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Effects of mirror therapy combined with neuromuscular electrical stimulation on motor recovery of lower limbs and walking ability of patients with stroke: a randomized controlled study [with consumer summary]
Xu Q, Guo F, Salem HMA, Chen H, Huang X
Clinical Rehabilitation 2017 Dec;31(12):1583-1591
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*

OBJECTIVE: To investigate the effectiveness of mirror therapy combined with neuromuscular electrical stimulation in promoting motor recovery of the lower limbs and walking ability in patients suffering from foot drop after stroke. DESIGN: Randomized controlled study. SETTING: Inpatient rehabilitation center of a teaching hospital. SUBJECTS: Sixty-nine patients with foot drop. INTERVENTION: Patients were randomly divided into three groups: control, mirror therapy, and mirror therapy plus neuromuscular electrical stimulation. All groups received interventions for 0.5 hours/day and five days/week for four weeks. MAIN MEASURES: 10-meter walk test, Brunnstrom stage of motor recovery of the lower limbs, Modified Ashworth Scale score of plantar flexor spasticity, and passive ankle joint dorsiflexion range of motion were assessed before and after the four-week period. RESULTS: After four weeks of intervention, Brunnstrom stage (p = 0.04), 10-meter walk test (p < 0.05), and passive range of motion (p < 0.05) showed obvious improvements between patients in the mirror therapy and control groups. Patients in the mirror therapy plus neuromuscular electrical stimulation group showed better results than those in the mirror therapy group in the 10-meter walk test (p < 0.05). There was no significant difference in spasticity between patients in the two intervention groups. However, compared with patients in the control group, patients in the mirror therapy plus neuromuscular electrical stimulation group showed a significant decrease in spasticity (p < 0.001). CONCLUSION: Therapy combining mirror therapy and neuromuscular electrical stimulation may help improve walking ability and reduce spasticity in stroke patients with foot drop.

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