scholarly journals Efeitos da Terapia Espelho na funcionalidade do membro superior pós-AVC: revisão integrativa

2021 ◽  
Vol 29 ◽  
pp. 1-18
Author(s):  
Elisson De Sousa Mesquita Silva ◽  
Ana Carolina Silva Barros ◽  
Antonia Mairla Nascimento de Brito ◽  
Igor Oliveira Lima Rodrigues ◽  
Hyorranne Raysa Lima Maximiano ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Web Of Science ◽  
Mirror Therapy

Introdução. O Acidente Vascular Cerebral (AVC) é um acometimento neurológico que pode ser classificado em dois tipos: isquêmico e hemorrágico, capazes de causarem uma série de alterações motoras, cognitivas e sensoriais. Nesse contexto, a Terapia Espelho é um recurso de baixo custo, implementado no tratamento para membros paralisados. Objetivo. Reunir informações através de uma busca na literatura a fim de verificar os efeitos da Terapia espelho na funcionalidade do membro superior afetado de pacientes pós-acidente vascular cerebral.  Método. Foi realizada uma revisão integrativa da literatura por meio da busca de estudos nas bases de dados PubMed, BVS; CINAHL; Embase; Web of Science; Scopus. A seleção dos artigos se deu em quatro etapas: levantamento bibliográfico utilizando as palavras-chaves “Stroke” AND “paresis” OR “upper extremity” AND “mirror therapy”, leitura do título, leitura do resumo e leitura na íntegra dos artigos. Resultados. Foram identificados 310 estudos, dos quais 13 foram avaliados pela escala PEDro, tornando-se elegíveis para a revisão, de acordo com os critérios estabelecidos. Conclusão. A Terapia Espelho associada ou não a outras intervenções foi capaz de melhorar a funcionalidade do membro superior afetado de indivíduos, nos aspectos motores, sensitivos, atividade de vida diária, e proporcionou qualidade de vida dos pacientes pós-AVC.

Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

2020 ◽  
Author(s):  
Joo Yeol Jung ◽  
Pong Sub Youn ◽  
Dong Hoon Kim
Keyword(s):  
Electrical Stimulation ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Electrical Stimulation ◽  
Chronic Stroke ◽  
Mirror Therapy ◽  
Extremity Function ◽  
Upper Extremity Function

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

scholarly journals Effectiveness of self-administered mirror therapy on upper extremity impairments and function of acute stroke patients: study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Venkadesan Rajendran ◽  
Deepa Jeevanantham ◽  
Céline Larivière ◽  
Ravinder-Jeet Singh ◽  
Lisa Zeman ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Upper Extremity ◽  
Outcome Measure ◽  
Outcome Evaluation ◽  
Secondary Outcome ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Experimental Group

Abstract Background Many therapeutic interventions are performed by physiotherapists to improve upper extremity function and/or activities of daily living (ADL) in stroke patients. Mirror therapy (MT) is a simple technique that can be self-administered by the patients with intact cognition following patient education by a skilled physiotherapist. However, the effectiveness of self-administered MT in post-stroke patients in upper extremity function remains unclear. Therefore, the objective of this study is to examine the effectiveness of MT in improving upper extremity function and recovery in acute stroke patients. Methods This study is a single-center, prospective, randomized, open-label, controlled trial with blinded outcome evaluation (PROBE design), in which a total of 36 eligible acute stroke patients will be randomly assigned to control (n=18) and experimental group (n=18). Participants in the control group will receive regular rehabilitation interventions whereas participants in the experimental group will receive MT education in addition to their regular interventions for 4 weeks. Study outcome The primary outcome measure will be upper extremity function that will be measured using the Fugl-Meyer Assessment scale and the Wolf Motor Function Test. The secondary outcome measure will be behaviors related to ADL as estimated using the Modified Barthel Index. Outcome measures will be assessed at baseline and at 4 weeks post-rehabilitation intervention/MT. Results A two-way repeated analysis of variance (ANOVA) with time and group effects will be used to analyze between-group differences. The level of significance will be set at P < 0.05. Conclusion The results of the study will provide critical information to include self-administered MT as an adjuvant to regular interventions and may facilitate recovery of the upper extremity function of stroke patients. Trial registration ClinicalTrials.gov NCT04542772. Registered on 9 September 2020. Protocol version: Final 1.0.

scholarly journals Effects of home-based mirror therapy and cognitive therapeutic exercise on the improvement of the upper extremity functions in patients with severe hemiparesis after a stroke: a protocol for a pilot randomised clinical trial

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035768
Author(s):  
Josefa Gonzalez-Santos ◽  
Raul Soto-Camara ◽  
Paula Rodriguez-Fernández ◽  
Maria Jimenez-Barrios ◽  
Jeronimo Gonzalez-Bernal ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Upper Extremity ◽  
Randomised Clinical Trial ◽  
Therapeutic Exercise ◽  
Mirror Therapy ◽  
Link Type ◽  
Home Based ◽  
Study Results ◽  
Task Oriented

