Effect of activity-based mirror therapy on lower limb motor-recovery and gait in stroke: A randomised controlled trial

Arya, Kapil; Pandian, Shanta; Kumar, Vikas

doi:10.1080/09602011.2017.1377087

Cited by 34 publications

(43 citation statements)

References 57 publications

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“…Improvements which are seen in gait and function due to mirror therapy are supported by Arya et al, who demonstrated that activity-based mirror therapy accelerates lower limb motor recovery and reduces gait deviations amongst chronic poststroke subjects [7] .…”

Section: Discussionmentioning

confidence: 89%

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Combined Effectiveness of Mirror Therapy and Motor Imagery on Gait in Stroke Patients

Hatwar¹,

Ps²,

Ku³

2019

IJCRR

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Aim: The purpose of the study was to evaluate the combined effectiveness of lower limb mirror therapy and motor imagery on gait in stroke patients. Methods: A total number of 38 patients were recruited for the study. They were divided into two groups: Group A (n=19) and Group B (n=19). Group A was given motor imagery and conventional rehabilitation while Group B was given lower limb mirror therapy, motor imagery, and conventional rehabilitation. The interventions were given for 2weeks (5days/week). The values of Dynamic Gait Index (DGI) and Lower limb component of Fugl Meyer Assessment (FMA-LE) were taken both at baseline and after 2 weeks of intervention. Result: Both Group A and Group B showed significant improvements in DGI and FMA-LE after 2 weeks of intervention (p value<0.001). The comparison of DGI difference between the two groups did not show a statistically significant difference (p value=0.09). Also, comparison of FMA-LE difference between the two groups did not show a statistically significant difference (p value=0.412) Conclusion: Based on the above results it can be concluded that the combination of mirror therapy with motor imagery is equally effective as motor imagery alone in improving gait and function in stroke patients.

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Section: Discussionmentioning

confidence: 89%

“…Mirror therapy has proved to be effective for the recovery of the upper limb after stroke. Studies regarding the effectiveness of mirror therapy on lower limb recovery after stroke are few [7] .…”

Section: Introductionmentioning

confidence: 99%

Combined Effectiveness of Mirror Therapy and Motor Imagery on Gait in Stroke Patients

Hatwar¹,

Ps²,

Ku³

2019

IJCRR

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“…After reviewing the full papers to obtain additional details and excluding studies for various reasons (no relevant outcomes reported, an irrelevant study design, non-randomized studies and publications in languages other than English and Chinese), 13 studies including 572 patients fulfilled the inclusion criteria and were included in the final analysis. 23–35…”

Section: Resultsmentioning

confidence: 99%

“…23 As for assessment of balance, the Brunnel Balance Assessment, 35 the Berg Balance Scale 27,29,34 and quantitative evaluations of balance 28,33 were used in five studies. Seven studies assessed lower extremity motor recovery, and four of them used the lower limb subscale of the Fugl-Meyer Assessment, [32][33][34][35] while the other three used Brunnstrom stages. 23,26,30 Three studies measured the spasticity of the ankle muscle using the Modified Ashworth Scale, 23,26,30 and passive range of motion of ankle dorsiflexion was reported in two studies.…”

Section: Study Characteristicsmentioning

confidence: 99%

Effects of mirror therapy on walking ability, balance and lower limb motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials

Wei

Gou

et al. 2018

Clin Rehabil

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“…[15] The recovery grading then uses a 7 point hierarchy scale, in which stage 1 appears after stroke onset, that is flaccid stage, stage 2 up to 4 shows the development of spasticity synergy, stage 5 is where voluntary movement starts to dominate the synergy, and finally stage 6 shows how spasticity is no longer present, coordination and voluntary movements are near normal. [17,18] In the original published definition, the stage 7 of Brunnstrom's stage shows the presence of age appropriate normal variety of complex movement patterns, and there is no evidence of functional impairment when compared to the non-paretic limb. [19] This assessment could be done by physician's physical examination, evaluating both spasticity and synergy in both hemiplegic extremities, and its validity has also been published previously.…”

Section: Introductionmentioning

confidence: 99%

Gait turning patterns in chronic ischemic stroke males and its relationship to recovery

Kusumaningsih¹,

Triangto²,

Harris

2019

Medicine

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Introduction:Impaired turning patterns have been considered as 1 factor which potentially leads to disability in chronic stroke patients. Mobility comprises 80% of the chief disability, and would eventually lead to falls. Expanded Timed Up and Go (ETUG) is an effective mobility assessment method. It utilizes video recording to analyze the conventional Time Up and Go (TUG) Test components, which includes turning pattern analysis.Methods:Six healthy males without stroke history and 21 chronic ischemic stroke males (divided into subjects with or without the presence of flexor synergy pattern subgroups) capable of independent ambulation were recruited from Neurology and Medical Rehabilitation Department outpatient clinic. ETUG tests were recorded for each subject and were analyzed thoroughly using a computer program.Results:Timed Up and Go time was significantly different between the 3 groups (P = .001). As compared to control, and synergy absent group, median turning time was highest in chronic stroke patients with presence of flexor synergy by 2786 ms (P = .002), but was not significantly different in percentage ETUG (14%, P = .939). Further analysis revealed that Brunnstrom stage and number of steps taken for turning significantly affect TUG duration. Other factors such as hemiparetic side, or body height were not significantly associated.Discussion:The presence of flexor synergy would significantly affect turning time, this would then correlate to the disability of shifting body's center of gravity, as a part of the Stroke core set of International Classification of Functioning, Disability, and Health (ICF).Therefore, stroke patients need to have early ambulatory training regarding pivoting motion rather than solely focusing on straight walking. Instead of hemiparetic side, it is possible that overall turning time is affected by coordination and orientation capability, signifying the importance of cortical plasticity.

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Effect of activity-based mirror therapy on lower limb motor-recovery and gait in stroke: A randomised controlled trial

Abstract: Activity-based MT facilitates motor recovery of the lower limb as well as reduces gait deviations among chronic poststroke hemiparetic subjects.

Cited by 34 publications

References 57 publications

Combined Effectiveness of Mirror Therapy and Motor Imagery on Gait in Stroke Patients

Combined Effectiveness of Mirror Therapy and Motor Imagery on Gait in Stroke Patients

Effects of mirror therapy on walking ability, balance and lower limb motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials

Gait turning patterns in chronic ischemic stroke males and its relationship to recovery

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