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研究生:林嘉皇
研究生(外文):Lin, Chia-Hwang
論文名稱:鏡像治療對慢性中風患者上肢動作功能之療效
論文名稱(外文):Effect of Mirror Therapy on Motor Function of Upper Extremity in Chronic Stroke Patients
指導教授:黃奕清黃奕清引用關係
指導教授(外文):Huang, Yi-Ching
口試委員:吳菁宜劉燦宏
口試委員(外文):Wu, Ching-YiLiou,Tsan-Hon
口試日期:2012-07-09
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:運動保健研究所
學門:民生學門
學類:運動休閒及休閒管理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:57
中文關鍵詞:中風鏡像治療上肢動作功能
外文關鍵詞:strokemirror therapyupper extremity motor function
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慢性中風患者常伴隨有上肢動作功能缺損,並使患者減少使用患側上肢。近
來研究發現鏡像治療一般認為對中風後上肢動作功能復健可能有幫助。本研究旨
在探討鏡像治療介入對慢性中風患者在上肢動作功能的療效。共有 16 名發病時
間大於 6 個月的中風患者,隨機分為鏡像治療組(8 名)及控制組(8 名)Ƕ鏡像治療
組接受每天一小時的鏡像治療及半小時的傳統治療,每週五天持續四週;控制組
則接受相同治療量的傳統治療介入Ƕ研究使用傅格梅爾動作評量表(Fugl-Meyer
motor assessment, FMA)的上肢動作部份來評估受試者上肢動作功能的改變,同時
利用腕動計來評量受試者在日常生活中上肢的使用情形,再加上視覺化之疼痛及
疲憊程度自我評量表來評量受試者疼痛及疲勞的程度Ƕ在四週的介入後,鏡像治
療組在 FMA 的分數進步程度明顯高於控制組(鏡像組:6.5 分±4.3 分;控制組 3.12
分±2.03 分,p<.05)Ƕ而患/健側肢體使用比率,鏡像組介入之後則有明顯的減
少(鏡像組: -0.24±0.16;控制組 0.06±0.16,p<.05)。在疼痛(鏡像組:0.37±0.95 分;
控制組:-0.56±1.76 分)及疲勞(鏡像組:-0.12±1.16 分;控制組:0.0±1.55 分)的程
度兩組間則無顯著的差異Ƕ本研究結果支持先前的研究,鏡像治療合併傳統治療
介入對慢性中風患者的上肢動作功能復健是有成效的,但應用上需注意介入後患
者可能會減少使用患側手的情形。
Upper extremity motor function impairment is the common syndrome in chronic
stroke patients and result in reducing the usage of the affected arm in daily living.
Recent research suggest that stroke patients may benefit from mirror therapy in upper
extremity motor functions. The purpose of this study is to evaluate the effects of the
mirror therapy on upper extremity motor function in patients of chronic stroke
patients. 16 chronic stroke (onset >6 months) patient were included in this study and
randomly assigned to the mirror therapy(MT) group (n=8) and the control (RC) group
(n=8). The mirror therapy group received mirror therapy program for 1 hour and
conventional therapy for 0.5 hour per day, 5 days a week, in 4 weeks. The control
group received the does-matched conventional therapy. The Fugl-Meyer Assessment
(FMA) and Micro-mini Motion-logger, were used to assess the changes in upper
extremity motor function and the ratio of affected arm use to non-affected arm use
after intervention. The visual analog scales were also applied for assessing the level of pain and fatigue that may be induced by intervention. In the upper extremity function, the scores of FMA increased more in MT group (6.5±4.3, Mean ± SD) than in RC
(3.12±2.03) group (p<.05). The ratio of affected arm use to non-affected arm use
reduced more in MT( -0.24±0.16) group than in RC(0.06±0.16) group significantly
(p<.05). No significant difference were found in pain and fatigue level between two
groups. This study supports that both therapy are effective for upper extremity motor
function rehabilitation in chronic stroke patients, Therefore, chronic stroke patients
made more improvement in upper motor functions with combined mirror therapy with
conventional therapy. However, it would be noticed that the ratio of affected arm use
to non-affected arm use may be reduced after mirror therapy intervention.
