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Re-evaluation of mirror visual feedback therapy for a systematic evaluation/meta-analysis of physical function re-education after stroke [with consumer summary]
Tan X, Ding Z, Guo C, Sun P
American Journal of Physical Medicine & Rehabilitation 2022 Aug;102(3):229-234
systematic review

OBJECTIVE: To re-evaluate the methodological quality and quality of evidence for a systematic evaluation/meta-analysis of the effect of mirror visual feedback therapy on physical function re-education after stroke. METHODS: Systematic evaluations/meta-analyses of mirror visual feedback therapy on physical function re-education after stroke were searched in the China Knowledge Network database, Wanfang database, Vipers database, China Biomedical Literature database, PubMed, Web of Science, and Embase using a computer, and the search time frame was up to January 2022. Methodological quality and quality of evidence ratings of the included studies were determined using the AMSTAR2 scale and GRADE classification by 2 authors. RESULTS: Seventeen publications were included. The evaluation with the AMSTAR2 scale showed that 1 study had an intermediate quality rating, 5 had a low-quality rating, and the remaining 11 were all very low quality. The GRADE scale showed 93 outcome indicators, of which 6 were intermediate, 23 were low grades, and the rest were very low grades, with low overall quality. CONCLUSIONS: Mirror visual feedback therapy is efficacious for physical function re-education after stroke and promotes recovery from physical dysfunction, but the methodological quality and quality of evidence from the related systematic evaluations/meta-analyses are low.

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