Neural mechanisms of interleaved practice that support long-term retention of motor skill in stroke: translational research perspective

Kim, Taewon

doi:10.12965/jer.2142178.089

Cited by 1 publication

(1 citation statement)

References 11 publications

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“…Neuroplasticity is also said to be activated with this mechanism. Standard rehabilitation protocol often fails to include bimanual functional activity as an important relearning program throughout the recovery phase (Barton & Wolf, 1993;Dimyan & Cohen, 2011;Kim, 2021). The second proposed mechanism is based on clinical, neurophysiology, and imaging studies that show motor imagery involves neural networks the same as motor execution, which is overlapped mainly in the parietal lobe, premotor cortex, cerebellum, and basal ganglia (Rossiter et al, 2014;Sütbeyaz et al, 2007;Yavuzer et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

The addition of mirror therapy improved upper limb motor recovery and level of independence after stroke: a randomized controlled trial

Arfianti

Rochman

Hidayati

et al. 2022

Cad. Bras. Ter. Ocup.

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Introduction In stroke survivors, the prevalence of upper motor disability remains high. There has not been much report on the success of post-stroke mirror therapy, especially in developing countries. Objective The focus of this research is to see how mirror therapy, in addition to standard rehabilitation for hand paresis, affects upper limb motor recovery and level of independence in self-care after stroke at an Indonesian teaching hospital. Method This was a randomized controlled trial with no assessor blinding. The study included 18 subacute stroke patients who did not have cognitive or visual impairment. The mirror group received a 20-minute mirror therapy session in addition to conventional rehabilitation, while the control group received only the standard program for 5 weeks (2 times per week). The Brunnstrom score and self-care level of independence elements of the Functional Independence Measure (FIM) were used as outcome measures. Results Baseline comparisons of lesion type and Brunnstrom score showed significant between-group differences. The ANACOVA test showed the difference had no effect on the FIM change in scores (P > 0.05). One patient (mirror group) was dropped out from the study. After 5 weeks (n=17), the mirror group showed improvement in both the Brunnstrom and FIM scores (P < 0.05) compared to the control group. Conclusions Mirror treatment improves upper limb motor recovery and level of independence in self-care after stroke when combined with standard hand paresis rehabilitation 2 times a week for 5 weeks.

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