目次
中文摘要 ………………………………………………………………………… i
英文摘要 …………………………………………………………………………ii
目次 ………………………………………………………………………………iii
表次 ………………………………………………………………………………v
圖次 ………………………………………………………………………………vi
第一章 緒論
第一節 研究背景…………………………………………………………………1
第二節 研究目的及問題…………………………………………………………5
第三節 研究假設 ………………………………………………………………6
第四節 名詞界定 ………………………………………………………………6

第二章 文獻探討
第一節 中風後的上肢復健治療…………………………………………………7
第二節 鏡像治療用於中風治療的相關研究……………………………………7
第三節 鏡像治療的作用機轉……………………………………………………11

第三章 研究方法
第一節 研究設計及架構……………………………………………………… 15
第二節 研究對象及收案流程………………………………………………… 16
第三節 研究工具……………………………………………………………… 18
第四節 資料統計分析………………………………………………………… 20

第四章 研究結果與討論
第一節 受試者基本資料及介入前臨床表現………………………………… 22
第二節 介入後受試者上肢功能表現比較…………………………………… 24
第三節 患側肢體的活動量…………………………………………………… 28
第四節 疼痛及疲勞的變化…………………………………………………… 32
第五節 討論…………………………………………………………………… 34

第五章 結論與建議
第一節 結論 ………………………………………………………………… 38
第二節 建議 ………………………………………………………………… 39

參考文獻
中文部分 ……………………………………………………………………… 40
外文部分 ……………………………………………………………………… 40

附錄
附錄一 訓練活動列表………………………………………………………… 51
附錄二 活動範例圖片………………………………………………………… 52
附錄三 傅格梅爾評估量表…………………………………………………… 54
附錄四 疼痛評估表…………………………………………………………… 56
附錄五 疲勞程度評估表……………………………………………………… 57
廖建彰、李采娟、林瑞雄、宋鴻樟(民 95)。2000 年台灣腦中風發生率與盛行率
的城鄉差異。台灣公共衛生雜誌,25,223-230。
衛生署(民 100)衛生統計「民國 99 年死因統計完整統計表」。取自http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=81298&s=1
羅敏文、黃淑桂、林克忠、吳菁宜(民 99)鏡像治療的臨床應用及腦部機制探討之文獻回顧。 台灣職能治療研究與實務,6,37-49。
Acerra, N. E. (2007). Sensorimotor Dysfunction in CRPS1 and Stroke Characterisation, Prediction and Intervention. (Doctoral dissertation,
University of Queensland). Retrieved from http://espace.library.uq.edu.au/view/UQ:139098
Acerra, N. E., Souvlis, T., & Moseley, G. L. (2007). Stroke, complex regional pain
syndrome and phantom limb pain: Can commonalities direct future management?
Journal of Rehabilitation Medicine, 39, 109-114. doi: 10.2340/16501977-0027
Altschuler, E. L., Wisdom, S. B., Stone, L., Foster, C., Galasko, D., Llewellyn, D. M., & Ramachandran, V. S. (1999). Rehabilitation of hemiparesis after stroke with a mirror. Lancet, 353, 2035–2036.
Broeks, J. G., Lankhorst, G. J., Rumping, K.; Prevo A. J. H. (1999). The long-term outcome of arm function after stroke: results of a follow-up study. Disability and Rehabilitation, 21, 357-364.
Bonita, R., & Beaglehole, R. (1988). Recovery of motor function after stroke., Stroke 19, 1497-1500.
Cacchio, A., De Blasis, E., De Blasis, V., Santilli, V., & Spacca, G. (2009a). Mirror therapy in complex regional pain syndrome type 1 of the upper limb in stroke patients. Neurorehabilitation and Neural Repair, 23, 792–799.
Cacchio, A., De Blasis, E., Necozione, S., Di Orio, F., & Santilli, V. (2009b). Mirror therapy for chronic complex regional pain syndrome type 1 and stroke. New
England Journal of Medicine, 361, 634–636.
Carson, R.G.(2005). Neural pathways mediating bilateral interactions between the
upper limbs. Brain Research Reviews, 49, 641–662.
Chan, B. L., Witt, R., Charrow, A. P., Magee, A., Howard, R., Pasquina, P. F., Heilman, K. M., & Tsao, J. W. (2007). Mirror therapy for phantom limb pain. New England Journal of Medicine, 357, 2206–2207.
Chen, K.Y., & Bassett, D.R. Jr. (2005). The technology of accelerometry-based
activity monitors: current and future. Medicine and Science in Sports and
Exercise, 37, 490–500.
