EFFECTIVENESS OF MIRROR THERAPY ON HANDFUNCTIONS IN SUBACUTE STROKE PATIENTS

Authors

  • Venkatanaga Prahalada Karnati Department Of Rehabilitation and Physical Therapy, College Of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom Of Saudi Arabia.
  • Ramadevi Maddirala Lecturer, Kugler Memorial Physiotherapy Degree College, Guntur, AndraPradesh, India.
  • Ammar Mohammed Ali Mohammed Anatomist, Department of Rehabilitation and Physical Therapy, College Of Applied Medical Sciences, Shaqra University, Shaqra, Kingdom Of Saudi Arabia.

DOI:

https://doi.org/10.15621/ijphy/2015/v2i4/67745

Keywords:

MIRROR THERAPY, HAND FUNCTIONS, STROKE PATIENTS

Abstract

Background: Mirror therapy is a relatively new therapeutic intervention that focuses on moving the unimpaired limb. In stroke patients, it involves performing movements of the unimpaired limb while watching its mirror reflection superimposed over the (unseen) impaired limb, thus creating a visual illusion of enhanced movement capability of the impaired limb. The aim of this study was to evaluate the effects of mirror therapy on upper extremity motor recovery, spasticity and hand related functions of patients with sub-acute stroke.
Methods: The clinical trial was conducted at the department of Physiotherapy (SIMS College of Physiotherapy, Guntur), for the duration of 6 weeks. Thirty patients divided into two groups: Group A: Experimental treated with mirror therapy along with conventional therapy and Group B: Control group treated with conventional physiotherapy only. Data analyzed using SPSS, Mean, SD and T test for independent samples used.
Results: Comparison of pre-treatment and post treatment scores of experimental group of Brunnstrom stages showed extremely significant; while the control groupconsidered not significant. For Modified Ashworth Scale the pretreatment and post, treatment scores of experimental and control groupswere extremely significant. In addition, Functional Independence Measure showed extremely significant for experimental group and not significant for the control group.
Conclusions: Mirror therapy shared and a predictable rehabilitation program enhanced upper-extremity motor recovery and functioning in our sub-acute stroke inpatients. It is beneficial in improving the effects and outcome on upper extremity motor recovery and function.

References

1. Platz T, Eickhof C and Van Kaick S. Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single blind, multicentre randomized controlled trial. Clinical Rehabilitation. 2005; 19(7):714-24. 2. Ring H and Rosenthal N. Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post-stroke rehabilitation. Journal of Rehabil Med. 2005; 37(1):32-6. 3. Masiero S, Celia A, Rosati G, Armani M. Robotic-assisted rehabilitation of the upper limb after acute stroke. Arch Phys Med Rehabil.2007; 88(2):142-9. 4. Summers J, Kagerer F A, Garry M I, Hiraga C Y, Loftus A, Cau-raugh J H. Bilateral and unilateral movement training on upper limb function in chronic stroke patients: a TMS study. Journal of Neurological Science. 2007; 252(1):76-82. 5. Ramachandran V S, Roger-Ramachandran D. Synaesthesia in phantom limbs induced with mirrors. Proc R Soc Lond B Biol Sci. 1996; 263(1369):377-86. 6. Melzack R. Phantom limbs. Scientific American. 1992; 266: 120-126. 7. Ramachandran V S. Behavioral and MEG correlates of neural plasticity in the adult human brain. Proc Natl Acad Sci USA. 1993;90(22): 10413–10420. 8. Ramachandran V S, Hirstein W, 1998.The perception of phantom limbs: The D.O. Hebb Lecture. Brain.1993; 121 ( Pt 9):1603-30 Int J Physiother 2015; 2(4) Page | 651 9. Stevens J A, Stoykov M E. Using motor imagery in the rehabilitation of hemiparesis. Arch Phys Med Rehabil. 2003; 84(7):1090-2. 10. Garry M I, Loftus A, Summers J. Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Exp Brain Res,2005; 163(1):118-22. 11. Thirumala P, Hier D B, Patel P. Motor recovery after stroke: lessons from functional brain imaging. Neurol Res.2002; 24(5):453-8. 12. Altschuler E L, Wisdom S B, Stone L. Rehabilitation of hemiparesis after stroke with a mirror. Lancet. 1999; 353(9169):2035-6. 13. Mc Cabe C S, Haigh R C, Ring E F, Halligan P W, Wall P D, Blake D. R. A controled pilot study of the utility of mirror visual feedback in the treatment of complex regional pain syndrome (Type 1). Theumatology (Oxford). 2003; 42(1):97- 101. 14. Moseley G L. Graded motor imagery is effective for long standing complex regional pain syndrome: a randomised controlled trail. Pain. 2004; 108(1-2):192-8. 15. Sathian K, Greenspan A L, Wolf S L. Doing it with mirrors: a case study of a novel approach to neurorehabilitaion. Neurorehabil Neural Repair. 2000; 14(1):73-6. 16. Rosen B and Lundborg G. Training with a mirror in rehabilitation of the hand. Scand J Plast Reconstr Surg Hand Surg. 2005; 14(1):73-6. 17. John W. Krakaver, M D. Arm function after stroke; from physiology to recovery. Seminars in neurology.2005; 25(4):384-95. 18. Sutbeyaz S, Yavuzer G, Sezer N, Koseoglu B F. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007; 88(5):555-9. 19. Sharma N, Pomeroy V M, Baron J C. Motor imagery. A backdoor to the motor system after stroke? Stroke.2006; 37(7):1941-52 20. Giraux P, Sirigu A. Illusory movements of the paralyzed limb restore motor cortex activity. Neuroimage.2003; 20(Suppl 1): S107-11. 21. Daniela Balsev, Lars O.D. Christensen: Ji – Hang lee et al. Enhanced accuracy in novel mirror drawing after repetitive transcranial magnetic stimulation – induced proprioceptive deafferentation. The journal of neurological science,2004; 24(43):9698-702. 22. Pomeroy V M, Clark C A, Simon J, et al. The potential for utilizing the “mirror neurone system” to enhance recovery of the severely affected upper limb early after stroke: a review and hypothesis. Neurorehabil Neural Repair,2005; 19(1):4-13. 23. Fukumura K, Sugawara k, tanabe S, Ushiba J, Tomita Y. Influence of mirror therapy on human motor cortex. Int Jour Neurosci. 2007;117(7):1039-1048. 24. Carson R G. Neural pathways mediating bilateral interactions between the upper limbs. Brain Res Rev,2005; 49(3):641-662.

Published

07-08-2015
Statistics
Abstract Display: 2127
PDF Downloads: 774

How to Cite

Karnati, V. P. ., Maddirala, R. ., & Mohammed, A. M. A. . (2015). EFFECTIVENESS OF MIRROR THERAPY ON HANDFUNCTIONS IN SUBACUTE STROKE PATIENTS. International Journal of Physiotherapy, 2(4), 646–651. https://doi.org/10.15621/ijphy/2015/v2i4/67745

Issue

Vol 2, Issue 4, 2015

Section

Original Articles

Copyright © Author(s) retain the copyright of this article.

Crossref
Scopus
Google Scholar
Europe PMC