Effect of Home-Based Task-Based Mirror Therapy on Upper Extremity Function in Stroke Patients: A Four-Week Intervention Study

Jaruwan Prasomsri, Pakamas Jearudomsup, Watcharaporn Pratheep Na Talang, Nutchanart Madadam, Achiraya Plodauksorn, Khammissara Ratchatapan, Warinporn Sukcharoen, Sirinya Warinkaew, Chatit Wichitphong, Sobariyah Hama, Sanusee Bensa-ed

Abstract

Objective: This study aimed to investigate the effect of task-based mirror therapy on upper extremity function, and daily living activities in individuals with stroke, after four weeks of training.
Material and Methods: Participants were randomized into two groups, the task-based mirror therapy group and the task training as the control group: as 10 and 7 participants, respectively. The Action Research Arm Test (ARAT), the Fugl-Meyer Assessment (FMA), the Sirindhorn National Medical Rehabilitation Center Functional Assessment (SNMRC) and the Short-Form 36 (SF-36) were assessed before and after training, over a four week period.
Results: The results showed that the home-based programs of both the task-based mirror therapy and the control group improved on all variables, but without statistical significance between groups. However, within group analysis, the task-based mirror therapy group exhibited significant differences between pre- and post-assessments for FMA; whereas, the control group did not.
Conclusion: The home-based program of task-based mirror therapy, as a task-specific training approach, has demonstrated the potential to enhance the recovery of upper limb motor function after a four-week training period.

 Keywords

home-based program; stroke; task-based mirror therapy; upper extremity function

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References

Suwanwela NC. Stroke epidemiology in Thailand. J Stroke 2014;16:1-7.

Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J, et al. Interventions for improving upper limb function after stroke. Cochrane Database Syst Rev 2014;2014:Cd010820.

Borschmann KN, Hayward KS. Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase: a two-year, observational study. Physiotherapy 2020;107:216-23.

Prange GB, Jannink MJ, Groothuis-Oudshoorn CG, Hermens HJ, Ijzerman MJ. Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. J Rehabil Res Dev 2006;43:171-84.

Tung YJ, Lin WC, Lee LF, Lin HM, Ho CH, Chou W. Comparison of cost-effectiveness between inpatient and home-based post-acute care models for stroke rehabilitation in Taiwan. Int J Environ Res Public Health. 2021;18:4129. doi: 10.3390/ijerph18084129.

Cassidy JM, Cramer SC. Spontaneous and therapeutic-induced mechanisms of functional recovery after stroke. Transl Stroke Res 2017;8:33-46.

Michielsen ME, Selles RW, van der Geest JN, Eckhardt M, Yavuzer G, Stam HJ, et al. Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase II randomized controlled trial. Neurorehabil Neural Repair 2011;25:223-33.

Rothgangel AS, Braun SM, Beurskens AJ, Seitz RJ, Wade DT. The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature. Int J Rehabil Res 2011;34:1-13.

Arya KN, Pandian S, Kumar D, Puri V. Task-based mirror therapy augmenting motor recovery in poststroke hemiparesis: a randomized controlled trial. J Stroke Cerebrovasc Dis 2015;24:1738-48.

Bai Z, Zhang J, Zhang Z, Shu T, Niu W. Comparison between movement-based and task-based mirror therapies on improving upper limb functions in patients with stroke: a pilot randomized controlled trial. Front Neurol 2019;10:288.

Kim K, Lee S, Kim D, Lee K, Kim Y. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients. J Phys Ther Sci 2016;28:483-7.

Geller D, Nilsen DM, Quinn L, Van Lew S, Bayona C, Gillen G. Home mirror therapy: a randomized controlled pilot study comparing unimanual and bimanual mirror therapy for improved arm and hand function post-stroke. Disabil Rehabil 2021:1-9.

Suwapan D, Taechaarpoenkul W, Archong Y, Paramakom A, Theppanom C, Kongkerd P, et al. Sirindhron National Medical Rehabilitation Center-Functional Assessment (SNMRCFunctional Assessment). Bull Dept Med Sci 2005;30:23-8.

Harris JE, Eng JJ. Strength training improves upper-limb function in individuals with stroke: a meta-analysis. Stroke 2010;41:136-40.

Hedna VS, Bodhit AN, Ansari S, Falchook AD, Stead L, Heilman KM, et al. Hemispheric differences in ischemic stroke: is lefthemisphere stroke more common? J Clin Neurol 2013;9:97-102.

Goto A, Okuda S, Ito S, Matsuoka Y, Ito E, Takahashi A, et al. Locomotion outcome in hemiplegic patients with middle cerebral artery infarction: the difference between right- and left-sided lesions. J Stroke Cerebrovasc Dis 2009;18:60-7.

Kongsawasdi S, Klaphajone J, Watcharasaksilp K, Wivatvongvana P. Prognostic factors of functional recovery from left hemispheric stroke. ScientificWorldJournal 2018;2018:4708230.

Aziz-Zadeh L, Koski L, Zaidel E, Mazziotta J, Iacoboni M. Lateralization of the human mirror neuron system. J Neurosci 2006;26:2964-70.

Lametti DR, Mattar AA. Mirror neurons and the lateralization of human language. J Neurosci 2006;26:6666-7.

Boyd LA, Vidoni ED, Wessel BD. Motor learning after stroke: is skill acquisition a prerequisite for contralesional neuroplastic change? Neurosci Lett 2010;482:21-5.

van der Lee JH, Beckerman H, Lankhorst GJ, Bouter LM. The responsiveness of the Action Research Arm test and the Fugl-Meyer Assessment scale in chronic stroke patients. J Rehabil Med 2001;33:110-3.

Sakamoto D, Hamaguchi T, Nakayama Y, Hada T, Abo M. Upper limb functional recovery in chronic stroke patients after COVID-19-interrupted rehabilitation: an observational study. medRxiv 2023. doi: 10.1101/2023.06.05.23290309.

Nakano H, Kodama T. Motor imagery and action observation as effective tools for physical therapy. Neurol PhysTher 2017;13. doi: 10.5772/67519.

Michielsen M, Selles R, Geest J, Eckhardt M, Yavuzer M, Stam H, et al. Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: a phase ii randomized controlled trial. Neurorehabil Neural Repair 2010;25:223-33.

Vandana, Monalisa P, Patitapaban M. Effectiveness of mirror therapy in rehabilitation of hand function in sub-acute stroke. Palliat Med Care 2017;4:1-8.

Chen M-D, Rimmer JH. Effects of exercise on quality of life in stroke survivors. Stroke 2011;42:832-7.

DOI: http://dx.doi.org/10.31584/jhsmr.20241042

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