Colle, F., Bonan, I., Leman, G., Bradai, N., & Yelnik, A. (2006). Fatigue after stroke. Annales de réadaptation et de médecine physique, 49, 361–364.
Coupar, F., Pollock, A., van Wijck, F., Morris, J., & Langhorne, P. (2010).
Simultaneous bilateral training for improving arm function after stroke. Cochrane
Database of Systematic Reviews, 4. Art. No.: .CD006432. doi:
10.1002/14651858.CD006432.pub2.
De Groot, M. H., Phillips, S. J., & Eskes, G. A. (2003). Fatigue associated with stroke and neurologic conditions: implications for stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 84, 1714-1720.
Dettman, M. A., Linder, M. T., & Sepic, S. B.(1987). Relationships among walking
performance, postural stability, and functional assessments of the hemiplegic
patient. American Journal of Physical Medicine, 66, 77–90.
Dohle, C., Püllen, J., Nakaten, A., Küst, J., Rietz, C., & Karbe H. (2009). Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabilitation and Neural Repair, 23, 209-217.
Doyle, S., Bennett, S., Fasoli, S. E., & McKenna, K. T. (2010). Interventions for
sensory impairment in the upper limb after stroke. Cochrane Database of
Systematic Reviews, 6. Art. No.: CD006331. doi: 10.1002/14651858.CD006331.pub2.
Dromerick, A., & Reding, M. (1994). Medical and neurological complications during
inpatient stroke rehabilitation. Stroke, 25, 358-361.
Duncan, P. W., Propst, M., & Nelson, S. G.(1983). Reliability of the Fugl-Meyer
assessment of sensorimotor recovery following cerebrovascular accident.
Physical Therapy, 63,1606-1610.
Ezendam, D., Bongers, R. M., & Jannink, M. J. A. (2009). Systematic review of the
effectiveness of mirror therapy in upper extremity function. Disability and
Rehabilitation, 31, 2135–2149.
Ertelt, D., Small, S., Solodkin, A., Dettmers, C., McNamara, A., Binkofski, F., &
Buccinod, G. (2007). Action observation has a positive impact on rehabilitation
of motor deficits after stroke. NeuroImage, 36, 164–173.
Fadiga, L., Craighero, L., & Olivier, E. (2005). Human motor cortex excitability
during the perception of others’ action. Current Opinion in Neurobiology,
15,213–218.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible
statistical power analysis program for the social, behavioral, and biomedical
sciences. Behavior Research Methods, 39 (2), 175-191.
Feys, H. M., De Weerdt, W. J., Selz, B. E., Cox Steck, G. A., Spichiger, R., Vereeck, L. E., Putman, K. D., & Van Hoydonck, G. A. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke : a single-blind, randomized, controlled multicenter trial. Stroke, 29, 785-792
Finch E., Brooks D., & Stratford P. W. (2002). Physical rehabilitation outcome
measures: a guide to enhanced clinical decision making ( 2nd ed). Toronto,
Canada: Lippincolt Willams & Wilkins.
Franceschini, M., Ceravolo, M. G., Agosti, M., Cavallini, P., Bonassi, S., Dall'Armi, V., Massucci, M., Schifini, F., & Sale, P.(2012). Clinical relevance of action observation in upper-limb stroke rehabilitation : a possible role in recovery of functional dexterity. A randomized clinical trial. Neurorehabilitation and Neural Repair, 26, 456-462. DOI: 10.1177/1545968311427406
Fukumura, K., Sugawara, K., Tanabe, S., Ushiba, J., & Tomita, Y. (2007). Influence of mirror therapy on human motor cortex. International Journal of Neuroscience,117, 1039-1048.
Gebruers, N., Vanroy, C., Truijen, S., Engelborghs, S., & De Deyn, P. P. (2010).
Monitoring of physical activity after stroke: a systematic review of
accelerometry-based measures. Archives of Physical Medicine and Rehabilitation,
91, 288-297.
Gladstone, D. J., Dannells, C. J., & Black, S. E.(2002). The Fugl-Meyer assessment of motor recovery after stroke. Neurorehabilitation and Neural Repair, 16, 232–240.
Grѐzes, J. & Decety, J.(2001). Functional anatomy of execution, mental simulation, observation, and verb generation of actions: a meta-analysis. Human Brain Mapping,12, 1-19.
