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Related Experiment Video

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Robotic Mirror Therapy System for Functional Recovery of Hemiplegic Arms
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Task-based mirror therapy enhances ipsilesional motor functions in stroke: A pilot study.

Kamal Narayan Arya1, Shanta Pandian1, Dharmendra Kumar1

  • 1Pandit Deendayal Upadhyaya Institute for the Physically Handicapped, 4 VD Marg, New Delhi 110002, India.

Journal of Bodywork and Movement Therapies
|May 24, 2017
PubMed
Summary

Mirror therapy (MT) improved dexterity, coordination, and muscle strength in the less-affected upper limb of stroke survivors. This technique may also help address subtle motor deficits in the non-affected side after stroke.

Keywords:
DexterityIpsilesional-sideLess-affected sideMirror therapyStroke-rehabilitationTask-specific

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Area of Science:

  • Neurorehabilitation
  • Motor Recovery
  • Stroke Rehabilitation

Background:

  • Stroke often leads to hemiparesis, affecting motor function.
  • The less-affected upper limb can also exhibit subtle motor deficits post-stroke.
  • Mirror therapy (MT) is a technique used in rehabilitation.

Purpose of the Study:

  • To investigate the impact of MT on the dexterity, coordination, and muscle strength of the less-affected upper limb in individuals with chronic post-stroke hemiparesis.
  • To determine if MT can enhance motor function in the non-affected limb.

Main Methods:

  • A pre-test post-test, single-group experimental design was employed.
  • Twenty-one chronic stroke survivors with hemiparesis participated.
  • Subjects underwent 40 sessions of MT, involving tasks performed by the less-affected limb in front of a mirror, alongside conventional rehabilitation.

Main Results:

  • Significant improvements were observed in the less-affected upper limb's dexterity, as measured by the Minnesota Manual Dexterity Test (MMDT) (p < 0.001).
  • Coordination also showed significant enhancement, assessed using the Purdue Peg Board Test (PPBT) (p < 0.001).
  • Muscle strength, evaluated by Manual Muscle Testing (MMT), improved in shoulder flexors, wrist extensors and deviators, and finger flexors-extensors (p = 0.005-0.046).

Conclusions:

  • Mirror therapy (MT) is effective in improving dexterity, coordination, and muscle strength of the less-affected upper limb in post-stroke hemiparesis.
  • MT may offer benefits beyond the affected limb, potentially augmenting motor function in the non-affected limb.
  • The findings suggest MT can be a valuable adjunct therapy for comprehensive motor recovery after stroke.