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Utilization of Mirror Visual Feedback for Upper Limb Function in Poststroke Patients: A Systematic Review and
Hyunjoong Kim1, Eunsang Lee2, Jihye Jung3
1Neuromusculoskeletal Science Laboratory, 306 Jangsin-ro, Gwangju 62287, Republic of Korea.
Vision (Basel, Switzerland)
|November 21, 2023
Summary
Mirror visual feedback (MVF) effectively improves upper limb function in stroke survivors. This review highlights MVF
Area of Science:
- Neurorehabilitation
- Physical Therapy
- Stroke Recovery
Background:
- Stroke frequently impairs upper limb function, impacting patient independence.
- Mirror visual feedback (MVF) is a noninvasive therapy showing potential for motor recovery.
- Cognitive effects of MVF in stroke patients remain under-explored.
Purpose of the Study:
- To systematically review and meta-analyze the impact of MVF on upper limb function in stroke patients.
- To investigate the relationship between upper limb function and cognition post-stroke.
- To evaluate the efficacy of MVF in enhancing motor recovery.
Main Methods:
- Systematic literature search across Embase, MEDLINE, and PubMed (2013-2022).
- Qualitative analysis using the Cochrane Risk of Bias tool.
- Quantitative meta-analysis using a random-effects model and standard mean difference (SMD).
Main Results:
- Eight studies met inclusion criteria for analysis.
- MVF demonstrated a significant positive effect on improving upper extremity function (SMD = 0.94, 95% CI 0.69 to 1.20).
- Data extraction focused on upper extremity function assessment tools.
Conclusions:
- This systematic review and meta-analysis provides robust evidence for MVF's efficacy in improving upper limb function in stroke patients.
- MVF is a promising therapeutic option for stroke rehabilitation.
- Further research is warranted to explore MVF's cognitive effects and underlying mechanisms.