Hamzei, F., Läppchen, C. H., Glauche, V., Mader, I., Rijntjes, M., & Weiller, C.(2012). Functional plasticity induced by mirror training : the mirror as the element connecting both hands to one hemisphere. Neurorehabilitation and Neural Repair, 26, 484-496 . DOI: 10.1177/1545968311427917
Iacoboni, M., & Mazziotta, J. C. (2007). Mirror Neuron System: Basic Findings and
Clinical Applications. Annals of Neurology, 62, 213–218.
Ingles, J. L., Eskes, G. A., & Phillips, S. J. (1999). Fatigue after stroke. Archive of Physical Medicine & Rehabilitation, 80, 173-178.
Kalra, L., Yu, G., , Wilson, K., & Roots, P. (1995). Medical Complications During
Stroke Rehabilitation. Stroke, 26, 990-994
Kwakkel G, Kollen, B. J., Wagenaar, R. C. (1999). Therapy impact on functional
recovery in stroke rehabilitation: a critical review of the literature. Physiotherapy, 13, 457–470.
Kwakkel G, Wagenaar RC, Twisk JW, lankhorst GJ, Koetsier JC. (1999). Intensity of
leg and arm training after primary middle-cerebral-artery stroke: a randomized
trial. Lancet, 354, 191–196.
Kwakkel, G., Kollen, B. J., & Wagenaar, R. C. (2002). Long term effects of intensity of upper and lower limb training after stroke: a randomised trial. Journal of Neurology, Neurosurgery, & Psychiatry, 72, 473-479
Langhorne, P., Stott, D. J., Robertson, L., MacDonald, J., Jones, L., McAlpine, C., Dick, F., Taylor, G. S., & Murray, G. (2000). Medical complications after stroke: a multicenter study. Stroke, 31, 1223-1229.
Latham, N. K., Jette, D. U., Coster, W., Richards, L., Smout, R. J., James, R. A., Gassaway, J., & Horn, S. D. (2006). Occupational therapy activities and
intervention techniques for clients with stroke in six rehabilitation hospitals. American Journal of Occupational Therapy, 60, 369–378.
Lee, M. M., Cho, H., & Song, C.H.(2012). The mirror therapy program enhances
upper-limb motor recovery and motor function in acute stroke patients. American
Journal of Physical Medicine and Rehabilitation, 91. doi: 10.1097/PHM.0b013e31824fa86d
Magill, R. A. (2011). Motor learning and control: Concepts and applications (9th ed.). New York, NY: McGraw-Hill.
McCombe Waller, S., & Whitall, J. (2005). Hand dominance and side of stroke affect rehabilitation in chronic stroke. Clinical Rehabilitation,19, 544–551.
Mehrholz, J., Platz, T., Kugler, J., & Pohl, M. (2008). Electromechanical and
robot-assisted arm training for improving arm function and activities of daily
living after stroke. Cochrane Database of Systematic Reviews, 4,Art. No.:
CD006876. doi: 10.1002/14651858.CD006876.pub2.
Michael K. (2002). Fatigue and stroke. Rehabilitation Nursing, 27, 89-94.
Michielsen, M. E., Smits, M., Ribbers, G. M., Stam, H.J., van der Geest, J..N.,
Bussmann, J. B., & Selles, R. W. (2010). The neuronal correlates of mirror
therapy: an fMRI study on mirror induced visual illusions in patients with stroke.
Journal of Neurology, Neurosurgery and Psychiatry, 82, 393-398.
Michielsen, M. E., Selles, R. W., van der Geest, J. N., Eckhardt, M., Yavuzer, G., Stam, H. J., Smits, M., Ribbers, J. M., & Bussmann, J. B. J. (2011). Motor
recovery and cortical reorganization after mirror therapy in chronic stroke
patients : a phase II randomized controlled trial. Neurorehabilitation and Neural
Repair, 25, 223-233.
Michielsen, M. E., Selles, R. W., Stam, H. J., Ribbers, G. M., & Bussmann, J. B.
(2012). Quantifying nonuse in chronic stroke patients: a study into paretic,
nonparetic, and bimanual upper-limb use in daily life. Archives of Physical
Medicine and Rehabilitation. DOI: http://dx.doi.org/10.1016/j.apmr..03.016
Mulder, Th. (2007). Motor imagery and action observation: cognitive tools for
rehabilitation. Journal of Neural Transmission, 114, 1265–1278.
