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

Li, Yang; Wei, Qian; Gou, Wei; He, Chengqi

doi:10.1177/0269215518766642

Cited by 24 publications

(32 citation statements)

References 38 publications

(74 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The PEDro scale consisted of 11 items. One item on the PEDro scale (eligibility criteria) is related to external validity and is generally not used to calculate the method score ( 41 , 42 ). Therefore, a score of 0–10 was allocated to each study (9–10: excellent; 6–8: good; 4–5: fair; and ≤ 3: poor) ( 43 ).…”

Section: Methodsmentioning

confidence: 99%

Effect of Theta Burst Stimulation-Patterned rTMS on Motor and Nonmotor Dysfunction of Parkinson's Disease: A Systematic Review and Metaanalysis

et al. 2022

View full text Add to dashboard Cite

Background: Theta burst stimulation (TBS), a type of patterned repetitive transcranial magnetic stimulation (rTMS), has several advantages, such as short time of single treatment and low stimulation intensity compared with traditional rTMS. Since the efficacy of TBS on the symptoms of Parkinson's disease (PD) was inconsistent among different studies, we systematically searched these studies and quantitatively analyzed the therapeutic effect of TBS for patients with PD.Methods: We followed the recommended PRISMA guidelines for systematic reviews. Studies from PubMed, EMBASE, CENTRAL, and ClinicalTrials.gov from January 1, 2005 of each database to September 30, 2021 were analyzed. We also manually retrieved studies of reference.Results: Eight eligible studies with 189 participants (received real TBS and/or sham TBS) were included. This metaanalysis found that TBS did not significantly improve Unified Parkinson's Disease Rating Scale part III (UPDRS-III) score in the “on” medicine state (SMD = −0.06; 95% CI, −0.37 to 0.25; p = 0.69; I2 = 0%), while, it brought significant improvement of UPDRS-III scores in the “off” medicine state (SMD = −0.37; 95% CI, −0.65 to −0.09; p < 0.01; I2 = 19%). Subgroup analysis found that merely continuous TBS (cTBS) over the supplementary motor area (SMA) brought significant improvement of UPDRS-III score (SMD = −0.63; 95% CI, −1.02 to −0.25; p < 0.01). TBS had insignificant effectiveness for upper limb movement disorder both in the “on” and “off” medicine status (SMD = −0.07; 95% CI, −0.36 to 0.22; p = 0.64; I2 = 0%; SMD = −0.21; 95% CI, −0.57 to 0.15; p = 0.26; I2 = 0%; respectively). TBS significantly improved slowing of gait in the “off” medicine status (SMD = −0.37; 95% CI, −0.71 to −0.03; p = 0.03; I2 = 0%). Subgroup analysis suggested that only intermittent TBS (iTBS) over the primary motor cortex (M1) + dorsolateral prefrontal cortex (DLPFC) had significant difference (SMD = −0.57; 95% CI, −1.13 to −0.01; p = 0.04). Additionally, iTBS over the M1+ DLPFC had a short-term (within 2 weeks) therapeutic effect on PD depression (MD = −2.93; 95% CI, −5.52 to −0.33; p = 0.03).Conclusion: Our study demonstrated that cTBS over the SMA could significantly improve the UPDRS-III score for PD patients in the “off,” not in the “on,” medicine state. TBS could not bring significant improvement of upper limb movement dysfunction. ITBS over the M1+DLPFC could significantly improve the slowing of gait in the “off” medicine status. Additionally, iTBS over the M1+DLPFC has a short-term (within 2 weeks) therapeutic effect on PD depression. Further RCTs of a large sample, and excellent design are needed to confirm our conclusions.

show abstract

Section: Methodsmentioning

confidence: 99%

Effect of Theta Burst Stimulation-Patterned rTMS on Motor and Nonmotor Dysfunction of Parkinson's Disease: A Systematic Review and Metaanalysis

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Subsequently, studies conducted in stroke patients with hemiplegia after ictus showed that mirror therapy could significantly rehabilitate patients with upper limb motor dysfunction ( Yavuzer et al, 2008 ; Nogueira et al, 2021 ; Zhuang et al, 2021 ). In addition, the role and impact of mirror therapy have also been explored in lower limb motor rehabilitation ( Sütbeyaz et al, 2007 ; Li et al, 2018 ; Louie et al, 2019 ). Compared with the control group, the lower limb motor function and the daily living activities in the mirror group were significantly improved ( Gandhi et al, 2020 ).…”

Section: Mirror Therapymentioning

confidence: 99%

Emerging Limb Rehabilitation Therapy After Post-stroke Motor Recovery

Xiong

Liao

Xiao

et al. 2022

Front. Aging Neurosci.

View full text Add to dashboard Cite

Stroke, including hemorrhagic and ischemic stroke, refers to the blood supply disorder in the local brain tissue for various reasons (aneurysm, occlusion, etc.). It leads to regional brain circulation imbalance, neurological complications, limb motor dysfunction, aphasia, and depression. As the second-leading cause of death worldwide, stroke poses a significant threat to human life characterized by high mortality, disability, and recurrence. Therefore, the clinician has to care about the symptoms of stroke patients in the acute stage and formulate an effective postoperative rehabilitation plan to facilitate the recovery in patients. We summarize a novel application and update of the rehabilitation therapy in limb motor rehabilitation of stroke patients to provide a potential future stroke rehabilitation strategy.

show abstract

“…Other studies used further approaches such as circuit based exercises, strength training or backward walking training or mirror therapy to improve balance after stroke [ 13 , 16 – 18 ]. It can therefore be argued that our balance exercises were somewhat static and not dynamic.…”

Section: Main Textmentioning

confidence: 99%

Immediate effects of rest periods on balance control in patients after stroke. A randomized controlled pilot trial

2018

View full text Add to dashboard Cite

ObjectivesThis randomized controlled trial evaluates the effects of two different rest periods between as set of balance exercises after stroke during inpatient rehabilitation.ResultsTwenty patients after stroke [11 males; mean (SD) age 65.4 (11.5) years; duration of illness 5.3 (3.4) weeks; 16 (80%) left-sided strokes] were randomly allocated into two groups of either a full rest (FR) of 4 min (n = 10) or a short rest (SR) of 1 min between exercise sets (n = 10). Patients improved from baseline until immediately after exercises in one-leg standing time on the affected leg [SR: mean difference 5.1 s (SD 10.3) and FR: 2.0 s (2.4)] and tandem standing time (TST). [SR: 14.9 s (SD 24.6) and FR: 5.7 s (12.0)], but OLST and TST did not differ significantly between groups (p = 0.35 and p = 0.52, respectively).Trial registration The study was registered retrospectively in the German Register of Clinical Trials with the ID: DRKS00013979Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3450-2) contains supplementary material, which is available to authorized users.

show abstract

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

Abstract: The systematic review demonstrates that the use of mirror therapy in addition to some form of rehabilitation appears promising for some areas of lower limb function, but there is not enough evidence yet to suggest when and how to approach this therapy.

Cited by 24 publications

References 38 publications

Effect of Theta Burst Stimulation-Patterned rTMS on Motor and Nonmotor Dysfunction of Parkinson's Disease: A Systematic Review and Metaanalysis

Effect of Theta Burst Stimulation-Patterned rTMS on Motor and Nonmotor Dysfunction of Parkinson's Disease: A Systematic Review and Metaanalysis

Emerging Limb Rehabilitation Therapy After Post-stroke Motor Recovery

Immediate effects of rest periods on balance control in patients after stroke. A randomized controlled pilot trial

Contact Info

Product

Resources

About