IntroductionNeuroplasticity is defined as the capacity of the brain to reorganise new neuronal pathways. Mirror therapy (MT) and cognitive therapeutic exercise (CTE) are two neurorehabilitation techniques based on neuroplasticity and designed to improve the motor functions of the affected upper extremity in patients with severe hemiparesis after a stroke. Home-based interventions are an appropriate alternative to promote independence and autonomy. The objective of this study is to evaluate which of these techniques, MT and CTE, combined with task-oriented training, is more effective in functional recovery and movement patterns of the upper extremities in patients with severe hemiparesis after a stroke.Methods and analysisThis is a home-based, single-blind, controlled, randomised clinical trial with three parallel arms, including 154 patients who had a stroke aged above 18 years. The primary outcome will be the functionality of the affected upper extremity measured using the Fugl-Meyer Assessment. Secondary variables will include cognitive performance, emotional state, quality of life and activities of daily living. During 6 weeks, one of the intervention groups will receive a treatment based on MT and the other one on CTE, both combined with task-oriented training. No additional interventions will be provided to the control group. To assess the progress of patients who had a stroke in the subacute phase, all variables will be evaluated at different visits: initial (just before starting treatment and 4 weeks post-stroke), post-intervention (6 weeks after initial) and follow-up (6 months).Ethics and disseminationThis protocol has been approved by the Institutional Review Board (CEIm-2.134/2.019) and registered at ClinicalTrials.gov (NCT04163666). The results will be disseminated through open-access peer-reviewed journals, conference presentation, broadcast media and a presentation to stakeholders. These study results will provide relevant and novel information on effective neurorehabilitation strategies and improve the quality of intervention programmes aimed at patients after a stroke.Trial registration numberClinicalTrials.gov (NCT04163666).

Systematic review of mirror therapy compared with conventional rehabilitation in upper extremity function in stroke survivors

2016 ◽  
Vol 64 (2) ◽  
pp. 91-112 ◽  
Author(s):  
David Pérez-Cruzado ◽  
Jose Antonio Merchán-Baeza ◽  
Manuel González-Sánchez ◽  
Antonio I. Cuesta-Vargas
Keyword(s):  
Systematic Review ◽  
Upper Extremity ◽  
Stroke Survivors ◽  
Mirror Therapy ◽  
Extremity Function ◽  
Upper Extremity Function

Mental Practice Combined With Physical Practice to Enhance Upper Extremity Functional Ability Poststroke: A Systematic Review

2020 ◽  
Vol 3 (2) ◽  
pp. 51-61
Author(s):  
Anas R. Alashram ◽  
Giuseppe Annino ◽  
Mohammed Al-qtaishat ◽  
Elvira Padua
Keyword(s):  
Upper Extremity ◽  
Functional Ability ◽  
Randomized Clinical Trials ◽  
Web Of Science ◽  
Mental Practice ◽  
Inclusion Criteria ◽  
Physical Practice ◽  
Beneficial Effects ◽  
Stroke Population ◽  
Treatment Dosage

Background: Upper extremity deficits are one of the most common impairments in individuals with stroke. Mental practice is exercised cognitively in the absence of the physical trials. The effects of the combination of mental and physical practice remain unclear. Objectives: This study aimed to examine the effects of combined physical practice and mental practice on the upper extremity functional ability poststroke, to identify which stroke population is most likely to benefit from the intervention, and to determine the effective treatment dosage. Methods: We searched in the PubMed, SCOPUS, National Rehabilitation Information REHABDATA, PEDro, and Web of Science until February 2020. Randomized clinical trials examined the effects of combined physical practice and mental practice on the upper extremity functional ability in people with a stroke. The risk of bias was evaluated and the effect sizes were calculated. Results: Nine studies met our inclusion criteria. In total, 230 stroke survivors were included in this analysis (mean age: 60.84 years). This review found that combining physical practice and mental practice has beneficial effects in improving the upper extremity functional ability poststroke. Conclusion: Combining physical practice and mental practice improves the upper extremity functional ability poststroke, this improvement can extend for 3 months after the treatment intervention. We propose that using 30 to 60 min of physical practice followed by 30 min of mental practice, 2 to 3 times weekly for 6 to 10 weeks, may give meaningful effects in individuals with stroke.

Mirror Therapy and Task-Oriented Training for People With a Paretic Upper Extremity

2018 ◽  
Vol 72 (2) ◽  
pp. 7202205080p1 ◽  
Author(s):  
Salvador Bondoc ◽  
Julie Booth ◽  
Grace Budde ◽  
Katelyn Caruso ◽  
Michelle DeSousa ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Mirror Therapy ◽  
Task Oriented ◽  
And Task
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