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題名：鏡像治療於中風患者之成效：系統性文獻回顧
書刊名：臺灣職能治療研究與實務雜誌
作者：李孟達／盧昱吟／吳菁宜／謝妤葳／林克忠
作者(外文)：Lee, Meng-ta／Lu, Yu-yin／Wu, Ching-yi／Hsieh, Yu-wei／Lin, Keh-chung
出版日期：2012
卷期：8:2
頁次：頁125-140
主題關鍵詞：鏡像治療；中風；半側偏癱；上肢復健；Mirror therapy；Stroke；Hemiplegia；Upper limb；Rehabilitation
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:385
目的：鏡像治療應用於中風復健領域的隨機臨床試驗逐年漸增，但目前仍缺乏系統性回顧來整合相關研究證據與療效程度。本文透過系統性回顧，整合鏡像治療之隨機控制試驗，以分析該治療方式於中風復健之成效。方法：檢索PubMed、Medline及Scopus等電子資料庫中1950年1月至2012年3月發表之論文，並搜尋其他回顧及相關論文之參考文獻，納入以中風個案為目標族群、鏡像治療為治療介入，且至少有一項上肢動作或日常生活功能為量測結果之隨機控制臨床試驗之文獻，並計算其效果值。結果：共收錄9篇論文，結果顯示鏡像治療多為傳統治療的附加治療，而治療介入多以「盡可能移動患肢」的雙側動作為主。依皮卓量表（PEDro scale）評估有8篇高品質研究，但詳細治療計畫與副作用極少提及。綜言之，本回顧發現鏡像治療對急性或亞急性中重度個案之動作損傷程度與動作功能具相近成效，達中度到高度的效果；但此治療對感覺功能與下肢動作功能的療效證據仍不足。結論：鏡像治療為中風個案有效的復健方案之一，可適用於不同特質的病患，如：急性或亞急性之中重度個案，促進其感覺、動作與日常生活功能之改善。建議未來研究可透過更嚴謹的實驗設計與更大的臨床試驗來釐清鏡像治療的療效，或結合鏡像治療與其他復健手法，並探討不同特質個案的適用性與動作控制之成效，及其可能影響成效的因素，以作為臨床應用與實證研究之參考，且發展更具實證基礎之復健介入方案。
Objective: Randomized controlled trials investigating the effects of mirror therapy (MT) in stroke patients have accumulated in recent years. However, systematic reviews that synthesize and integrate the effects of MT relative to control treatments remain limited. This systematic review was to synthesize studies that examined the effects of MT after stroke. Methods: Articles published between January 1950 and March 2012 were retrieved from electronic databases and manual search. Relevant references were also reviewed. To be eligible for inclusion, the study should involve a randomized controlled trial that studied the effects of MT compared to control interventions in stroke patients on upper limb motor function or activities of daily living. The effect size estimates were calculated for each outcome measure of the included studies. Results: Nine reports were eligible for inclusion. The results showed that most of the included studies used MT in addition to conventional therapy. The treatment protocols of MT focused on bilateral arm training with "moving the affected limb as could as possible". The review found that MT led to better improvements in motor impairment and motor function than control interventions, with moderate-to-large effect sizes. However, there was no conclusive evidence on the outcomes of sensory function, and lower limb function. Conclusion: This review supported the effects of MT on motor impairment and motor function in patients with acute and subacute. Future research is needed to study the effects of MT on functional and kinematic outcomes, the factors affecting MT outcomes, and underlying mechanisms of MT in larger samples.
