Effectiveness of Intensively Applied Mirror Therapy in Older Patients with Post-Stroke Hemiplegia: A Preliminary Trial.
| Autor: | Gámez Santiago AB; Physiotherapy Service, 'Sagrado Corazón' Hospital, Malaga, Spain., Martínez Cáceres CM; IMIB - Experimental Pathology Service, Arrixaca Hospital, Murcia, Spain., Hernández-Morante JJ; Faculty of Health and Life Sciences, Catholic University of Murcia, Murcia, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | European neurology [Eur Neurol] 2022; Vol. 85 (4), pp. 291-299. Date of Electronic Publication: 2022 Apr 04. |
| DOI: | 10.1159/000522413 |
| Abstrakt: | Introduction: The present work was carried out to determine the effectiveness of neuromuscular stimulation triggered by mirror therapy (MT) in older patients with post-stroke hemiplegia by two different intervention protocols, either intensively or spaced. Methods: A preliminary trial conducted on Spanish rehabilitation centres was conducted. Forty older patients (>70 years) with diagnosed post-stroke hemiplegia were randomly distributed to intensive intervention group (5 times/week for 6 weeks) or to spaced intervention group (3 times/week for 10 weeks), which underwent a similar number of MT sessions (n = 30). Muscle strength and activity were measured at baseline and at the end of treatment. Functional ability was also evaluated. Results: Although both interventions improved muscle activity parameters, intensive MT showed a significantly and statistically higher intervention effect on electromyographic activity (p < 0.001) and muscle strength (p < 0.001) than the spaced over time protocol. Attending to the Barthel Index scores, the effect on functionality was also greater in the intensive therapy group (p < 0.001), although the functional improvement measured by the Fugl-Meyer test was similar (p = 0.235). The effect of the interventions was independent of age and clinical antecedents. Conclusion: Intensive MT appears to be more effective than a more spaced over time therapy; therefore, at least in the older adults, this treatment protocol should be recommended in the post-stroke recovery of these patients. Further studies will confirm with certainty whether this treatment is the most suitable guideline for to treat these patients. (© 2022 S. Karger AG, Basel.) |
| Databáze: | MEDLINE |
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