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Effectiveness of mirror therapy in adjunct to conventional physiotherapy on pain, instability, joint mobility and proprioception in patients with post anterior cruciate ligament reconstruction surgery: a randomized controlled trial
Toshniwal P, Wani S, Mungikar S, Garg K, Katage G
NeuroQuantology 2022;20(9):5954-5960
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

INTRODUCTION: Anterior cruciate ligament (ACL) is the most commonly injured ligament at knee. Anterior cruciate ligament reconstruction rehabilitation always commences during the acute in-patient period. Mirror therapy is relatively a new approach during maximum protection phase of ACL reconstruction rehabilitation for pain reduction, improving joint mobility and proprioception. Previous studies have shown its positive effects on pain and joint mobility in patients with adhesive capsulitis and orthopaedic hand. In view of assessing the short-term effects of mirror therapy in adjunct to conventional physiotherapy protocol on pain, instability, joint mobility and proprioception in patients with post ACL surgery, the present study was carried out. AIMS: To find out the effectiveness of mirror therapy in adjunct to conventional physiotherapy on pain, instability, joint mobility and proprioception in patients with post ACL reconstruction surgery in early stage of rehabilitation. METHODS: This randomized, controlled, single blind study included 30 patients with post ACL reconstruction surgery. Participants were equally divided into two groups of interventions. First group received conventional physiotherapy along with Mirror therapy exercises once in a day for total 6 sessions. Other group received only conventional therapy. Effectiveness was assessed using the change in outcome measures pain (VAS), knee range of motion, joint proprioception and joint instability (Lysholm knee score) RESULTS: Statistical comparison of within group and in between group analysis revealed significant differences (p < 0.001) in all the outcomes except Joint proprioception confirmed using paired and unpaired t test. CONCLUSIONS: Mirror therapy as adjunct to conventional therapy was effective in reducing pain, improving joint mobility and improving the instability in patients with post anterior cruciate ligament reconstruction surgery compared to conventional Therapy alone.

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