The Efficacy Of Mirror Therapy In Stroke Rehabilitation: A Comprehensive Review

Main Article Content

Poonam Arora
Dr. Hanuman S. Rao

Abstract

Stroke-induced motor impairments significantly affect patients' quality of life, necessitating effective rehabilitation strategies. Mirror therapy (MT) has emerged as a promising intervention for motor function recovery in stroke patients. This review synthesizes current literature on the efficacy of MT in improving motor recovery, balance, and gait. The findings suggest that MT is beneficial for upper and lower extremity rehabilitation, enhancing motor function, balance, and daily activities. However, variations in study methodologies and intervention protocols indicate the need for standardized treatment guidelines.

Article Details

How to Cite
Poonam Arora, & Dr. Hanuman S. Rao. (2023). The Efficacy Of Mirror Therapy In Stroke Rehabilitation: A Comprehensive Review. Journal for ReAttach Therapy and Developmental Diversities, 6(7s), 1371–1376. https://doi.org/10.53555/jrtdd.v6i7s.3534
Section
Articles
Author Biographies

Poonam Arora

Physiotherapist(PhD student), Tantia University, Sri Ganganagar, Rajasthan

Dr. Hanuman S. Rao

Professor, Tantia University

 

References

Bruno Vieira Cortez and Constância Karyne da Silva Coêlho 2016, "Effects of Mirror Therapy on the Lower Limb Functionality Hemiparesis after Stroke" Vol.8 No.14, Health, 8, 1442-1452. doi: 10.4236/health.2016.814144.

Guenther, K. (2016). ‘It’s all done with mirrors’: VS Ramachandran and the material culture of phantom limb research. Medical history, 60(3), 342-358.

Stevens, J. A., & Stoykov, M. E. P. (2003). Using motor imagery in the rehabilitation of hemiparesis. Archives of physical medicine and rehabilitation, 84(7), 1090-1092.

Sütbeyaz, S., Yavuzer, G., Sezer, N., & Koseoglu, B. F. (2007). Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Archives of physical medicine and rehabilitation, 88(5), 555-559.

Ramachandran, V. S., & Altschuler, E. L. (2009). The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain, 132(7), 1693-1710.

Garry, M. I., Loftus, A., & Summers, J. J. (2005). Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability. Experimental brain research, 163, 118-122.

Jackson, P. L., Lafleur, M. F., Malouin, F., Richards, C., & Doyon, J. (2001). Potential role of mental practice using motor imagery in neurologic rehabilitation. Archives of physical medicine and rehabilitation, 82(8), 1133-1141.

Ho, M. L., Rojas, R., & Eisenberg, R. L. (2012). Cerebral edema. American Journal of Roentgenology, 199(3), W258-W273.

Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., ... & Vinters, H. V. (2013). An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 44(7), 2064-2089.

Takeuchi, N., & Izumi, S. I. (2013). Rehabilitation with poststroke motor recovery: a review with a focus on neural plasticity. Stroke research and treatment, 2013(1), 128641.

Bashir, S., Mizrahi, I., Weaver, K., Fregni, F., & Pascual-Leone, A. (2010). Assessment and modulation of neural plasticity in rehabilitation with transcranial magnetic stimulation. PM&R, 2(12), S253-S268.

Hui, C., Tadi, P., Suheb, M. Z. K., & Patti, L. (2024). Ischemic stroke. In StatPearls [Internet]. StatPearls Publishing.

Rajkumar, S. V., & Kyle, R. A. (2005). Conventional therapy and approach to management. Best Practice & Research Clinical Haematology, 18(4), 585-601.

Fauth, E. B., Schaefer, S. Y., Zarit, S. H., Ernsth-Bravell, M., & Johansson, B. (2017). Associations between fine motor performance in activities of daily living and cognitive ability in a nondemented sample of older adults: implications for geriatric physical rehabilitation. Journal of Aging and Health, 29(7), 1144-1159.

Yavuzer, G., Selles, R., Sezer, N., Sütbeyaz, S., Bussmann, J. B., Köseoğlu, F., ... & Stam, H. J. (2008). Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Archives of physical medicine and rehabilitation, 89(3), 393-398.

Ramachandran, V. S., & Rogers-Ramachandran, D. (1996). Synaesthesia in phantom limbs induced with mirrors. Proceedings of the Royal Society of London. Series B: Biological Sciences, 263(1369), 377-386.

