Study on the rehabilitation efficacy and mechanism of brain function remodeling of patients with upper limb motor dysfunction after stroke by combined mirror therapy and electromyographic biofeedback
镜像疗法联合肌电生物反馈对脑卒中后上肢运动功能障碍患者的康复疗效及脑功能重塑机制研究

摘要

目的 分析在脑卒中后上肢运动功能障碍患者中实施镜像疗法联合肌电生物反馈的康复效果以及对脑功能重塑的影响。方法 随机选取2023年10月至2025年10月期间接收的脑卒中后上肢运动功能障碍患者70例，通过随机数字表法分成两组开展康复治疗研究，共分为观察组35例和对照组35例，对照组给予常规康复训练治疗，观察组则添加镜像疗法联合肌电生物反馈疗法，对比分析两组最终康复效果。结果 治疗后，观察组患者的脑神经功能、肢体运动功能恢复效果优于对照组，生活活动能力与对照组相比明显提高，并发症发生率明显低于对照组，最终生活质量改善效果优于对照组，组间各指标结果对比差异有统计学意义（P<0.05）。结论 将镜像疗法联合肌电生物反馈应用于脑卒中后上肢运动功能障碍患者的康复管理中，能够有效提高患者的康复效果，促进患者脑神经功能重塑，提高患者的肢运动功能恢复效果，减少并发症发生，改善患者生活质量。

Abstract

Objective To analyze the rehabilitation effect and the impact on brain function remodeling of patients with upper limb motor dysfunction after stroke by implementing mirror therapy combined with electromyographic biofeedback.
Methods Randomly select 70 patients with upper limb motor dysfunction after stroke who received treatment from October 2023 to October 2025. Using the random number table method, they are divided into two groups for rehabilitation treatment research. A total of 35 cases are in the observation group and 35 cases in the control group. The control group is given conventional rehabilitation training treatment, while the observation group is added with mirror therapy combined with electromyographic biofeedback therapy. The final rehabilitation effects of the two groups are compared and analyzed.
Results After treatment, the brain nerve function and limb motor function recovery effect of the observation group were better than those of the control group. The living activity ability of the observation group was significantly improved compared with the control group, and the complication rate was significantly lower than that of the control group. The final quality of life improvement effect of the observation group was better than that of the control group. The differences in each index results between the two groups were statistically significant (P<0.05).
Conclusion   Applying mirror therapy combined with electromyographic biofeedback to the rehabilitation management of patients with upper limb motor dysfunction after stroke can effectively improve the rehabilitation effect of patients, promote the brain nerve function remodeling of patients, improve the recovery effect of limb motor function, reduce the occurrence of complications, and improve the quality of life of patients.