EFFICACY OF MIRROR THERAPY AND CONSTRAINT INDUCED MOVEMENT THERAPY ON UPPER EXTREMITY FUNCTION AND ACTIVITIES OF DAILY LIVING IN STROKE |
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| Institution: | 1. Stroke Unit – Neurology Clinic, Department of Neuroscience, Ospedale Civile di Baggiovara, AOU di Modena, Italy;2. Department of Neurology, Faculty of Medicine, Mansoura University, Mansoura 35511, Egypt;3. Neuroradiology, Department of Neuroscience, Ospedale Civile di Baggiovara, AOU di Modena, Italy;1. Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Rd, Nanjing, 210029, China;2. Division of Cardiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Rd, Nanjing, 210029, China;3. Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Rd, Nanjing, 210029, China;4. Department of Emergency, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Rd, Nanjing, 210029, China;1. School of Medicine, Universidad Espíritu Santo – Ecuador, Samborondón, Ecuador;2. Department of Epidemiology, Gilead Sciences, Inc., Foster City, CA, USA;3. Community Center, The Atahualpa Project, Atahualpa, Ecuador;4. Department of Psychiatry, Mount Sinai Morningside, New York, NY, USA;5. Renaissance School of Medicine, Stony Brook University, New York, NY, USA;1. John Ochsner Heart and Vascular Institute, Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, Louisiana, United States;2. Department of Kinesiology and Health Sciences, College of Humanities and Science, Virginia Commonwealth University and the Division of Cardiology, VCU Pauley Heart Center, Department of Internal Medicine, VCU, Richmond, Virginia, United States;3. Division of Cardiovascular Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States;1. Laboratory of Clinical Applied Anatomy, Department of Human Anatomy, School of Basic Medical Sciences, Fujian Medical University, No.1 Xuefu North Road, Fuzhou, Fujian 350122, China;2. Key Laboratory of Brain Aging and Neurodegenerative Diseases of Fujian Province, Fuzhou 350122, China;3. Public Technology Service Center, Fujian Medical University, Fuzhou 350122, China;1. Department of Neurology, Binzhou Central Hospital, Binzhou, Shandong 251700, China;2. Third Inpatient Ward of Department of Neurology, Gaotang County People''s Hospital, Liaocheng, Shandong 252800, China;3. ICU, Binzhou People''s Hospital, Binzhou, Shandong 256600, China;4. Department of Geriatrics, Dazhou Central Hospital, Dazhou, Sichuan 635000, China |
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| Abstract: | BackgroundStroke has been identified as an epidemic and an important cause of morbidity and mortality globally, and at least 85% of stroke survivors experience hemiplegia and upper-extremity function of at least 69% of patients are affected. Over 50% of stroke survivors have impairment of motor function of the upper extremity; therefore there is pertinent need to use functional rehabilitation approaches such as; mirror therapy and constraint induced movement therapy for stroke survivors to regain upper extremity motor function.AimsTo compare the efficacy of mirror therapy (MT) with constraint induced movement therapy (CIMT) on the upper extremity motor function and activities of daily living (ADL) in chronic stroke survivors.Methods30 stroke survivors were recruited for this study. They were randomized into three groups, the MT plus conventional therapy group, CIMT plus conventional therapy group and control group. Upper extremity motor function and ADL were assessed. Participants were assessed at baseline and after seven weeks of intervention.ResultsThe MT and CIMT groups’ intervention both had significant improvement on upper extremity motor function and ADL, however, there was no significant difference on upper motor function (p=0.503) and ADL (p=0.133) across the three groups.ConclusionThis study concluded that neither of MT nor CIMT had an additional significant improvement compared to conventional therapy alone on recovery of motor function in the upper extremity and performance of ADL. |
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