Article

OBJECTIVE: To compare the effects of mirror therapy (MT) versus control treatment
(CT) on movement performance, motor control, sensory recovery, and performance of
activities of daily living in people with chronic stroke.
DESIGN: Single-blinded,
randomized controlled trial. SETTING: Four hospitals. PARTICIPANTS: Outpatients
with chronic stroke (N=33) with mild to moderate motor impairment. INTERVENTIONS:
The MT group (n=16) received upper extremity training involving repetitive
bimanual, symmetrical movement practice, in which the individual moves the
affected limb while watching the reflective illusion of the unaffected limb's
movements from a mirror. The CT group received task-oriented upper extremity
training. The intensity for both groups was 1.5 hours/day, 5 days/week, for 4
weeks. MAIN OUTCOME MEASUREMENTS: The Fugl-Meyer Assessment; kinematic variables,
including reaction time, normalized movement time, normalized total displacement,
joint recruitment, and maximum shoulder-elbow cross-correlation; the Revised
Nottingham Sensory Assessment; the Motor Activity Log; and the ABILHAND
questionnaire. RESULTS: The MT group performed better in the overall (P=.01) and
distal part (P=.04) Fugl-Meyer Assessment scores and demonstrated shorter
reaction time (P=.04), shorter normalized total displacement (P=.04), and greater
maximum shoulder-elbow cross-correlation (P=.03). The Revised Nottingham Sensory
Assessment temperature scores improved significantly more in the MT group than in
the CT group. No significant differences on the Motor Activity Log and the
ABILHAND questionnaire were found immediately after MT or at follow-up.
CONCLUSIONS: The application of MT after stroke might result in beneficial
effects on movement performance, motor control, and temperature sense, but may
not translate into daily functions in the population with chronic stroke.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
- Thérapie du miroir

Langue : ANGLAIS