ĐÁNH GIÁ HIỆU QUẢ KẾT HỢP GƯƠNG TRỊ LIỆU TRONG ĐIỀU TRỊ HỘI CHỨNG ĐAU CỤC BỘ PHỨC HỢP Ở BỆNH NHÂN LIỆT NỬA NGƯỜI DO NHỒI MÁU NÃO

Abstract

Objectives: To  evaluate  the  results  of  mirror therapy in patiens with Complex regional pain syndrome after ischemic stroke. Patients and methodology: Including 21 patients diagnosed with hemiplegia due to ischemic stroke for the first time being treated at Hanoi Rehabilitation Hospital  from November, 2022 to July, 2023. The  patient received a patient-specific conventional stroke rehabilitation program and received additional mirror therapy program for 4 weeks, 5d/w, for 30 min/d. Evaluation after 4 weeks scores of visual analog scale (VAS) for pain severity, edema, Fugl-Meyer Assessment (FMA) for upper limb function. Results: The common age is ≥ 60, accounting for 57,1%, the mean age is 62,5 ± 16,2. The rate of patients with shoulder subluxation is 76,2%. 17 of 21 patients (80,95%) diagnosed with post-stroke CRPS within 1–3 months after stroke. After 4 weeks, the patients in the mirror therapy showed statistically significant (p < 0.05) improvement for all measures (2,23 ± 0,72 for VAS score; 1,77 ± 0,72 cm for oedema measurement and - 6,95 ± 0,64 for FMA score). Conclusion: Addition of mirror therapy to a conventional stroke rehabilitation program improves pain perception, edema and functions of the upper limb in patiens with complex regional pain syndrome after ischemic stroke.