Nojima,I., Mima, T., Koganemaru, S., Thabit, M. N., Fukuyama, H., & Kawamatal,
T. (2012). Human motor plasticity induced by mirror visual feedback. Journal of
Neuroscience, 32(4), 1293–1300.
Oujamaa, L., Relave, I., Froger, J., Mottet, D., & Pelissier, J. Y. (2009). Rehabilitation of arm function after stroke. Literature review. Annals of Physical and Rehabilitation Medicine, 52, 269–293
Ploughman M, & Corbett D. (2004). Can forced-use therapy be clinically applied after stroke? An exploratory randomized controlled trial. Archives of Physical
Medicine and Rehabilitation, 85, 1417-1423.
Pomeroy, V. M., King, L. M., Pollock, A., Baily-Hallam, A., & Langhorne, P. (2006). Electrostimulation for promoting recovery of movement or functional ability after stroke. Cochrane Database of Systematic Reviews, 2. Art. No.:CD003241. doi:10.1002/14651858.CD003241.pub2.
Rabadi, M. H., & Rabadi, F. M.(2006). Comparison of the Action Research Arm Test
and the Fugl-Meyer Assessment as measures of upper-extremity motor weakness
after stroke. Archive of Physical Medicine and Rehabilitation, 87, 962-966.
Ramachandran, V. S. (1994). Phantom limb, neglect syndromes, repressed memories
and Freudian psychology. International Review of Neurobiology, 37, 291–333.
Ramachandran, V. S., & Rogers-Ramachandran, D. (1996). Synaesthesia in phantom
limbs induced with mirrors. Proceedings. Biological Science, 22(263), 377-386.
Rand, D., & Eng, J. J. (2011). Disparity between functional recovery and daily use of the upper and lower extremities during subacute stroke rehabilitation.
Neurorehabilitation and Neural Repair. Advanced online publication. doi:
10.1177/1545968311408918
Rinehart, J. K., Singleton, R. D., Adair, J. C., Sadek, J. R., & Haaland, K. Y.(2009). Arm use after left or right hemiparesis is influenced by hand preference. Stroke, 40, 545-550.
Rosén, B., & Lundborg, G. (2005). Training with a mirror in rehabilitation of the hand. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 39, 104-108.
Rothgangel, A. S., Morton A., van der Hout,J. W. E., & Beurskens, A. J. H. M. (2007). Mirror therapy in rehabilitation after stroke: Effectiveness on upper limb functioning in chronic stroke patients [Abstract] . Neurologie & Rehabilitation, 13, 271-276.
Sanford, J., Moreland, J., Swanson, L. R., Stratford, P. W., & Gowland, C.(1993).
Reliability of the Fugl-Meyer assessment for testing motor performance in
patients following stroke. Physical Therapy, 73,447-454.
Sathian, K., Greenspan, A. I., & Wolf, S. L. (2000). Doing it with mirrors: a case study of a novel approach to neurorehabilitation. Neurorehabilitation and Neural Repair, 14, 73–76.
Schepers, V., Visser-Meily, A., Ketelaar, M., & Lindeman, E. (2006). Post-stroke
fatigue: course and its relation to personal and stroke-related factors. Archives of Physical Medicine and Rehabilitation, 87, 184-188.
Schnitzler, A., Salenius, S., Salmelin, R., Jousmäki, V., & Hari, R. (1997).
Involvement of primary motor cortex in motor imagery: a neuromagnetic study.
Neuroimage, 6,201-208.
Seitz, R. J., Hildebold, T., & Simeria, K. (2011). Spontaneous arm movement activity assessed by accelerometry is a marker for early recovery after stroke. Journal of neurology, 258, 457–463.
Sirtori, V., Corbetta, D., Moja, L., & Gatti, R. (2009). Constraint-induced movement therapy for upper extremities in stroke patients. Cochrane Database of Systematic Reviews, 4. Art. No.: CD004433. doi: 10.1002/14651858.CD004433.pub2.
Stevens, J. A., & Stoykov, M. E. (2003). Using motor imagery in the rehabilitation of hemiparesis. Archives of Physical Medicine and Rehabilitation, 84,1090–1092.
