Mirror therapy for improving motor function after stroke

Thieme, Holm; Mehrholz, Jan; Pohl, Marcus; Behrens, Johann; Dohle, Christian

doi:10.1002/14651858.cd008449.pub2

Cited by 130 publications

(105 citation statements)

References 70 publications

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“…The literature includes some studies that support the use of MT in post-stroke rehabilitation, although many of them are inconclusive 11,12 . However, researches involving MT have evolved over the past years, acquiring better methodological quality.…”

Section: Discussionmentioning

confidence: 99%

“…For the application of the technique, two protocols are proposed, namely, the performing of isolated movements of the shoulders, elbows, wrists and fingers, or functional tasks of the upper limbs 9,10 . Although there are a few studies which assess the effects of MT, as indicated by the reviews of Toh and Fong 11 and Thieme et al 12 , more homogenous clinical studies with larger samples and with improved methodological quality have been carried out in recent years. These studies have more robust results, which can support the use of the technique in the functional recovery of patients with stroke sequelae.…”

Section: Introductionmentioning

confidence: 99%

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Efeitos da terapia espelho na recuperação motora e funcional do membro superior com paresia pós-AVC: uma revisão sistemática

Costa¹,

Silveira²,

Clementino³

et al. 2016

Fisioter. Pesqui.

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Conclui-se que a TE promoveu melhora significativa da função motora e da independência funcional do MS parético pós-AVC independente do tempo decorrido após a lesão encefálica. de cualquier tiempo tras la lesión cerebral, con secuela en MS; textos publicados integralmente entre 2010 y 2015 en revistas científicas de las citadas bases de datos, en lengua inglesa y en portugués brasileño, que empleasen la TE en la rehabilitación de MS de pacientes con ACV y presentasen como resultados función motora e independencia funcional. Los textos recolectados fueron evaluados por la escala PEDro en función de la calidad metodológica. Trece estudios clínicos evaluaron los efectos de la TE en MS parético. Las pruebas más empleadas fueron la escala Fugl-Meyer y la Medida de Independencia Funcional. En estos estudios se comprobó la eficacia de la TE en la rehabilitación motora de MS y en la independencia funcional de los pacientes, especialmente en los aspectos transferencia y autocuidado.Se evaluaron los textos como de moderada a alta calidad metodológica. Se concluye que la TE mejora significativamente la función motora y la independencia funcional de MS parético pos-ACV independiente del tiempo transcurrido de la lesión cerebral.Palabras clave | Accidente Cerebrovascular; Extremidad Superior; Destreza Motora; Modalidades de Fisioterapia; Retroalimentación Sensorial.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efeitos da terapia espelho na recuperação motora e funcional do membro superior com paresia pós-AVC: uma revisão sistemática

Costa¹,

Silveira²,

Clementino³

et al. 2016

Fisioter. Pesqui.

View full text Add to dashboard Cite

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“…This standard mirror therapy has been used in rehabilitation for multiple indications since the 1990s [2]. A good level of evidence supports some of these indications, particularly for cerebrovascular accidents in adults [3, 4] and cerebral palsy in children [5]. Cost is very low, because a simple little and not specifically dedicated mirror can be used [1].…”

Section: Introductionmentioning

confidence: 99%

Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review

Darbois

Guillaud

Pinsault

2018

Rehabilitation Research and Practice

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Background Mirror therapy has been used in rehabilitation for multiple indications since the 1990s. Current evidence supports some of these indications, particularly for cerebrovascular accidents in adults and cerebral palsy in children. Since 2000s, computerized or robotic mirror therapy has been developed and marketed. Objectives To map the extent, nature, and rationale of research activity in robotic or computerized mirror therapy and the type of evidence available for any indication. To investigate the relevance of conducting a systematic review and meta-analysis on these therapies. Method Systematic scoping review. Searches were conducted (up to May 2018) in the Cochrane Library, Google Scholar, IEEE Xplore, Medline, Physiotherapy Evidence Database, and PsycINFO databases. References from identified studies were examined. Results In sum, 75 articles met the inclusion criteria. Most studies were publicly funded (57% of studies; n = 43), without disclosure of conflict of interest (59% of studies; n = 44). The main outcomes assessed were pain, satisfaction on the device, and body function and activity, mainly for stroke and amputees patients and healthy participants. Most design studies were case reports (67% of studies; n = 50), with only 12 randomized controlled trials with 5 comparing standard mirror therapy versus virtual mirror therapy, 5 comparing second-generation mirror therapy versus conventional rehabilitation, and 2 comparing other interventions. Conclusion Much of the research on second-generation mirror therapy is of very low quality. Evidence-based rationale to conduct such studies is missing. It is not relevant to recommend investment by rehabilitation professionals and institutions in such devices.

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“…Mirror therapy is a unique treatment with a touch of modality that is purported to improve the motor function of the affected limb in adults with hemiplegia following a cerebrovascular accident (stroke) [3] and children with spastic hemiparetic cerebral palsy [4,5]. The technique uses a mirror that is placed between two limbs, thus enabling a client to view the mirror image of movements of the non-affected limb superimposed on the contralateral affected limb [3].…”

Section: Introductionmentioning

confidence: 99%

“…The technique uses a mirror that is placed between two limbs, thus enabling a client to view the mirror image of movements of the non-affected limb superimposed on the contralateral affected limb [3]. Although no model was utilized to interpret the phenomenon of improving motor control, research on children supports the hypothesis that the brain might benefit from the feedback received from the mirror therapy resulted by the increased excitability of the primary motor cortex of the brain's affected hemisphere [4,5].…”

Section: Introductionmentioning

confidence: 99%

Effect of Mirror Therapy on Upper Limb Function: A Single Subject Study

Derakhshanrad

Piven

Ghoochani

et al. 2017

IRJ

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Objectives: Mirror therapy is a unique treatment with a touch of modality that is purported to improve the motor function of the affected limb in individuals with hemiplegia. Previous studies have focused on the neuro-physiological factors underlying the mechanism of the clinical effect of this technique. The present study aims to understand the mechanism using the rehabilitation method and neuro-occupation model as well as analyze the effects of mirror therapy on the upper limb function of subjects with spastic hemiplegic cerebral palsy. Methods:Single subject design known as withdrawal design was used by a convenience sample of four subjects. The study involved three observational phases known as baseline, treatment, and withdrawal phases that took place during a 10 week period. The study contained a home-based mirror therapy protocol whereby the participants were instructed to do some exercises on a daily basis. The improvement of the hand function of the hemiplegic side was examined by Box and Block test along with two more activities including Threading Beads and Stacking Rings. Results:The ability to perform the Box and Block test, Threading Beads, and Stacking Rings tended to remain steady in the baseline phase, whereas there was a noticeable improvement during the treatment phase and a decline in the withdrawal phase.Discussion: From the perspective of visual feedback neuro-occupation model, it could be hypothesized that alterations to the sensory system caused by the mirror reflection of non affected hand may have led to the destabilization of the sensory cortices that changed the participants' intention, meaning, and perception, thereby improving the subject's motor control.

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Mirror therapy for improving motor function after stroke

Cited by 130 publications

References 70 publications

Efeitos da terapia espelho na recuperação motora e funcional do membro superior com paresia pós-AVC: uma revisão sistemática

Efeitos da terapia espelho na recuperação motora e funcional do membro superior com paresia pós-AVC: uma revisão sistemática

Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review

Effect of Mirror Therapy on Upper Limb Function: A Single Subject Study

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