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Mirror therapy improves hand function in subacute stroke: a randomized controlled trial.

Gunes Yavuzer1, Ruud Selles, Nebahat Sezer

  • 1Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey. gyavuzer@medicine.ankara.edu.tr

Archives of Physical Medicine and Rehabilitation
|February 26, 2008
PubMed
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Mirror therapy significantly improved hand functioning and upper-extremity motor recovery in subacute stroke patients. This therapy, when added to conventional rehabilitation, showed lasting benefits at six months but did not impact spasticity.

Area of Science:

  • Neurorehabilitation
  • Stroke Recovery
  • Motor Function Restoration

Background:

  • Subacute stroke impacts upper-extremity motor function and hand use.
  • Conventional rehabilitation programs aim to improve motor recovery and functional independence.
  • Spasticity is a common complication affecting post-stroke recovery.

Purpose of the Study:

  • To evaluate the efficacy of mirror therapy in enhancing upper-extremity motor recovery.
  • To assess the impact of mirror therapy on spasticity in stroke survivors.
  • To determine the effect of mirror therapy on hand-related functioning and self-care abilities.

Main Methods:

  • A randomized, controlled, assessor-blinded trial involving 40 subacute stroke inpatients.
  • Intervention group received 30 minutes of daily mirror therapy alongside conventional rehabilitation for 4 weeks.

Related Experiment Videos

  • Control group received sham therapy with conventional rehabilitation; outcomes measured using Brunnstrom stages, Modified Ashworth Scale, and FIM self-care items.

    • Main Results:

    • Mirror therapy group showed significant improvements in Brunnstrom stages for hand and upper extremity motor recovery (P<.01).
    • Enhanced hand functioning, measured by FIM self-care scores, was observed in the mirror therapy group (P<.01).
    • Improvements in motor recovery and hand function persisted at the 6-month follow-up (P<.05), with no significant effect on spasticity (MAS).

    Conclusions:

    • Mirror therapy, as an adjunct to conventional rehabilitation, effectively improves hand functioning and upper-extremity motor recovery in subacute stroke patients.
    • The benefits of mirror therapy on motor recovery and hand function are sustained up to 6 months post-intervention.
    • Mirror therapy does not appear to influence spasticity levels in this patient population.