Volume 23 Issue 12
Dec.  2025
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LIU Bin, WANG Yingge, XIAO Yaru, XU Xiaotian, TANG Tieyu. A retrospective study on the effect of mirror therapy combined with low-frequency pulse electrical stimulation on hand function recovery in stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2025, 23(12): 2123-2127. doi: 10.16766/j.cnki.issn.1674-4152.004306
Citation: LIU Bin, WANG Yingge, XIAO Yaru, XU Xiaotian, TANG Tieyu. A retrospective study on the effect of mirror therapy combined with low-frequency pulse electrical stimulation on hand function recovery in stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2025, 23(12): 2123-2127. doi: 10.16766/j.cnki.issn.1674-4152.004306

A retrospective study on the effect of mirror therapy combined with low-frequency pulse electrical stimulation on hand function recovery in stroke patients with hemiplegia

doi: 10.16766/j.cnki.issn.1674-4152.004306
Funds:

 81901084

  • Received Date: 2024-12-27
    Available Online: 2026-03-13
  •   Objective  To investigate the clinical effect of mirror therapy combined with low-frequency pulse electrical stimulation on hand function recovery in stroke patients with hemiplegia and to compare the therapeutic effects between different types of stroke and Brunnstrom stages.  Methods  A retrospective analysis was conducted on the clinical data of 124 patients with hemiplegia after stroke who received rehabilitation treatment at the Affiliated Hospital of Yangzhou University from January 2020 to December 2023. Patients were grouped according to the treatment regimen they actually received. The combined treatment group (n=62) received mirror therapy and low-frequency pulse electrical stimulation treatment on the basis of conventional rehabilitation, while the control group (n=62) only received conventional rehabilitation treatment. The treatment course was 6 weeks. The main evaluation indicators included the Fugl-Meyer assessment of upper limb motor function (FMA-UE), action research arm test (ARAT), grip strength test and modified Barthel index (MBI). The secondary assessment indicators were the modified Ashworth scale (MAS) and electromyography (EMG). Repeated measures analysis of variance was used to compare the therapeutic effects of the two groups.  Results  After 6 weeks of treatment, the FMA-UE score of the combined treatment group increased from (28.76±5.43) points at baseline to (48.95±5.63) points, which was significantly higher than that of the control group [(42.18±5.27) points, F=6.924, P < 0.001]. The improvement amplitudes of ARAT, grip strength and MBI scores in the combined treatment group were significantly greater than those in the control group (P < 0.01). The EMG results showed that the increase in peak voltage in the combined treatment group [(33.33±7.86) μV] was significantly higher than that in the control group [(16.89±6.73) μV, t=6.884, P < 0.001]. Subgroup analysis showed that the combined treatment had a more significant therapeutic effect on patients with ischemic stroke and Brunnstrom stage Ⅲ-Ⅳ (P < 0.01).  Conclusion  Mirror therapy combined with low-frequency pulse electrical stimulation can significantly improve hand function in stroke patients with hemiplegia. This combined therapy may be more effective for patients with moderate to severe hand function impairment, particularly those with ischemic stroke.

     

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