探討鏡像治療結合任務導向訓練對門診復健之中風患者上肢功能之成效

Exploring the Effectiveness of Mirror Therapy Combined with Task-Oriented Training on Upper Limb Function in Outpatient Stroke Rehabilitation

本研究主要想探討使用鏡像治療結合任務導向訓練的介入模式，對於門診復健的中風患者偏癱上肢的功能恢復及職能表現能力之成效。本研究的方法使用重複地去測量個案的能力之準實驗方式的個案系列設計及無母數分析相關樣本，Friedman雙向等級變異分析，來觀察受試者介入後的成效，共有6名受試者完成10週包含鏡像治療及任務導向訓練的介入。每次的介入時間約45分鐘，每週兩次，持續10週。結果顯示83%的受試者（5人）在介入後患側上肢動作有進步，67%的受試者（4人）在介入後日常生活的職能表現上有提升，且這個效果可以持續到介入結束後四週。本研究結論為以常見的門診復健的介入頻率，使用鏡像治療結合個別化任務導向的介入方式運用於中風患者偏癱上肢功能之訓練，可能改善中風患者偏癱上肢的功能及日常生活的職能表現。

This study primarily aims to investigate the effectiveness of an intervention model combining mirror therapy with task-oriented training on the functional recovery and occupational performance of stroke patients with hemiparesis in the upper limbs during outpatient rehabilitation. The study employed a quasi-experimental single-case design with repeated measures of the participants’abilities and non-parametric analysis of related samples, using Friedman’s two-way analysis of variance, to assess the effectiveness of the intervention. Six participants completed a 10-week intervention, which included mirror therapy and task-oriented training. Each session lasted approximately 45 minutes, twice a week, for 10 weeks. The results showed that 83% of the participants (5 individuals) demonstrated improvement in upper limb movements on the affected side, and 67% (4 individuals) showed improvement in occupational performance in daily activities. Moreover, this effect was sustained up to four weeks after the intervention ended. The conclusion of this study suggests that combining mirror therapy with individualized task-oriented interventions, at the typical frequency of outpatient rehabilitation, may improve functional abilities and occupational performance in daily activities for stroke patients with hemiparesis in the upper limbs.