背景:关于镜像疗法(MT)对腕管综合征(CTS)患者运动恢复的潜在影响的信息很少。
目的:为了比较MT方案与治疗性锻炼(TE)方案的有效性,在提高强度方面,运动范围(ROM),肌肉活动,疼痛,以及CTS患者的功能。
方法:随机临床试验。
方法:将39名患有单侧CTS的参与者分为两组:(i)MT组(n=20),该运动方案适用于镜子中未受影响的手,和(ii)TE组(n=19),使用未受影响的手遵循相同的运动方案,但没有镜子。力量,手腕ROM,肌肉活动,疼痛和功能,在基线(T0)评估,治疗后(T1)和治疗后一个月(T2)。
结果:在T1时,与TE相比,MT组显示出明显更高的腕关节屈伸ROM(p=0.04,d=0.8),维持在T2(p=0.02,d=0.8)。尺骨半径偏差无明显变化,前兆,或疲劳后MT或TE(p>0.05)。MT在T1时表现出增强的握力(p=0.001,d=0.7),以及radi伸肌(ECR)和radi屈肌(FCR)最大肌肉活动的增加(p=0.04,d=1.0;p=0.03,d=0.4)。在T1时,两组疼痛均减轻(p=0.002,d=1.1;p=0.02,d=0.7),和改善的功能(p<0.001,d=0.8;p=0.01,d=0.5)(分别为MT和TE)。
结论:MT导致腕关节屈伸运动增强,与TE不同的手握强度和功能。MT显著增加肌肉活动,尤其是在ECR和FCR肌肉中。
结论:MT是改善腕关节屈伸ROM的有利策略,握力,ECR和FCR肌肉活动,以及单侧CTS患者的功能。
BACKGROUND: There is little information on the potential effects of mirror therapy (MT) on motor recovery in individuals with Carpal Tunnel Syndrome (CTS).
OBJECTIVE: To compare the effectiveness of a MT protocol versus a therapeutic exercise (TE) protocol, in improving strength, range of motion (ROM), muscle activity, pain, and functionality in patients with CTS.
METHODS: Randomized clinical trial.
METHODS: Thirty-nine participants with unilateral CTS were divided into two groups: (i) MT group (n = 20) that followed an exercise protocol applied to the unaffected hand reflected in a mirror, and (ii) TE group (n = 19) that followed the same exercise protocol using the unaffected hand but without a mirror. Strength, wrist ROM, muscle activity, pain and functionality, were assessed at baseline (T0), after treatment (T1) and one month after treatment (T2).
RESULTS: At T1, the MT group showed significantly higher wrist flexion-extension ROM compared to TE (p = 0.04, d = 0.8), maintained at T2 (p = 0.02, d = 0.8). No significant changes were observed in ulnar-radius deviation, pronosupination, or fatigue following either MT or TE (p > 0.05). MT exhibited enhanced handgrip strength at T1 (p = 0.001, d = 0.7), as well as an increase in the extensor carpi radialis (ECR) and flexor carpi radialis (FCR) maximum muscle activity (p = 0.04, d = 1.0; p = 0.03, d = 0.4). At T1, both groups decreased pain (p = 0.002, d = 1.1; p = 0.02, d = 0.7), and improved functionality (p < 0.001, d = 0.8; p = 0.01, d = 0.5) (MT and TE respectively).
CONCLUSIONS: MT led to enhancements in wrist flexion-extension movement, handgrip strength and functionality unlike TE. MT notably increased muscle activity, particularly in the ECR and FCR muscles.
CONCLUSIONS: MT is a favorable strategy to improve wrist flexion-extension ROM, handgrip strength, ECR and FCR muscle activity, and functionality in people with unilateral CTS.