The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial

Ji, Sang Gu; Kim, Myoung-Kwon

doi:10.1177/0269215514542356

Cited by 43 publications

(54 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…29,41,46,50,51,56,58,65,72 Non-paretic single limb support was reported in 4 studies and found to be statistically significant in half of them. 51,58 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Wonsetler

Bowden

2017

Topics in Stroke Rehabilitation

View full text Add to dashboard Cite

Background In walking rehabilitation trials, self-selected walking speed has emerged as the dominant outcome measure to assess walking ability. However, this measure cannot differentiate between recovery of impaired movement and compensation strategies. Spatiotemporal variables and asymmetry ratios are frequently used to quantify gait deviations and are hypothesized markers of recovery. Objectives The purpose of this review is to investigate spatiotemporal variables and asymmetry ratios as mechanistic recovery measures in physical therapy intervention studies post-stroke. Methods A systematic literature search was performed to identify physical therapy intervention studies with a statistically significant change in self-selected walking speed post intervention and concurrently collected spatiotemporal variables. Methodological quality was assessed using the Cochrane Collaboration’s tool. Walking speed, spatiotemporal, and intervention data were extracted. Results 46 studies met the inclusion criteria, 41 of which reported raw spatiotemporal measures and 19 reported asymmetry ratio calculations. Study interventions included: aerobic training (n=2), functional electrical stimulation (n=5), hippotherapy (n=2), motor dual task training (n=2), multidimensional rehabilitation (n=4), robotics (n=4), sensory stimulation training (n=8), strength/resistance training (n=4), task specific locomotor rehabilitation (n=9), and visually guided training (n=6). Conclusions Spatiotemporal variables help describe gait deviations, but scale to speed, so consequently, may not be an independent factor in describing functional recovery and gains. Therefore, these variables are limited in explaining mechanistic changes involved in improving gait speed. Use of asymmetry measures provides additional information regarding the coordinative requirements for gait and can potentially indicate recovery. Additional laboratory-based mechanistic measures may be required to truly understand how walking speed improves.

show abstract

“…29,41,46,50,51,56,58,65,72 Non-paretic single limb support was reported in 4 studies and found to be statistically significant in half of them. 51,58 …”

Section: Resultsmentioning

confidence: 99%

“…Six of the included studies investigated the effects of visually guided interventions such as action observation training, 50 motor imagery, 29 mirror therapy, 72 or virtual or augmented reality interventions. 52,69,76 The resulting effect sizes range from 0.20 to 1.16.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Wonsetler

Bowden

2017

Topics in Stroke Rehabilitation

View full text Add to dashboard Cite

show abstract

“…He reported that the cadence and speed were significantly increased in both the mirror therapy group and non-mirror therapy group. Ji and Kim (2015) determined that single support, step length, and stride length were significantly increased in the experimental group Ⅰ, Ⅱ when mirror therapy training and virtual therapy training were applied to the lower limbs of patients with subacute stroke five times a week for four weeks. They reported that mirror therapy improved the lower limb function of patients with stroke; there was significant increase in the standing and walking test or walking ability when comparing before and after intervention.…”

Section: ⅳ Discussionmentioning

confidence: 99%

Effect of Mirror Therapy Combined with Lower Extremity Muscle Strength Exercise on Gait and Balance of Patients with Chronic Stroke

Kim

Shin

Choi

2018

KSPM

View full text Add to dashboard Cite

| Abstract |1 )PURPOSE: The present study aims to determine the effect of lower extremity muscle strength exercise at the non-paralyzed side of patients of stroke using a mirror on gait and balance. METHODS:Subjects were assigned randomly to a group of lower extremity exercise without using a mirror (n=10), a group of lower extremity motion exercise using a mirror (n=10), and a group of lower extremity muscle strength exercise using a mirror (n=10). The exercise is added to a physiotherapy program conducted at the hospital and subjects conducted their designed lower extremity exercises 30 times a day (5 sets), five days per week for four weeks. RESULTS:The study result showed that BBS(Berg balance scale)(p<.05) and TUG(timed up and go test)(p<.05) had a significant difference. In the comparison on gait ability, stride length, step length, step width and single support was a significant difference within two groups using a mirror †Corresponding Author : Eun-Hong Choi silvered1@hanmail.net, http://orcid.org/0000-0002-4585-0733 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. before and after the intervention(p<.05). CONCLUSION:Conclusively, low extremity motion exercise using a mirror and low extremity muscle strength exercise using a mirror conducted along with general physiotherapy exercises had a positive effect on functions of lower extremity in patients with stroke and the recovery of paralyzed side thereby incurring a significant difference in balance and gait abilities.

show abstract

“…They reported that a combined method of mirror therapy training and general physical therapy may strengthen a stroke patient’s lower limb motor function and recovery of motions 7. ) In a study of 34 sub-acute stroke patients to whose lower limbs mirror therapy training and virtual therapy were applied, Ji and Kim presented that mirror therapy was an applicable intervention to improve the lower limb functions of stroke patients by verifying that the mirror therapy group saw their single support, step length, and stride significantly improve 17. ) …”

Section: Discussionmentioning

confidence: 99%

The effects of action observation training and mirror therapy on gait and balance in stroke patients

2017

View full text Add to dashboard Cite

[Purpose] The aim of this study was to evaluate the effects of action observation training and mirror therapy to improve on balance and gait function of stroke patients. [Subjects and Methods] The participants were randomly allocated to one of three groups: The action observation training with activity group practiced additional action observation training with activity for three 30-minute session for six weeks (n=12). The mirror therapy with activity group practiced additional mirror therapy with activity for three 30-minute sessions for six weeks (n=11). The only action observation training group practiced additional action observation training for three 30-minute sessions for weeks (n=12). All groups received conventional therapy for five 60-minute sessions over a six-week period. [Results] There were significant improvements in balance and gait function. The action observation training with activity group significantly improved subjects’ static balance. The action observation training with activity group and the mirror therapy with activity group significantly improved subjects’ gait ability. [Conclusion] The activation of mirror neurons combined with a conventional stroke physiotherapy program enhances lower-extremity motor recovery and motor functioning in stroke patients.

show abstract

The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial

Abstract: We conclude that mirror therapy may be beneficial in improving the effects of stroke on gait ability.

Cited by 43 publications

References 27 publications

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

A systematic review of mechanisms of gait speed change post-stroke. Part 1: spatiotemporal parameters and asymmetry ratios

Effect of Mirror Therapy Combined with Lower Extremity Muscle Strength Exercise on Gait and Balance of Patients with Chronic Stroke

The effects of action observation training and mirror therapy on gait and balance in stroke patients

Contact Info

Product

Resources

About