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Robotic Mirror Therapy System for Functional Recovery of Hemiplegic Arms
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Mirror therapy for improving motor function after stroke.

Holm Thieme1, Nadine Morkisch, Jan Mehrholz

  • 1Erste Europäische Schule für Physiotherapie, Ergotherapie und Logopädie, Klinik Bavaria Kreischa, Kreischa, Sachsen, Germany.

The Cochrane Database of Systematic Reviews
|July 12, 2018
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Summary
This summary is machine-generated.

Mirror therapy significantly improves motor function and daily living activities in stroke survivors. This rehabilitation technique shows positive effects on motor impairment and pain, with no reported adverse effects.

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Area of Science:

  • Neurorehabilitation
  • Stroke recovery
  • Physical therapy

Background:

  • Mirror therapy is a technique used to enhance motor function recovery following a stroke.
  • It involves using a mirror to create a reflected image of the unimpaired limb's movements, simulating movement in the affected limb.

Purpose of the Study:

  • To evaluate the efficacy of mirror therapy compared to control interventions for improving motor function and impairment post-stroke.
  • To assess mirror therapy's impact on activities of daily living, pain perception, and visuospatial neglect.

Main Methods:

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) and randomized cross-over trials.
  • Searched multiple databases including Cochrane Stroke Group, CENTRAL, MEDLINE, Embase, CINAHL, AMED, PsycINFO, and PEDro.
  • Data extraction and quality assessment using the GRADE approach; results analyzed using standardized mean differences (SMDs) and mean differences (MDs).

Main Results:

  • Moderate-quality evidence indicates mirror therapy significantly improves motor function (SMD 0.47) and motor impairment (SMD 0.49) in stroke patients.
  • Moderate-quality evidence suggests improvements in activities of daily living (SMD 0.48).
  • Low-quality evidence shows a positive effect on pain (SMD -0.89), with no clear effect on visuospatial neglect.

Conclusions:

  • Mirror therapy is effective as an adjunct to conventional rehabilitation for improving upper extremity motor function, motor impairment, daily living activities, and pain after stroke.
  • Limitations include small sample sizes and inconsistent reporting of methodological details, impacting evidence certainty.
  • No adverse effects were reported during the included studies.