The value of adding mirror therapy for upper limb motor recovery of subacute stroke patients: a randomized controlled trial.

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State: Public
Version: Final published version
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Serval ID
serval:BIB_65222D9C64F4
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The value of adding mirror therapy for upper limb motor recovery of subacute stroke patients: a randomized controlled trial.
Journal
European Journal of Physical and Rehabilitation Medicine
Author(s)
Invernizzi M., Negrini S., Carda S., Lanzotti L., Cisari C., Baricich A.
ISSN
1973-9095 (Electronic)
ISSN-L
1973-9087
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Language
english
Notes
Publication types: JOURNAL ARTICLE Publication Status: aheadofprint
Abstract
Background: Upper limb paresis remains a relevant challenge in stroke rehabilitation. Aim: To evaluate if adding mirror therapy (MT) to conventional therapy (CT) can improve motor recovery of the upper limb in subacute stroke patients. Design: Prospective, single-center, single-blind, randomised, controlled trial. Setting: Subacute stroke patients referred to a Physical and Rehabilitation Medicine Unit between October 2009 and August 2011. Population: Twenty-six subacute stroke patients (time from stroke <4 weeks) with upper limb paresis (Motricity Index ≤77). Methods: Patients were randomly allocated to the MT (N.=13) or to the CT group (N.=13). Both followed a comprehensive rehabilitative treatment. In addition, MT Group had 30 minutes of MT while the CT group had 30 minutes of sham therapy. Action Research Arm Test (ARAT) was the primary outcome measures. Motricity Index (MI) and the Functional Independence Measure (FIM) were the secondary outcome measures. Results: After one month of treatment patients of both groups showed statistically significant improvements in all the variables measured (P<0.05). Moreover patients of the MT group had greater improvements in the ARAT, MI and FIM values compared to CT group (P<0.01, Glass's Δ Effect Size: 1.18). No relevant adverse event was recorded during the study. Conclusion. MT is a promising and easy method to improve motor recovery of the upper limb in subacute stroke patients. Clinical Rehabilitation Impact: While MT use has been advocated for acute patients with no or negligible motor function, it can be usefully extended to patients who show partial motor recovery. The easiness of implementation, the low cost and the acceptability makes this therapy an useful tool in stroke rehabilitation.
Keywords
Stroke, Mirror neurons, Rehabilitation, Imagery (psychotherapy)
Pubmed
Create date
25/03/2013 18:08
Last modification date
15/07/2020 6:26
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