期刊論文
1.Altschuler, E. L.、Wisdom, S. B.、Stone, L.、Foster, C.、Galasko, D.、Llewellyn, D. M.、Ramachandran, V. S.(1999)。Rehabilitation of hemiparesis after stroke with a mirror。Lancet，353(9169)，2035-2036。  new window
2.Dohle, C.、Pullen, J.、Nakaten, A.、Kust, J.、Rietz, C.、Karbe, H.(2009)。Mirror therapy promotes recovery from severe hemiparesis: A randomized controlled trial。Neurorehabilitation and Neural Repair，23(3)，209-217。  new window
3.Garry, M. I.、Loftus, A.、Summers, J. J.(2005)。Mirror, mirror on the wall: Viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability。Experimental Brain Research，163(1)，118-122。  new window
4.Matthys, K.、Smits, M.、Van der Geest, J. N.、van der Lugt, A.,、Seurinck, R.,、Stam, H. J., et al.(2009)。Mirror-induced visual illusion of hand movements: A functional magnetic resonance imaging study。Archives of Physical Medicine and Rehabilitation，90(4)，675-681。  new window
5.Pomeroy, V. M.、Clark, C. A.、Miller, J. S.、Baron, J. C.、Markus, H. S.、Tallis, R. C.(2005)。The potential for utilizing the "mirror neurone system" to enhance recovery of the severely affected upper limb early after stroke: A review and hypothesis。Neurorehabilitation and Neural Repair，19(1)，4-13。  new window
6.Ramachandran, V. S.、Rogers-Ramachandran, D.(1996)。Synaesthesia in phantom limbs induced with mirrors。Proceedings of the Royal Society of London. Series B: Biological Sciences，263(1369)，377-386。  new window
7.Rosen, B.、Lundborg, G.(2005)。Training with a mirror in rehabilitation of the hand。Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery，39(2)，104-108。  new window
8.Stevens, J. A.、Stoykov, M. E.(2004)。Simulation of bilateral movement training through mirror reflection: A case report demonstrating an occupational therapy technique for hemiparesis。Topics in Stroke Rehabilitation，11(1)，59-66。  new window
9.Yavuzer, Gunes、Selles, Ruud、Sezer, Nebahat、Sütbeyaz, Serap、Bussmann, Johannes B.、Köseoğlu, Füsun、Atay, Mesut B.、Stam, Henk J.(2008)。Mirror therapy improves hand function in subacute stroke: A randomized controlled trial。Archives of Physical Medicine and Rehabilitation，89(3)，393-398。  new window
10.羅敏文、黃淑桂、林克忠、吳菁宜(20100600)。鏡像治療的臨床應用及腦部機制探討之文獻回顧。臺灣職能治療研究與實務雜誌，6(1)，37-49。new window  延伸查詢new window
11.Cacchio, A.、Blasis, E. D.、Blasis, V. B.、Santilli, V.、Spacca, G.(2009)。Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients。Neurorehabilitation and Neural Repair，23(8)，792-799。  new window
12.Cacchio, A.、Blasis, E. D.、Necozione, S.、Di Orio, F.、Santilli, V.(2009)。Mirror therapy for chronic complex regional pain syndrome type 1 and stroke。The New England Journal of Medicine，361(6)，634-636。  new window
13.Desrosiers, J.,、Malouin, F.,、Bourbonnais, D.,、Richards, C. L.,、Rochette, A.、Bravo, G.(2003)。Arm and leg impairments and disabilities after stroke rehabilitation: Relation to handicap。Clinical Rehabilitation，17，666-673。  new window
14.Ezendam, D.、Bongers, R. M.、Jannink, M. J. A.(2009)。Systematic review of the effectiveness of mirror therapy in upper extremity function。Disability and Rehabilitation，31(26)，2135-2149。  new window
15.Kadivar, Z.,、Sung, C.,、Thompson, Z.,、O'Malley, M.,、Liebschner, M.,、Deng, Z(2011)。Comparison of reaching kinematics during mirror and parallel robot assisted movements。Studies in Health Technology and Informatics，163，247-253。  new window
