目的：观察镜像疗法同步双侧运动训练治疗颅脑损伤后复杂性区域疼痛综合征Ⅰ型（complex regional pain syndrome type Ⅰ，CRPS Ⅰ）患者的疗效。
方法：1 例65岁颅脑损伤后出现偏瘫侧上肢CRPS Ⅰ的患者接受4周的镜像疗法同步双侧运动训练。治疗前、治疗2周后、治疗4周后和随访1个月后评定疼痛[ 视觉模拟评分法（visual analogue scale，VAS）]、患侧手肿胀程度评分、偏瘫侧上肢运动功能和关节活动度（Fugl-Meyer 评定量表）以及双侧手掌部和肩部温度差。
结果：治疗2周和4周后， 患侧上肢疼痛明显减轻， 肩部和手部VAS评分以及患侧手肿胀程度评分均明显下降， 偏瘫侧上肢运动功能和关节活动度明显改善。随访1个月后， 上述指标持续改善。治疗4周后双侧手掌部和肩部温度差较治疗前明显减小。
结论：镜像疗法同步双侧运动训练可以明显减轻CRPS Ⅰ的症状，改善患侧上肢的运动功能。

Objective: To observe the effect of mirror therapy synchronized with bilateral movement training for upper limb complex regional pain syndrome type Ⅰ (CRPSⅠ) after craniocerebral injury.
Methods: A 65 year old patient with CRPS Ⅰ of hemiplegic upper limb after craniocerebral injury received mirror therapy synchronized with bilateral movement training for four weeks. Before treatment, at two weeks and four weeks of treatment and one month of follow-up, the pain [visual analogue scale (VAS)], edema of the affected hand, motor function and joint range of motion (Fugl-Meyer Assessment Scale) of hemiplegic upper limbs, and the differences in temperature between bilateral palms and shoulders were evaluated.
Results: After 2 and 4 weeks of treatment, the pain of the affected upper limb was significantly reduced, the VAS score of the shoulder and hand and the edema of the affected hand were significantly decreased, and the motor function and joint range of motion of the hemiplegic upper limb were significantly improved. After one month of follow-up, these observed measurements improved continuously. After four weeks of treatment, the differences in temperature between bilateral palms and shoulders were significantly reduced compared with those before treatment.
Conclusion: Mirror therapy synchronized with bilateral movement training can significantly reduce the symptoms of CRPS Ⅰ and improve the motor function of the affected upper limb.