Deconinck, F. J., Smorenburg, A. R., Benham, A., Ledebt, A., Feltham, M. G., & Savelsbergh, G. J. (2015). Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehabilitation and neural repair, 29(4), 349-361.

Gandhi, D. B., Sterba, A., Khatter, H., & Pandian, J. D. (2020). Mirror therapy in stroke rehabilitation: current perspectives. Therapeutics and clinical risk management, 75-85.

Saka, Ö., McGuire, A., & Wolfe, C. (2009). Cost of stroke in the United Kingdom. Age and ageing, 38(1), 27-32.

Walker, M. L., Ringleb, S. I., Maihafer, G. C., Walker, R., Crouch, J. R., Van Lunen, B., & Morrison, S. (2010). Virtual reality–enhanced partial body weight–supported treadmill training poststroke: feasibility and effectiveness in 6 subjects. Archives of physical medicine and rehabilitation, 91(1), 115-122.

Sivan, M., Brown, J., Brennan, S., & Bhakta, B. (2011). A one‐stop approach to the management of soft tissue and degenerative musculoskeletal conditions using clinic‐based ultrasonography. Musculoskeletal Care, 9(2), 63-68.

Kundi, M. K., & Spence, N. J. (2023). Efficacy of mirror therapy on lower limb motor recovery, balance and gait in subacute and chronic stroke: A systematic review. Physiotherapy Research International, 28(2), e1997.

Hung, G. K. N., Li, C. T. L., Yiu, A. M., & Fong, K. N. (2015). Systematic review: Effectiveness of mirror therapy for lower extremity post-stroke. Hong Kong journal of occupational therapy, 26, 51-59.

Dr Shweta Hambir and Dr Abhijit Satralkar 2023, "Effectiveness of Movement Based Mirror Therapy Versus Task Based Mirror Therapy on Upper Limb Function, Muscle Tone and Grip Strength inPatients with Stroke: A Comparative Study" International Journal of Health Sciences and Research, Vol.13; Issue: 6: ISSN: 2249-957. Website: www.ijhsr.org

Sirajahemad H Bhoraniya, Daxa G Mishra, Shweta M Parikh 2018, "The effect of mirror therapy on the gait of chronic stroke patients:A randomized controlled trial" National Journal of Physiology, Pharmacy and Pharmacology, Vol 8 | Issue 9.DOI: 10.5455/njppp.2018.8.0412506062018www.njppp.com

Kil-Byung Lim and Hong-Jae Lee, Jeehyun Yoo, Hyun-Ju Yun, Hye-Jung Hwang 2016, "Efficacy of Mirror Therapy Containing Functional Tasks in Poststroke Patients" Annals of Rehabilitation Medicine, Volume 40(4)eISSN: 2234-0653DOI: https://doi.org/10.5535/arm.2016.40.4.629

Sriram Nelakurthy and Sampath Baireddy, Raja Mahendra, Vahini Devi Ch, Sandya Nelakurthy, Hima Varshini, Ragamai 2021"A Study on the Efficacy of Mirror Therapy in the Prognosis of Upper Extremity Motor functions in Stroke Patients" OXIDANTS AND ANTIOXIDANTS IN MEDICAL SCIENCE, VOL 10, NO. 3, PAGE 06–12.

Foell, J., Bekrater‐Bodmann, R., Diers, M., & Flor, H. (2014). Mirror therapy for phantom limb pain: brain changes and the role of body representation. European journal of pain, 18(5), 729-739.

Maryam Khan Kundi, Nicola J. Spence 2023, "Efficacy of mirror therapy on lower limb motor recovery, balance and gait in subacute and chronic stroke: A systematic review" Physiotherapy Research International, https://doi.org/10.1002/pri.1997

Maryam Khan Kundi and Nicola J Spence 2023 "Efficacy of mirror therapy on lower limb motor recovery, balance and gait in subacute and chronic stroke: A systematic review” doi: 10.1002/pri.1997.

Uthra Mohan, S. Karthik babu, K. Vijay Kumar, B. V. Suresh, and Z. K. Misri and Prof M. Chakrapani 2013, "Effectiveness of mirror therapy on lower extremity motor recovery, balance and mobility in patients with acute stroke: A randomized sham-controlled pilot trial" Annals of Indian academy of neurology, ISSN: 0972-2327

Goris Kin Nga Hung and Cabbee Tsz Lui Li and Alexander Miles Yiu, Kenneth N.K. Fong 2015, "Systematic Review: Effectiveness of Mirror Therapy for Lower Extremity Post-Stroke" Hong Kong Journal of Occupational Therapy, Pages 51-59, Volume 26.

