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Application of FuglMeyer assessment in mirror therapy of stroke and correlation analysis with functional independence measure

  

  1. Department of Comprehensive Rehabilitation, the Second Rehabilitation Hospital of Shanghai, Shanghai 200441,China
  • Online:2019-02-20 Published:2019-03-11
  • Contact: Corresponding author:Sun Xiuli,Email: sunxlfd@163.com

Abstract: Objective  To evaluate the role of the upper Fugl Meyer motor function assessment (UFMA) in the mirror therapy of stroke patients and its correlation with the functional independence measure(FIM). Methods  A total of 80 patients with hemiplegia were randomly divided into the mirror therapy group (40 cases) and the routine rehabilitation group (40 cases). Patients in the routine  rehabilitation group were given routine rehabilitation training, mirror treatment group were given the mirror therapy based on routine rehabilitation therapy. The treatment lasted 24 weeks. Before the treatment and after 8, 16, and 24 weeks'  treatment, the UFMA was used to evaluate the motor function with the FIM to assess the daily independent activity ability in order to analyze the patient's motor function and daily life. The improvement degree of the patient's motor function and the daily living activities and the correlation between the two scales were analyzed. Results  After 8, 16 and 24 weeks'  treatment, the scores of UFMA and FIM in two groups were significantly different compared with before treatment (P<0.05). The scores in mirror treatment group were statistically significant than those in routine rehabilitation group (P<0.05). Correlation analysis showed that UFMA score was positively correlated with FIM score.Conclusion  The mirror treatment can improve the upper limb motor function and the activities of daily living in stroke patients with hemiplegia. UFMA and FIM can better reflect the improvement of upper limb motor function and daily living ability of stroke patients after rehabilitation, and the two scores show  positive correlation.

Key words: stroke, FuglMeyer , assessment, functional independence measure, mirror , therapy