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  3. The effect of mirror therapy on the motor ability of stroke patients referred to the physiotherapy department of Ghaem (Aj) and Imam Reza (A) hospitals.

The effect of mirror therapy on the motor ability of stroke patients referred to the physiotherapy department of Ghaem (Aj) and Imam Reza (A) hospitals.

Number of pages: 111 File Format: word File Code: 32082
Year: 2013 University Degree: Master's degree Category: Medical Sciences
Tags/Keywords: daily life activities - Functional recovery - Joint range of motion - mirror therapy - Movement ability - stroke - Stroke rehabilitation - Top end performance
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  • Summary of The effect of mirror therapy on the motor ability of stroke patients referred to the physiotherapy department of Ghaem (Aj) and Imam Reza (A) hospitals.

    Dissertation to receive a master's degree in nursing education

    (internal-surgical orientation)

    Abstract

    The effect of mirror therapy on the movement ability of patients after stroke

    Findings: Before the intervention, the two groups did not have a statistically significant difference in terms of motor ability indicators and intervening variables (p<0.05). After the intervention, the patients in the mirror therapy group improved in terms of motor performance (7.9%), motor recovery (11.9%) and walking ability (4.7%) compared to the control group, which was statistically significant (p<0.05). However, there was no statistically significant difference in terms of self-care ability index and joint range of motion (

    Conclusion: mirror therapy improves some indicators of stroke patients' ability to move, so it is recommended to be used as a simple, cheap and client-oriented method, as a supplement to the rehabilitation program in these patients.

    Keywords: final function Superior/inferior, mirror therapy, functional recovery, daily life activities, range of motion of joints, stroke rehabilitation

    problem statement

    Cerebrovascular accident or cerebrovascular accident is the most common disabling neurological disease in adults that causes damage to the sensory, motor, perceptual, visual and cognitive systems, resulting in patients being unable to perform daily life activities (1) According to the statistics of the World Health Organization, the annual incidence of stroke fluctuates between 2.7 and 7.4 cases per thousand population (3). Strokes are the third most important cause of death in developed countries. About 750,000 people in the United States have a stroke every year. About 150,000 people (90,000 women and 60,000 men) die due to stroke or its complications, of which 25% are under 65 years old. About 12% of all deaths in the UK are due to stroke. About 7% of hospital beds in Scotland are occupied by stroke patients and 4.6% of the total health costs of this country are related to stroke (4). The prevalence of stroke in Western countries ranges from 100 to 300 per 100,000 people per year. In Asia, the number of people who die from stroke is close to those who die from heart diseases (5). Based on the statistics available in the Iranian Statistics Center, the number of stroke sufferers has been calculated as 270 per 100,000 people (2) and its annual incidence is estimated as 113-149 per 100,000 population, which will increase as the population ages in the coming years (6).

    Stroke is the third cause of death in the world after cardiovascular diseases and malignant neoplasms. This problem is a major cause of death, disability and loss of quality of life (6). This disease is a common health problem as well as one of the most common life-threatening neurological diseases and is one of the main causes of severe disabilities and homelessness of people (3, 7). One third of patients who have a stroke experience permanent disabilities. Only 13% of stroke patients are able to return to their jobs. A stroke is a very important event in life that leads to physical, psychological and functional changes in a person's life. A stroke is an unpredictable and devastating event for the patient and his family, in other words, it is a family disease, so that the life of the patient and his family undergoes changes after the stroke, which will not return to the way it was before the stroke (5). In addition to this, stroke has significant effects on caregivers, health and social service providers, and accounts for 5% of acute hospitalizations (6), but today, due to the advances in the diagnosis and treatment of the health system, it is faced with a greater number of these patients than in the past, and in addition to the resulting death, the physical disorders and disabilities left by these diseases, in terms of medical and nursing care in hospitals and at home, have become a major social problem. Therefore, this disease is considered as one of the major causes of disability and imposes a large economic cost on the society (3). In England, the cost of treating and rehabilitating stroke patients includes 4% of the health service budget, and a major share of the 40 billion dollars spent annually on stroke patients in America is dedicated to long-term care and post-disease rehabilitation. Therefore, the improvement and development of effective treatment methods that include the post-accident recovery stage is of vital importance from a therapeutic, social and economic point of view (2). The most common complication and the worst clinical symptom caused by stroke is motor disabilities, including hemiplegia and hemiparesis (8-9). About 85% of people who have suffered a stroke experience hemiparesis, although the severity and variety of disorders in patients with hemiplegia and hemiparesis depends on the location and extent of the lesion, but motor function disorders are one of the main clinical manifestations of hemiparesis, which makes it difficult or impossible for patients to perform daily life, work, and recreational activities (10). As the studies also show, about 53-24% of these patients become independent after stroke (11). A decrease in strength, speed and control of movement has been seen in 60 to 78 percent of patients, which causes a decrease in their functional abilities. Impairment of sensation on the affected side aggravates this complication, which sometimes appears in the form of limb denial (9).

    About 55 to 75% of patients experience limitations in upper limb function after a stroke, so it is necessary to take measures to improve it. Various treatment methods have been proposed to improve disorders caused by this disease, including the use of muscle relaxants, pain relievers, massage, electrical stimulation, therapeutic movements and surgery (10). Therefore, it is important to investigate and recognize the sensory and motor complications left by this disease, because by recognizing and understanding such complications, the process of treatment and prevention of disability can be done better and subsequent complications can be prevented(8).

  • Contents & References of The effect of mirror therapy on the motor ability of stroke patients referred to the physiotherapy department of Ghaem (Aj) and Imam Reza (A) hospitals.

    List:

    Research Objectives

    6

    Research Hypotheses

    6

    Definition of Words

    7

    Research Presuppositions

    8

    Chapter Two: Knowledge about Research

    Conceptual Framework

    10

    Overview of studies

    16

    Chapter three: research method

    Research design

    27

    Research community

    27

    Research environment

    27

    Research sample

    27

    Sample size and its calculation method

    Method Sampling

    27

    28

    Characteristics of research units

    29

    Variables and how to control them

    29

    Data collection tool and their characteristics

    30

    Reliability and reliability of the tool

    31

    Collection method Data

    32

    Data analysis method

    35

    Limitations of the research

    35

    Ethical considerations

    36

    Chapter four: Research findings

    Description of the characteristics of research units

    38

    Main findings Research

    48

    Side findings

    59

    Proposals

    90

    Resources

    Appendices

    Appendix 1: Research Unit Selection Form

    Appendix 2: Individual profile form of the research unit

    Appendix 3: Motor performance tool

    Appendix 4: Walking ability tool

    Appendix 5: Bronstr?m motor recovery tool

    Appendix 6: Bartel self-care tool

    Appendix 7: Informed consent form to participate in the research plan

    Appendix 8: Ethical codes for the protection of human subjects in science research Medicine

     English title page

    Source:

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The effect of mirror therapy on the motor ability of stroke patients referred to the physiotherapy department of Ghaem (Aj) and Imam Reza (A) hospitals.
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