P. Broderick and F. Horgan et all 2018, "Mirror therapy for improving lower limb motor function and mobility after stroke: A systematic review and meta-analysis" Journal Gait & Posture, Pages 208-220, Volume 63.

Carr, J. H., & Shepherd, R. B. (2010). Neurological rehabilitation: optimizing motor performance. Elsevier Health Sciences.

Lekshmy D., Manju Dhandapani and Dheeraj Khurana 2021, "Effectiveness of Conventional Mirror Therapy on Functional Improvement of Upper Extremities in Patients with Stroke: A Prospective Interventional Study" Nursing & Midwifery Research Journal, Volume 18, Issue 1. https://doi.org/10.1177/0974150X2110579

Armat, M. R., Mortazavi, H., Akbari, H., Emami Zeydi, A., &Sarani, A 2022 "Using mirror therapy to optimize the efficacy of balance programs for older adults with poststroke balance impairment" Rehabilitation Nursing, 47(6), 202–209. doi: 10.1097/RNJ.0000000000000389

Fong, D. T. P., Hong, Y., Chan, L. K., Yung, P. S. H., & Chan, K. M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports medicine, 37, 73-94.

David C. Good, M.D. 2012, “Treatment Strategies for Enhancing Motor Recovery in Stroke Rehabilitation” j neuro rehab vol.8 No. 4. Downloaded from nnr.sagepub.com at SAGE Publications on December 7, 2012

Isayama, T., Mildenhall, L., Schmölzer, G. M., Kim, H. S., Rabi, Y., Ziegler, C., & Liley, H. G. (2020). The route, dose, and interval of epinephrine for neonatal resuscitation: a systematic review. Pediatrics, 146(4).

Paolo Gionchetti, Carlo Calabrese 2011, "Role of conventional therapies in the era of biological treatment in Crohn’s disease" World Journal of Gastroenterol,14; 17(14): 1797–1806. Published online 2011 Apr 14. doi: 10.3748/wjg.v17.i14.1797

Naoyuki Takeuch 2013, "Rehabilitation with Poststroke Motor Recovery: A Review with a Focus on Neural Plasticity" journal of Stroke Research and Treatment, ISSN: 2042-0056 (Online). Volume 2013 | Article ID 128641 | https://doi.org/10.1155/2013/128641

Kamal Narayan Arya 2016, "Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke" journal of Neurology India Volume : 64 | Issue : 1 | Page : 38-44 (ISSN 0028-3886).

Bohannon, R. W., Andrews, A. W., & Smith, M. B. (1988). Rehabilitation goals of patients with hemiplegia. International Journal of Rehabilitation Research, 11(2), 181-184.

Latham, N. K., Jette, D. U., Slavin, M., Richards, L. G., Procino, A., Smout, R. J., & Horn, S. D. (2005). Physical therapy during stroke rehabilitation for people with different walking abilities. Archives of physical medicine and rehabilitation, 86(12), 41-50

Hakim, A. M., Silver, F., & Hodgson, C. (1998). Organized stroke care: A new era in stroke prevention and treatment. CMAJ: Canadian Medical Association Journal, 159(6), S1.

Casaubon, L. K., Boulanger, J. M., Blacquiere, D., Boucher, S., Brown, K., Goddard, T., ... & Lindsay, P. (2015). Canadian stroke best practice recommendations: hyperacute stroke care guidelines, update 2015. International journal of stroke, 10(6), 924-940.

Feigin, V. L., Forouzanfar, M. H., Krishnamurthi, R., Mensah, G. A., Connor, M., Bennett, D. A., ... & Murray, C. (2014). Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010. The lancet, 383(9913), 245-255.

Stroke, W. H. O. (1989). Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke, 20(10), 1407-1431.

Ada, L., Dean, C. M., Vargas, J., & Ennis, S. (2010). Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke: a systematic review. Journal of physiotherapy, 56(3), 153-161.

Jørgensen, H. S., Nakayama, H., Raaschou, H. O., Vive-Larsen, J., Støier, M., & Olsen, T. S. (1995). Outcome and time course of recovery in stroke. Part II: Time course of recovery. The Copenhagen Stroke Study. Archives of physical medicine and rehabilitation, 76(5), 406-412.

Kundi, M. K., & Spence, N. J. (2023). Efficacy of mirror therapy on lower limb motor recovery, balance and gait in subacute and chronic stroke: A systematic review. Physiotherapy Research International, 28(2), e1997.

