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| Spiegeltherapie in der neurologischen rehabilitation: effektivitat in bezug auf die arm- und handfunktionen bei chronischen schlaganfallpatienten (Mirror therapy in the rehabilitation after stroke: effectiveness on upper limb functioning in chronic stroke patients) [German] |
| Rothgangel A, Morton A, van der Hout JWE, Beurskens AJHM |
| Neurologie und Rehabilitation 2007;13(5):271-276 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: Mirror therapy is a new neurophysiological treatment, that has shown clinical relevance in several diseases like phantom limb pain, stroke and complex regional pain syndrome. This study wants to demonstrate the effectiveness of mirror therapy in rehabilitation of upper limb functioning in patients suffering from chronic stroke. METHODS: This pilot study was carried out in the form of a single blind randomised clinical trial. The experimental group received five weeks of mirror therapy according to a standardized treatment protocol. The control group followed the same protocol but without the mirror (bilateral arm training). The primary outcome variable consisted of upper limb functioning measured with the Action Research Arm test (ARAT) and the Patient Specific Function Scale (PSK). RESULTS: Totally 16 chronic stroke patients fulfilled the stated in- and exclusion criteria. The statistical evaluation of the results showed that upper limb functioning improved in both groups, experimental as well as control group; the experimental group more than the control group. CONCLUSIONS: Mirror therapy showed positive effects on rehabilitation of upper limb functioning in this population. Because of the small sample size no firm conclusions are possible, yet. It is advised to carry out further research with a larger and more homogeneous group of patients.
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