Investigation of the effects of mirror therapy on the spasticity, motor function and functionality of impaired upper limbs in chronic stroke patients
| Autor: | Valton da Silva Costa, Tatiana Catarina Albuquerque Clementino, Luciana Protásio de Melo, Júlio César Cunha da Silveira |
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| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Chronic stage business.industry Rehabilitation Physical Therapy Sports Therapy and Rehabilitation medicine.disease Motor function 03 medical and health sciences 0302 clinical medicine Hemiparesis Physical medicine and rehabilitation Mirror therapy medicine Spasticity medicine.symptom 0305 other medical science business Stroke Chronic stroke 030217 neurology & neurosurgery Motor skill |
| Zdroj: | International Journal of Therapy and Rehabilitation. 26:1-9 |
| ISSN: | 1759-779X |
| DOI: | 10.12968/ijtr.2017.0024 |
| Popis: | Background/Aims Strokes lead to different levels of disability. During the chronic stage, hemiparesis, spasticity and motor deficits may cause loss of functional independence. Mirror therapy aims to reduce deficits and increase functional recovery of the impaired upper limb. This study aimed to evaluate the effects of mirror therapy on upper limb spasticity and motor function, as well as its impact on functional independence in chronic hemiparetic patients. Methods In this quasi-experimental study, eight chronic hemiparetic patients (age 55.5 ± 10.8 years) were assessed to determine their degree of spasticity (Modified Ashworth Scale), level of upper limb motor function (Fugl-Meyer Assessment) and functionality (Functional Independence Measure). All participants received 12 sessions of mirror therapy delivered three times per week, over a period of 4 weeks. Participants were re-evaluated post-intervention and these results were compared to their pre-intervention scores to determine the impact of mirror therapy. Results A decrease in spasticity was observed, with significant improvements in shoulder extensors (P=0.033) and a significant increase in motor function (P=0.002). The therapeutic protocol adopted did not have a significant effect on functional independence (P=0.105). Conclusions Mirror therapy led to improvements in upper limb spasticity and motor function in chronic hemiparetic stroke patients. No effects on functional independence were observed. Further research with a larger number of patients is needed to provide more robust evidence of the benefits of mirror therapy in chronic hemiparetic stroke patients. |
| Databáze: | OpenAIRE |
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