Hall, R., Khan, F., & O'Callaghan, C. (2013). Ontario stroke evaluation report 2012: spotlight on secondary stroke prevention and care. Institute for Clinical Evaluative Sciences.

Hodgson, C. (1998). Prevalence and disabilities of community-living seniors who report the effects of stroke. CMAJ: Canadian Medical Association Journal, 159(6), S9

Michael, K. M., Allen, J. K., & Macko, R. F. (2005). Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Archives of physical medicine and rehabilitation, 86(8), 1552-1556.

Dettman, M., Linder, M. T., & Sepic, S. B. (1987). Relationships among walking performance, postural stability, and functional assessment of the hemiplegic patient. American Journal of Physical Medicine, 66(2), 77–90.

Cruz, T. H., Lewek, M. D., & Dhaher, Y. Y. (2009). Biomechanical impairments and gait adaptations post-stroke: Multi-factorial associations. Journal of Biomechanics, 42, 1673–1677.

Chisholm, A. E., Makepeace, S., Inness, E. L., & Mansfield, A. (2014). Spatial-temporal gait variability post-stroke: Variations in measurement and implications for measuring change. Archives of Physical Medicine and Rehabilitation, 95(7), 1335–1341.

Patterson, K. K., Parafianowicz, I., Danells, C. J., et al. (2008). Gait asymmetry in community-ambulating stroke survivors. Archives of Physical Medicine and Rehabilitation, 89(2), 304–310.

Schiemanck, S. K., Kwakkel, G., Post, M. W., Kappelle, L. J., & Prevo, A. J. (2008). Impact of internal capsule lesions on outcome of motor hand function at one year post-stroke. Journal of rehabilitation medicine, 40(2), 96-101.

Sasikumar, S., & Strafella, A. P. (2021). The neuroimaging evidence of brain abnormalities in functional movement disorders. Brain, 144(8), 2278-2283.

Beyer, R., Ingerslev, J., & Sørensen, B. (2010). Muscle bleeds in professional athletes–diagnosis, classification, treatment and potential impact in patients with haemophilia. Haemophilia, 16(6), 858-865.

Hetland, M. L., Haavardsholm, E. A., (2020). Active conventional treatment and three different biological treatments in early rheumatoid arthritis: Phase IV investigator-initiated, randomized, observer-blinded clinical trial. BMJ, 370, m4328. https://doi.org/10.1136/bmj.m4328

MacAuley, D. (Ed.). (2012). Oxford handbook of sport and exercise medicine. OUP Oxford.

Mohan, U., Kumar, K. V., Suresh, B. V., Misri, Z. K., & Chakrapani, M. (2013). Effectiveness of mirror therapy on lower extremity motor recovery, balance and mobility in patients with acute stroke: a randomized sham-controlled pilot trial. Annals of Indian Academy of Neurology, 16(4), 634-639.

Hsieh, C. L., Hsueh, I. P., Chiang, F. M., & Lin, P. H. (1998). Inter-rater reliability and validity of the action research arm test in stroke patients. Age and ageing, 27(2), 107-113.

Buccino, G., Solodkin, A., & Small, S. L. (2006). Functions of the mirror neuron system: implications for neurorehabilitation. Cognitive and behavioral neurology, 19(1), 55-63.

Lim, K. B., Lee, H. J., Yoo, J., Yun, H. J., & Hwang, H. J. (2016). Efficacy of mirror therapy containing functional tasks in poststroke patients. Annals of rehabilitation medicine, 40(4), 629-636.

Hopper, M. A., Tirman, P., & Robinson, P. (2010, June). Muscle injury of the chest wall and upper extremity. In Seminars in musculoskeletal radiology (Vol. 14, No. 02, pp. 122-130). © Thieme Medical Publishers.

Gurbuz, N., Afsar, S. I., Ayaş, S., & Cosar, S. N. S. (2016). Effect of mirror therapy on upper extremity motor function in stroke patients: a randomized controlled trial. Journal of physical therapy science, 28(9), 2501-2506.

Mirela Cristina, L., Matei, D., Ignat, B., & Popescu, C. D. (2015). Mirror therapy enhances upper extremity motor recovery in stroke patients. Acta neurologica belgica, 115, 597-603.

Katoozian, L., Tahan, N., Zoghi, M., & Bakhshayesh, B. (2018). The onset and frequency of spasticity after first ever stroke. Journal of the National Medical Association, 110(6), 547-552.

