DOI QR코드

DOI QR Code

Effect of Mirror Therapy on the Balance, Gait and Motor Function in Patients with Subacute Stroke

  • Song, Min-Su (Department of Physical Therapy, Korea National University of Transportation) ;
  • Kang, Soon-Hee (Department of Physical Therapy, Korea National University of Transportation)
  • Received : 2021.03.01
  • Accepted : 2021.04.29
  • Published : 2021.04.30

Abstract

Purpose: This study examined whether mirror therapy could improve the balance, gait, and motor function of patients with subacute stroke. Methods: Thirty-three patients with subacute stroke were divided randomly into three groups: experimental group1, experimental group2, and the control group. The patients in experimental group1 performed a mirror therapy program on the unaffected side of the lower extremities, and the patients in experimental group2 performed mirror therapy on the affected side of the lower extremities. Both groups performed the exercise for 30 minutes per session, five times a week for four weeks. The control group did not receive mirror therapy. BBS, POMA, 10MWT, and the BRS were used to evaluate the balance, the quality of gait, gait speed, and the motor function before and after the intervention. Results: The gait speed increased significantly in the experimental groups1 and 2 after the intervention. The control group showed no significant difference in the gait speed after the intervention. The change in gait speed before and after the intervention showed a significant difference among the groups. Experimental group1 showed a significant increase in the gait speed compared to that of the control group. Conclusion: This study suggests that mirror therapy could be an effective intervention to improve the gait speed of patients with subacute stroke. On the other hand, there was no difference in the effectiveness of mirror therapy and therapeutic exercise on the balance, gait, and motor function.

Keywords

References

  1. Bae SS, Lee JH. The study of clinical pictures and received rehabilitation service patterns of stroke patients. J Kor Phys Ther. 2001;13(3):799-814.
  2. Kim KT, An JD, Kim BY et al. Current epidemiologic status of stroke. J Korean Acad Rehabil Med. 2003;27(2):178-85.
  3. Mercier L, Audet T, Hebert R et al. Impact of motor, cognitive, and perceptual disorders on ability to perform activities of daily living after stroke. Stroke. 2001;32(11):2602-8.
  4. De Oliveira CB, de Medeiros IRT, Ferreira NA et al. Balance control in hemiparetic stroke patients: Main tools for evaluation. J Rehabil Res Dev. 2008;45(8):1215-26. https://doi.org/10.1682/JRRD.2007.09.0150
  5. Kil SR, Son SM. Effects of the motivation for rehabilitation on the functional performance of stroke patients. J Kor Phys Ther. 2020;32(1):39-43. https://doi.org/10.18857/jkpt.2020.32.1.39
  6. Wagenaar RC, Beek W. Hemiplegic gait: a kinematic analysis using walking speed as a basis. J Biomech. 1992;25(9):1007-15. https://doi.org/10.1016/0021-9290(92)90036-Z
  7. Baek KH, Lim HW. Effect of spiral elastic band on gait function in patients with chronic stroke. J Kor Phys Ther. 2019;31(4):169-75. https://doi.org/10.18857/jkpt.2019.31.4.169
  8. Salem HMA, Huang X. The effects of mirror therapy on clinical improvement in hemiplegic lower extremity rehabilitation in subjects with chronic stroke. Int J Biolo Biomed Eng. 2015;9(2):163-6.
  9. Wang H, Zhao Z, Jiang P et al. Effect and mechanism of mirror therapy on rehabilitation of lower limb motor function in patients with stroke hemiplegia. Biomed Res. 2017;28(22):10165-70.
  10. Arya KN, Pandian S, Kumar V. Effect of activity-based mirror therapy on lower limb motor-recovery and gait in stroke: a randomised controlled trial. Neuropsychol Rehabil. 2019;29(8):1193-210. https://doi.org/10.1080/09602011.2017.1377087
  11. Deconinck FJ, Smorenburg AR, Benham A et al. Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehabil Neural Repair. 2015;29(4):349-61. https://doi.org/10.1177/1545968314546134
  12. Zhang JJ, Fong KN, Welage N et al. The activation of the mirror neuron system during action observation and action execution with mirror visual feedback in stroke: a systematic review. Neural Plast. 2018;2018: 2321045. https://doi.org/10.1155/2018/2321045
  13. Sutbeyaz S, Yavuzer G, Sezer N et al. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2007;88(5):555-9. https://doi.org/10.1016/j.apmr.2007.02.034
  14. Broderick P, Horgan F, Blake C et al. Mirror therapy for improving lower limb motor function and mobility after stroke: a systematic review and meta-analysis. Gait & posture. 2018;63:208-20.
  15. Zeng W, Guo Y, Wu G et al. Mirror therapy for motor function of the upper extremity in patients with stroke: a meta-analysis. J Rehabil Med. 2018;50(1):8-15. https://doi.org/10.2340/16501977-2287
  16. Scordalakes H. A meta-analysis evaluating the effectiveness of mirror therapy vs modified constraint-induced movement therapy on upper extremity hemiparesis and quality of life in patients with subacute stroke. California State University. Dissertation of Doctorate Degree. 2020.
  17. Moon S, Keum D. Effect of east-west integrative rehabilitation on activities of daily living and cognitive functional recovery in stroke patients: a retrospective study. J Korean Med Rehabil. 2020;30(2):105-23.
  18. Sim GS, Jeon HS. Comparison of the effects of wii balance games and mirror self-balancing exercises on knee joint proprioception and balance in chronic stroke patients. Phys Ther orea. 2017;24(1):30-40.
  19. Ji SG, Nam GW, Kim MK et al. The effect of visual feedback training using a mirror on the balance in hemiplegic patients. J Korean Soc Phys Med. 2011;6(2):153-63.
  20. Briggs DE, Felberg RA, Malkoff MD et al. Should mild or moderate stroke patients be admitted to an intensive care unit? Stroke. 2001;32(4): 871-6. https://doi.org/10.1161/01.str.32.4.871
  21. Kwon YW, Lee J, Jeon J et al. Comparison of functional recovery status according to rehabilitation therapy in stroke patients. J Korean Acad Rehabil Med. 2002;26(4):370-3.
  22. Kang TW, Kim BR. The effect of backward walking exercise using a mirror on balance and gait in patients with stroke. Korean Soc Phys Med. 2018;13(2):53-60.
  23. Yavuzer G, Selles R, Sezer N et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(3):393-8. https://doi.org/10.1016/j.apmr.2007.08.162
  24. Kim MK, Ji SG, Cha HG. The effect of mirror therapy on balance ability of subacute stroke patients. Hong Kong Physiother J. 2016;34:27-32. https://doi.org/10.1016/j.hkpj.2015.12.001
  25. Baek NY. Effects of mirror therapy on hemiplegia in the function of lower extremity. Daegu University. Dissertation of Master's Degree. 2009.