneous in design. The review indicated that the strength of current evidence for the use of MT with the stroke population is moderate and seemed to benefit participants with subacute stroke. Little is known about its long-term sustainability, the right target group of the stroke population, and the optimal time to start intervention.</p></div><div><h3>Conclusion</h3><p>More research is needed to determine the optimal dose of therapy, optimal time to start this intervention, and the right target group. 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引用次数: 47
摘要
目的/背景本研究旨在回顾过去12年来镜像疗法(MT)在改善成人脑卒中患者上肢偏瘫(UL)运动功能方面的有效性。方法系统回顾1999 - 2011年发表的英文文献，检索自MEDLINE、护理与相关健康文献累积索引(Cumulative Index to Nursing and Allied Health Literature)、Sage Online和ScienceDirect四个电子数据库。只收录了关注MT训练UL运动功能效果的文章。根据设计和物理治疗证据数据库量表对研究的方法学质量进行评价。结果在1129篇文章中，我们回顾了9篇(6篇随机对照试验和3篇病例报告)。大多数研究在设计上是异质的。该综述表明，目前的证据表明，在卒中人群中使用MT的强度是中等的，似乎有利于亚急性卒中患者。对于其长期可持续性，中风人群的正确目标群体以及开始干预的最佳时间知之甚少。结论在确定最佳治疗剂量、最佳开始干预时间和合适的目标人群方面，需要进行更多的研究。因此，在更多的证据出现之前，目前还不能得出关于MT有效性的确切结论。
Systematic Review on the Effectiveness of Mirror Therapy in Training Upper Limb Hemiparesis after Stroke
Objective/Background
This study aims to review the current evidence on effectiveness of mirror therapy (MT) in improving motor function of the hemiplegic upper limb (UL) among the adult stroke population in the last 12 years.
Methods
A systematic review of studies published in English from 1999 to 2011, retrieved from four electronic databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Sage Online, and ScienceDirect, was performed. Only articles focusing on the effects of MT to train UL motor function were included. The methodological quality of the studies was appraised based on the design and Physiotherapy Evidence Database Scale.
Results
Of the 1,129 articles, nine (six randomised controlled trials and three case reports) were reviewed. The majority of the studies were heterogeneous in design. The review indicated that the strength of current evidence for the use of MT with the stroke population is moderate and seemed to benefit participants with subacute stroke. Little is known about its long-term sustainability, the right target group of the stroke population, and the optimal time to start intervention.
Conclusion
More research is needed to determine the optimal dose of therapy, optimal time to start this intervention, and the right target group. Accordingly, no firm conclusions can now be drawn on the effectiveness of MT until more evidence is present.
期刊介绍：
The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.
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