Wahlstedt, C., & Rasmussen-Barr, E. (2015). Anterior cruciate ligament injury and ankle dorsiflexion. Knee Surgery, Sports Traumatology, Arthroscopy, 23, 3202-3207.

Porter, D. A., Jaggers, R. R., Barnes, A. F., & Rund, A. M. (2014). Optimal management of ankle syndesmosis injuries. Open access journal of sports medicine, 173-182.

Dickstein, R., & Deutsch, J. E. (2007). Motor imagery in physical therapist practice. Physical therapy, 87(7), 942-953.

Rashid, K., Mukhtar, T., Ali, A., Inam, R., Naureen, S., & Waheed, H. (2024). Impact of Hand Grip Strength on Functional Independence and Arm Motor Performance in Stroke Survivors. Journal of Health and Rehabilitation Research, 4(1), 748-752.

Cortez, B. V., da Silva Coêlho, C. K., Silva, D. R. C., Oliveira, M. D. C. B., de Oliveira, G. B. V. P., e Silva, F. M. D. S., ... & de Moraes Silva, J. (2016). Effects of mirror therapy on the lower limb functionality hemiparesis after stroke. Health, 8(14), 1442-1452.

Samuelkamaleshkumar, S., Reethajanetsureka, S., Pauljebaraj, P., Benshamir, B., Padankatti, S. M., & David, J. A. (2014). Mirror therapy enhances motor performance in the paretic upper limb after stroke: a pilot randomized controlled trial. Archives of physical medicine and rehabilitation, 95(11), 2000-2005.

Arya, K. N. (2016). Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke. Neurology India, 64(1), 38-44.

Ward, N. S., Brown, M. M., Thompson, A. J., & Frackowiak, R. S. J. (2003). Neural correlates of motor recovery after stroke: A longitudinal fMRI study. Brain, 126, 2476–2486.

Moseley, G. L., Gallace, A., & Spence, C. (2008). Is mirror therapy all it is cracked up to be? Current evidence and future directions. Pain, 138(1), 7–10.

Bae, S. H., Jeong, W. S., & Kim, K. Y. (2012). Effects of mirror therapy on subacute stroke patients’ brain waves and upper extremity functions. Journal of Physical Therapy Science, 24, 1119–1122.

Summers, J. J., Kagerer, F. A., Garry, M. I., et al. (2007). Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study. Journal of the Neurological Sciences, 252(1), 76–82.

Lindenberg, R., Renga, V., Zhu, L. L., Nair, D., & Schlaug, G. M. D. P. (2010). Bihemispheric brain stimulation facilitates motor recovery in chronic stroke patients. Neurology, 75(24), 2176-2184.

Yavuzer, G., Selles, R., Sezer, N., Sütbeyaz, S., Bussmann, J. B., Köseoğlu, F., ... & Stam, H. J. (2008). Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Archives of physical medicine and rehabilitation, 89(3), 393-398.

Ezendam, D., Bongers, R. M., & Jannink, M. J. (2009). Systematic review of the effectiveness of mirror therapy in upper extremity function. Disability and rehabilitation, 31(26), 2135-2149.

Thieme, H., Mehrholz, J., Pohl, M., Behrens, J., Dohle, C., & Mirror Therapy Review Group. (2013). Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews, 2013(3), CD008449. https://doi.org/10.1002/14651858.CD008449.pub3

Winstein, C. J., Miller, J. P., Blanton, S., Taub, E., Uswatte, G., Morris, D., ... & Wolf, S. L. (2004). Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabilitation and Neural Repair, 18(2), 88-105. https://doi.org/10.1177/0888439004263198

O'Donnell, M. J., Xavier, D., Liu, L., Zhang, H., Chin, S. L., Rao-Melacini, P., ... & Yusuf, S. (2016). Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): A case-control study. The Lancet, 376(9735), 112-123. https://doi.org/10.1016/S0140-6736(10)60834-3

Michielsen, M. E., Selles, R. W., van der Geest, J. N., Eckhardt, M. Y., Yavuzer, G., & Stam, H. J. (2011). Motor recovery and cortical reorganization after mirror therapy in chronic stroke patients: A phase II randomized controlled trial. Neurorehabilitation and Neural Repair, 25(3), 223-233. https://doi.org/10.1177/1545968310385127

Ramachandran, V. S., & Rogers-Ramachandran, D. (1996). Synaesthesia in phantom limbs induced with mirrors. Proceedings of the Royal Society B: Biological Sciences, 263, 377–386.