Article

OBJECTIVE: To investigate the effects of mirror therapy on walking ability,
balance and lower limb motor recovery in patients with stroke. METHOD: MEDLINE,
EMBASE, Web of Science, CENTRAL, PEDro Database, CNKI, VIP, Wan Fang,
ClinicalTrials.gov, Current controlled trials and Open Grey were searched for
randomized controlled trials that investigated the effects of mirror therapy on
lower limb function through January 2018. The primary outcomes included were
walking speed, mobility and balance function. Secondary outcomes included lower
limb motor recovery, spasticity and range of motion. Quality assessments were
performed with the PEDro scale. RESULTS: A total of 13 studies ( n = 572) met the
inclusion criteria. A meta-analysis demonstrated a significant effect of mirror
therapy on walking speed (mean difference (MD) 0.1 m/s, 95% confidence interval
(CI): 0.08 to 0.12, P < 0.00001), balance function (standard mean difference
(SMD) 0.66, 95% CI: 0.43 to 0.88, P < 0.00001), lower limb motor recovery (SMD
0.83, 95% CI: 0.62 to 1.05, P < 0.00001) and passive range of motion of ankle
dorsiflexion (MD 2.07 degrees , 95% CI: 082 to 3.32, P = 0.001), without
improving mobility (SMD 0.43, 95% CI: -0.12 to 0.98, P = 0.12) or spasticity of
ankle muscles (MD -0.14, 95% CI: -0.43 to 0.15, P = 0.35). CONCLUSION: The
systematic review demonstrates that the use of mirror therapy in addition to some
form of rehabilitation appears promising for some areas of lower limb function,
but there is not enough evidence yet to suggest when and how to approach this
therapy.

Langue : ANGLAIS