Summers, S. (2001). Evidence-based practice part 2: reliability and validity of
selected acute pain instruments. Journal of PeriAnesthesia Nursing, 16, 35-40
Sütbeyaz, S., Yavuzer, G., Sezer, N., & Koseoglu, B. F. (2007). Mirror therapy
enhances lower-extremity motor recovery and motor functioning after stroke: a
randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 88, 555–559.
Taub, E., Uswatte, G., & Pidikiti, R. (1999). Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation-a clinical review. Journal of Rehabilitation Research and Development, 36, 237-251.
Taub, E., Uswatte, G., Mark, V. W., & Morris, D. M. (2006). The learned nonuse
phenomenon: implications for rehabilitation. European Journal of Physical and
Rehabilitation Medicine, 42, 241-255.
Tominaga, W., Matsubayashi, J., Deguchi, Y., Minami, C., Kinai, T., Nakamura, M.,
Nagamine, T., Matsuhashi, M., Mima, T., Fukuyama, H., & Mitani, A. (2009). A
mirror reflection of a hand modulates stimulus-induced 20-Hz activity.
NeuroImage 46, 500–504.
Thieme, H., Mehrholz, J., Pohl, M., Behrens, J., & Dohle, C. (2012). Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews, 3. Art. No.: CD008449. DOI: 10.1002/14651858.CD008449.pub2.
Twitchell, T. E. (1951). The restoration of motor function following hemiplegia in man. Brain, 74, 443–480.
Underwood, J., Clark, P. C., Blanton, S., Aycock, D. M., & Wolf, S. L. (2006). Pain, fatigue, and intensity of practice in people with stroke who are receiving
constraint-induced movement therapy. Physical Therapy, 86, 1241–1250.
Uswatte, G., Miltner, W. H., Foo, B., Varma, M., Moran, S., & Taub, E. (2000).
Objective measurement of functional upper-extremity movement using accelerometer recordings transformed with a threshold filter. Stroke , 31: 662–667.
Uswatte, G., Foo, W. L., Olmstead, H., Lopez, K., Holand, A, & Simms, L. B. (2005). Ambulatory monitoring of arm movement using accelerometry: an objective
measure of upper-extremity rehabilitation in persons with chronic stroke.
Archives of Physical Medicine & Rehabilitation, 86,1498-1501.
Uswatte, G., Giuliani, C., Winstein, C., Zeringue, A., Hobbs, L., & Wolf, S. L.(2006). Validity of accelerometry for monitoring real-world arm activity in patients with subacute stroke: evidence from the Extremity Constraint-Induced Therapy Evaluation trial. Archive of Physical Medicine and Rehabilitation, 87,1340-1345.
van der Lee, J. H., Wagenaar, R. C., Lankhorst, G. J., Vogelaar, T. W., Devillé, W. L., & Bouter, L. M. (1999). Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke, 30, 2369-2375.
van der Pas, S. C., Verbunt, J. A., Breukelaar, D, E., van Woerden, R., & Seelen, H. A. (2011). Assessment of arm activity using triaxial accelerometry in patients with a stroke. Archives of Physical Medicine and Rehabilitation, 92,1437-1442.
Wade, D. T., Langton-Hewer, R., Wood, V. A., Skilbeck, C. E., & Ismail, H. M. (1983).The hemiplegic arm after stroke: measurement and recovery. Journal of
Neurology, Neurosurgery, and Psychiatry, 46, 521-524.
Wade, D. T., & Hewer, R. L. (1987). Functional abilities after stroke: measurement, natural history and prognosis. Journal of Neurology, Neurosurgery, and Psychiatry, 50, 177-182. doi:10.1136/jnnp.50.2.177
World Health Organization. (2003). The World health report : 2003 : shaping the
future. Retrieved from http://www.who.int/entity/whr/2003/en/whr03_en.pdfhttp://www.who.int/whr/2003/en/
Yavuzer, G., Selles, R., Sezer, N., Sütbeyaz, S., Bussmann, J.B., Köseoğlu, F., Atay, M. B., & Stam, H. J. (2008). Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Archives of Physical Medicine and
Rehabilitation, 89, 393-8.
Yun, G. J., Chun, M. H., Park, J. Y., & Kim, B. R.(2011). The synergic effect of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients. Annals of Rehabiltation Medicine, 35, 316-321.
Zorowitz, R. D., Gross, E., & Polinski, D. M. (2002) The stroke survivor. Disability and Rehabilitation, 24, 666-679.
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