Mirror therapy for patients with severe arm paresis after stroke--a randomized controlled trial.

Abstract:

OBJECTIVE:To evaluate the effects of individual or group mirror therapy on sensorimotor function, activities of daily living, quality of life and visuospatial neglect in patients with a severe arm paresis after stroke. DESIGN:Randomized controlled trial. SETTING:Inpatient rehabilitation centre. SUBJECT:Sixty patients with a severe paresis of the arm within three months after stroke. INTERVENTIONS:Three groups: (1) individual mirror therapy, (2) group mirror therapy and (3) control intervention with restricted view on the affected arm. MAIN MEASURES:Motor function on impairment (Fugl-Meyer Test) and activity level (Action Research Arm Test), independence in activities of daily living (Barthel Index), quality of life (Stroke Impact Scale) and visuospatial neglect (Star Cancellation Test). RESULTS:After five weeks, no significant group differences for motor function were found (P > 0.05). Pre-post differences for the Action Research Arm Test and Fugl-Meyer Test: individual mirror therapy: 3.4 (7.1) and 3.2 (3.8), group mirror therapy: 1.1 (3.1) and 5.1 (10.0) and control therapy: 2.8 (6.7) and 5.2 (8.7). However, a significant effect on visuospatial neglect for patients in the individual mirror therapy compared to control group could be shown (P < 0.01). Furthermore, it was possible to integrate a mirror therapy group intervention for severely affected patients after stroke. CONCLUSION:This study showed no effect on sensorimotor function of the arm, activities of daily living and quality of life of mirror therapy compared to a control intervention after stroke. However, a positive effect on visuospatial neglect was indicated.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Thieme H,Bayn M,Wurg M,Zange C,Pohl M,Behrens J

doi

10.1177/0269215512455651

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

314-24

issue

4

eissn

0269-2155

issn

1477-0873

pii

0269215512455651

journal_volume

27

pub_type

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