16.Kwakkel, G.、Kollen, B. J.、Krebs, H. I.(2008)。Effects of robot-assisted therapy on upper limb recovery after stroke: A systematic review。Neurorehabilitation and Neural Repair，22(2)，111-121。  new window
17.Langhorne, P.、Coupar, F.、Pollock, A.(2009)。Motor recovery after stroke: A systematic review。Lancet Neurology，8(8)，741-754。  new window
18.Lee, M. M.,、Cho, H.,、Song, C. H.(2012)。The mirror therapy program enhances upper-limb motor recovery and motor function in acute stroke patients。American Journal of Physical Medicine and Rehabilitation，91。  new window
19.Maher, C. G.、Sherrington, C.、Herbert, R. D.、Moseley, A. M.、Elkins, M.(2003)。Reliability of the PEDro scale for rating quality of randomized controlled trials。Physical Therapy，83(8)，713-721。  new window
20.Michielsen, M. E.、Selles, R. W.、van der Geest, J. N.、Eckhardt, M.、Yavuzer, G.、Stam, H. J.(2011)。Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: A phase II randomized controlled trial。Neurorehabilitation and Neural Repair，25(3)，223-233。  new window
21.Michielsen, M. E.、Smits, M.、Ribbers, G. M.、Stam, H. J.、van der Geest, J. N.、Bussmann, J. B. J.(2011)。The neuronal correlates of mirror therapy: An fMRI study on mirror induced visual illusions in patients with stroke。Journal of Neurology, Neurosurgery, and Psychiatry，82(4)，393-398。  new window
22.Nakayama, H.、Jorgensen, H. S.、Raaschou, H. O.、Olsen, T. S.(1994)。Recovery of upper extremity function in stroke patients: The copenhagen stroke study。Archives of Physical Medicine and Rehabilitation，75，394-398。  new window
23.Rothgangel, A. S.,、Braun, S, M.,、Beurskens, A, J.,、Seitz, R. J.、Wade,D. T.(2011)。The clinical aspects of mirror therapy in rehabilitation: A systematic review of the literature。International Journal of Rehabilitation Research，34，1-13。  new window
24.Sathian, K.(2009)。Mirror, mirror, move my manu!。Neurorehabilitation and Neural Repair,，23，207-208。  new window
25.Sutbeyaz, S.,、Yavuzer, G.,、Sezer, N.,、Koseoglu, B. F.(2007)。Mirror therapy enhances lowerextremity motor recovery and motor functioning after stroke: A randomized controlled trial。Archives of Physical Medicine and Rehabilitation，88(5)，555-559。  new window
26.Van Peppen, R. P.,、Kwakkel, G.,、Wood-Dauphinee, S.,、Hendriks, H. J.,、van der Wees, P. J.,、Dekker, J(2004)。The impact of physical therapy on functional outcomes after stroke: What’s the evidence。Clinical Rehabilitation，18，833-862。  new window
27.Yun, G. J.,、Chun, M. H.,、Park, J. Y.,、Kim, B. R.(2011)。The synergic of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients。Annals of Rehabilitation Medicine，35，316-321。  new window
28.Stone, P. W.(2002)。Popping the (PICO) question in research and evidence-based practice。Applied Nursing Research，16(2)，197-198。  new window
29.廖建彰、李采娟、林瑞雄、宋鴻樟(20060600)。2000年臺灣腦中風發生率與盛行率的城鄉差異。臺灣公共衛生雜誌，25(3)，223-230。new window  延伸查詢new window
30.Mayo, N. E.、Wood-Dauphinee, S.、Côté, R.、Durcan, L.、Carlton, J.(2002)。Activity, participation, and quality of life 6 months post stroke。Arch Phys Med Rehabil，83，1035-1042。  new window
31.Muntner, P.、Garrett, E.、Klag, M. J.、Coresh, J.(2002)。Trends in Stroke Prevalence between 1973 and 1991 in the US Population 25 to 74 Years of Age。Stroke，33，1209-1213。  new window
圖書
1.Portney, L. G.,、Watkins, M. P.(2009)。Foundation of clinical research: Application to practice。New Jersey：Pearson Education。  new window
 
 
 
 
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