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The effects of mirror therapy on arm and hand function in subacute stroke in patients

RADAJEWSKA A; OPARA JA; KUCIO C; BLASZCZYSZYN M; MEHLICH K; SZCZYGIEL J
INT J REHABIL RES , 2013, vol. 36, n° 3, p. 268-274
Doc n°: 164529
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0b013e3283606218
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

The aim of this study was to evaluate the effect of mirror therapy on arm and
hand function in subacute stroke in patients. The study included 60 hemiparetic
right-handed patients after ischemic stroke 8-10 weeks after onset. They
underwent stationary comprehensive rehabilitation in the rehabilitation centre.
They were divided into two randomly assigned groups: mirror (n=30) and control
(n=30). For both groups, two subgroups were created: one that included patients
with right arm paresis (n=15) and the other that included patients with left arm
paresis (n=15). The mirror group received an additional intervention: training
with a mirror for 5 days/week, 2 sessions/day, for 21 days. Each single session
lasted for 15 min. The control group (n=30) underwent a conventional
rehabilitation program without mirror therapy. To evaluate self-care in
performing activities of daily living, the Functional Index 'Repty' was used. To
evaluate hand and arm function, the Frenchay Arm Test and the Motor Status Score
were used. Measurements were performed twice: before and after 21 days of applied
rehabilitation. No significant improvement in hand and arm function in both
subgroups in Frenchay Arm Test and Motor Status Score scales was observed.
However, there was a significant improvement in self-care of activities of daily
living in the right arm paresis subgroup in the mirror group measured using the
Functional Index 'Repty'. Mirror therapy improves self-care of activities of
daily living for patients with right arm paresis after stroke.

Langue : ANGLAIS

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