Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study

Vural, Seçil Pervane; Yüzer, Güldal Funda Nakipoğlu; Özcan, Didem Sezgin; Özbudak, Sibel Demir; Özgirgin, Neşe

doi:10.1016/j.apmr.2015.12.008

Cited by 60 publications

(50 citation statements)

References 36 publications

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“…There was improved response to temperature and tactile sensation. 28 reported decrease in pain experienced post stroke. Another study intervening through task-based MT 46 reported that some of their patients experienced "certain perceptions" in the affected upper limb like tingling, movement flicker, mild pain, pinprick, and associated movements after 6-8 weeks of MT, although this study did not actively intervene for sensory issues.…”

Section: Sensorymentioning

confidence: 98%

“…Out of the 28 studies included (Table 1) in this review, 78.6% of them studied the effects of MT on motor functions of upper extremities, in addition to sensory function in 6 studies [28][29][30][31][32][33] and ADL/QOL in 9 studies. We noted a reduction in impairment as recorded by FMA in almost all except for 5 studies.…”

Section: Application In Stroke Rehabilitation Motor -Upper Limbmentioning

confidence: 99%

“…Improvement in upper limb motor function was reported in terms of either improved dexterity, gross and fine motor movements, grip force, decreased movement time, or proximal motor control in 10 studies. 28,29,32,[34][35][36][37][38][39][40] Two other studies reported no significant difference with MT, in outcomes measuring motor, sensory, and ADL components. 41,42 Only 4 studied the effects of MT on spasticity, out of which 3 reported no improvement as recorded on the Modified Ashworth scale 28,37,43 and one showed improvement on the Ashworth scale, 44 with 6 weeks of MT along with conventional rehabilitation.…”

Section: Application In Stroke Rehabilitation Motor -Upper Limbmentioning

confidence: 99%

“…Sensory impairments were measured in 6 studies, and 4 report improved response to either noxious, tactile, or temperature stimuli. [28][29][30][31] Twelve of the studies [28][29][30][31][32]36,[38][39][40][45][46][47] intervened in the chronic phase of upper limb deficits after stroke (ie after 6 months) while the rest intervened within the acute and sub-acute phases. Duration of intervention ranged between 3 and 8 weeks with MT sessions lasting between 20 and 45 min; 4 studies provided no additional conventional rehabilitation.…”

Section: Application In Stroke Rehabilitation Motor -Upper Limbmentioning

confidence: 99%

“…Eight of the 22 studies 28,34,36,41,47,[51][52][53] reported on the effects of MT on ADLs and one on the quality of life through the Euro-QOL-5 Domain (EQ5D) scale. 32 ADLs showed no improvement with MT in 3 studies, and neither did quality of life.…”

Section: Activities Of Daily Living and Quality Of Lifementioning

confidence: 99%

See 4 more Smart Citations

<p>Mirror Therapy in Stroke Rehabilitation: Current Perspectives</p>

Gandhi¹,

Sterba²,

Khatter³

et al. 2020

TCRM

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In contrast to varied therapy approaches, mirror therapy (MT) can be used even in completely plegic stroke survivors, as it uses visual stimuli for producing a desired response in the affected limb. MT has been studied to have effects not just on motor impairments but also on sensations, visuospatial neglect, and pain after stroke. This paper attempts to systematically review and present the current perspectives on mirror therapy and its application in stroke rehabilitation, and dosage, feasibility and acceptability in stroke rehabilitation. An electronic database search across Google, PubMed, Web of Science, etc., generated 3871 results. After screening them based on the inclusion and exclusion criteria, we included 28 studies in this review. The data collected were divided on the basis of application in stroke rehabilitation, modes of intervention delivery, and types of control and outcome assessment. We found that most studies intervened for upper limb motor impairments post stroke. Studies were equally distributed between intervention in chronic and acute phases post stroke with therapy durations lasting between 1 and 8 weeks. MT showed definitive motor and sensory improvements although the extent of improvements in sensory impairments and hemineglect is limited. MT proves to be an effective and feasible approach to rehabilitate post-stroke survivors in the acute, sub-acute, and chronic phases of stroke, although its long-term effects and impact on activities of daily living need to be analysed extensively.

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Section: Sensorymentioning

confidence: 98%