Mirror therapy for unilateral neglect after stroke: a systematic review

Author(s):  
Yuqian Zhang ◽  
Ying Xing ◽  
Congqin Li ◽  
Yan Hua ◽  
Jian Hu ◽  
...  

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Rani Arora

Specific Aims: To carry out a systematic review and meta-analysis of randomized controlled trials (RCTs) in the treatment of unilateral neglect after stroke using mirror therapy (MT). Approach: Inclusion criteria: We used the following criteria: RCTs of MT in the treatment of hemi-neglect and stroke, use of standardized tools to document neglect, clearly defined intervention including duration of treatment and blinded outcome assessment. We conducted a literature search on stroke and hemi neglect limited to the following databases: Cochrane Library, PubMed/Medline, PeDRO, Cinahl and EIRA. There were 15034 hits between 1990 to 2013 with the key words cerebrovascular accident (MeSH) and rehabilitation; there were 1578 hits with hemispatial neglect and rehabilitation. There were 16 RCTs trials where MT was used to study motor recovery. Out of 16 trials, only in 3 RCTs MT was evaluated in hemineglect patients. Innovation: The 3 trials had used different screening tools and outcome measures. Star cancellation score was the common outcome measure used in 2 RCT’s and in the 3rd study they used self-defined neglect score. There were total 75 patients. Using change in the star cancellation score from the baseline, we found that MT had significant effect on improving visuospatial neglect at the end of intervention: Standard mean deviation (SMD) 2.61: 95% confidence interval (CI) 1.85 to 3.36; P<0.00001. A single trial had done follow up at 6 months and showed significant positive effect: SMD 3.67; 95% CI 2.70 to 4.65; P<0.00001. Third study used self-defined five point neglect score based on the Behavioral Inattention Test (BIT) and the Test of Attentional Performance (TAP) and showed significant improvement in the treatment group (SMD 1.22; 95% CI 0.24 to 2.19; P=0.01) Conclusion: MT had significant effect on visuospatial neglect at the end of intervention and at 6 months follow up. However there is no large scale RCT available in the use of MT in the treatment of unilateral neglect.



Neurology ◽  
2015 ◽  
Vol 84 (12) ◽  
pp. 1286-1286 ◽  
Author(s):  
M. J. Ng ◽  
P. Singh ◽  
J. D. Pandian ◽  
R. Arora ◽  
P. Kaur


2020 ◽  
Vol 6 (11) ◽  
pp. 86852-86859
Author(s):  
Aymee Lobato Brito ◽  
Evelyn Raiane Lima Pastana ◽  
Gabriel Henrique de Souza Figueiredo ◽  
Gislayne Cássia Marinho Carvalho ◽  
Leonardo Barros da Costa e Costa ◽  
...  


2016 ◽  
Vol 64 (2) ◽  
pp. 91-112 ◽  
Author(s):  
David Pérez-Cruzado ◽  
Jose Antonio Merchán-Baeza ◽  
Manuel González-Sánchez ◽  
Antonio I. Cuesta-Vargas


2020 ◽  
pp. 026921552095193
Author(s):  
Alberto Saavedra-García ◽  
Jose A Moral-Munoz ◽  
David Lucena-Anton

Objective: To evaluate the current evidence on the effectiveness of simultaneous combination of mirror therapy and electrical stimulation in the recovery of upper limb motor function after stroke, compared with conventional therapy, mirror therapy or electrical stimulation isolated. Data sources: Articles published in PubMed, Web of Science, Scopus, Physiotherapy Evidence Database (PEDro), Cochrane Central register of controlled trials and ScienceDirect up to July 2020. Review methods: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed. Methodological quality was assessed using the PEDro tool. The RevMan 5.4 statistical software was used to obtain the meta-analysis, through the standardized mean difference and 95% confidence intervals (CI), and to evaluate the risk of bias. The GRADE approach was employed to assess the certainty of evidence. Results: Eight articles were included in this systematic review, seven were included in the meta-analysis. A total of 314 participants were analyzed. The overall quality of the articles included in this review was good. There was no overall significant mean difference on upper limb motor function after stroke using the Upper-Extremity Fugl-Meyer Assessment by 1.56 (95% CI = –2.08, 5.20; P = 0.40; moderate-certainty evidence) and the Box and Block Test results by 1.39 (95% CI = –2.14, 4.92; P = 0.44; high-certainty evidence). There was overall significant difference in the Action Research Arm Test by 3.54 (95% CI = 0.18, 6.90; P = 0.04; high-certainty evidence). Conclusion: Direct scientific evidence about the effectiveness of the combined therapy of mirror therapy and electrical stimulation simultaneously for the improvement of the upper limb motor function after stroke is lacking. Further high-quality and well-designed research is needed.



2017 ◽  
Vol 30 (3) ◽  
pp. 441-449 ◽  
Author(s):  
Guillermo Méndez-Rebolledo ◽  
Valeska Gatica-Rojas ◽  
Rafael Torres-Cueco ◽  
María Albornoz-Verdugo ◽  
Eduardo Guzmán-Muñoz


2017 ◽  
Vol 42 (3) ◽  
pp. 288-298 ◽  
Author(s):  
Laura Herrador Colmenero ◽  
Jose Manuel Perez Marmol ◽  
Celia Martí-García ◽  
María de los Ángeles Querol Zaldivar ◽  
Rosa María Tapia Haro ◽  
...  

Background: Phantom limb pain is reported in 50%–85% of people with amputation. Clinical interventions in treating central pain, such as mirror therapy, motor imagery, or virtual visual feedback, could redound in benefits to amputee patients with phantom limb pain. Objectives: To provide an overview of the effectiveness of different techniques for treating phantom limb pain in amputee patients. Study design: Systematic review. Methods: A computerized literature search up to April 2017 was performed using the following databases: PubMed, Scopus, CINAHL, MEDLINE, ProQuest, PEDro, EBSCOhost, and Cochrane Plus. Methodological quality and internal validity score of each study were assessed using PEDro scale. For data synthesis, qualitative methods from the Cochrane Back Review Group were applied. Results: In all, 12 studies met our inclusion criteria, where 9 were rated as low methodological quality and 3 rated moderate quality. All studies showed a significant reduction in pain, but there was heterogeneity among subjects and methodologies and any high-quality clinical trial (PEDro score ≤8; internal validity score ≤5) was not found. Conclusion: Mirror therapy, motor imaginary, and virtual visual feedback reduce phantom limb pain; however, there is limited scientific evidence supporting their effectiveness. Future studies should include designs with more solid research methods, exploring short- and long-term benefits of these therapies. Clinical relevance This systematic review investigates the effectiveness of mirror therapy, motor imagery, and virtual visual feedback on phantom limb pain, summarizing the currently published trials and evaluating the research quality. Although these interventions have positive benefits in phantom limb pain, there is still a lack of evidence for supporting their effectiveness.



2015 ◽  
Vol 26 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Goris Kin Nga Hung ◽  
Cabbee Tsz Lui Li ◽  
Alexander Miles Yiu ◽  
Kenneth N.K. Fong


Neurology ◽  
2014 ◽  
Vol 83 (11) ◽  
pp. 1012-1017 ◽  
Author(s):  
J. D. Pandian ◽  
R. Arora ◽  
P. Kaur ◽  
D. Sharma ◽  
D. K. Vishwambaran ◽  
...  


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