Comparison of Mirror Therapy and Motor Relearning Program in Improving the Upper Limb Motor Function of Patients With Stroke

Abstract

Objective: To compare the effectiveness of mirror therapy and motor relearning program for improving the upper limb motor function in stroke patients.
 Study Design: A randomized control trial with registration number IRCT20200316046791N1 (IRCT).
 Place and Duration of Study: Al-Noor Hospital and Al Jannat Medicare, Rahim Yar Khan Pakistan, from Jan to Jul 2020.
 Methodology: Sample size consisted of 30 patients recruited by convenient sampling. Patients were randomized into two groups. Both groups received 5 sessions a week for 6 weeks. Group A received Motor Relearning Program while the treatment of group B was Mirror Therapy. Motor part of Fugl Meyer Assessment was used as an outcome measure. Non parametric Friedman test was used for within group analysis, while for between group analyses Karuskal-Wallis test was used.
 Results: The total participants who suffer from left hemiplegia were 22 whereas the patients having right hemiplegia were 8. The mean age of participants in both groups was 53.80 ± 7.6 group A median (interquartile range) at pre-assessment was 5.00 (3) at mid-assessment median=15.00 (4) while at post assessment median was 25.00 (6). Group B median at baseline was 6.00 (4), at mid-assessment median=14.00 (9), post assessment median was 17.00 (13). Mid and post assessment comparison showed both treatments improved the motor function. Statistically the results were non-significant (p>0.005). Both treatments improved the motor function in stroke patients.
 Conclusion: There is no significant difference between the effectiveness of Mirror Therapy and Motor relearning program in improving the upper limb motor function of stroke patients.

Impact of Hand Grip Strength on Functional Independence and Arm Motor Performance in Stroke Survivors

“…Stroke, recognized for its sudden onset of symptoms that indicate a focal or global disruption of cerebrum functions lasting over 24 hours, is a condition frequently of vascular origin that may lead to mortality. The primary clinical manifestations associated with stroke encompass weakness on one side of the body and speech difficulties, with a variety of focal deficits possibly arising, including altered consciousness and impairments in sensory, motor, cognitive, perceptual, and language functions (1,2). Globally, stroke affects 15 million individuals annually, with 5 million enduring permanent disabilities such as hemiparesis and spasticity.…”

Effects of Mirror Therapy for Improving the Motor Function of Upper and Lower Extremities in Patients with Stroke – A Quasi Experimental Study

“…Vascular origin is the major cause of stroke which leads to death. Speech issues and weakness on one side of the body are the most typical stroke signs and symptoms 1 . Stroke is regarded as the second largest cause of mortality and disability worldwide.…”