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Effect of Task Based Mirror Box Therapy on Hand Function in Stroke Patients

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Author Affiliations

  • 1Dept. of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Annmalai Nagar, Chidambaram, Tamil Nadu, India
  • 2Dept. of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Annmalai Nagar, Chidambaram, Tamil Nadu, India
  • 3Department of Community medicine, Rajah Muthiah Medical College, Annamalai Nagar, Tamil Nadu, India

Int. Res. J. Medical Sci., Volume 4, Issue (10), Pages 15-18, October,28 (2016)

Abstract

This is a Quasi experimental Study that was conducted among 15 stroke patients who attended the OP and the wards of Physical Medicine and Rehabilitation Department at Rajah Muthiah Medical College and Hospital, Chidambaram, to assess the efficacy of task based mirror box therapy on hand function in stroke patients. The patients underwent mirror box therapy combined with conventional physical and occupational therapy sessions for a period of 6 days in a week for 4 weeks. Pre and post intervention evaluation and scores were calculated before and 4 weeks after the therapy using Fugl-Meyer (FMA-WH) assessment scale for upper extremity. The Mean and SD of FMA-WH scores at pre intervention was 1.93 and 0.79 respectively and post intervention mean and SD was 3.00 and 0.75 respectively, paired t-test was 6.959 and p-value was <0.001 both showed to have a mild improvement in hand function which implies that mirror box therapy with conventional physical and occupational therapy is a effective modality for hand function in stroke patients.

References

  1. Thorvaldsen P., Asplund K., Kuulasmaa K., Rajakangas A.M. and Schrollet M. (1995)., Stroke incidence, case fatality, and mortality: the WHO MONICA Project., Stroke, 26(3), 361-367.
  2. Larry B. Goldstein et al (2006)., Primary Prevention of Ischemic Stroke: A guideline from the American Heart Association/ American Stroke Association Council., Stroke, 37(6), 1583-1633.
  3. Marc Fisher M.D. and Norrving. B.O. (2011)., The international agenda for stroke., 1st Global Conference on Healthy Lifestyles and Non communicable diseases Control, Moscow, 28-29 April.
  4. Steinwachs D.M., Collins-Nakai R.L., Cohn L.H., Garson A. and Wolk MJ. (2000)., The future of cardiology: utilization and costs of care., J Am CollCardiol, 35(4), 1092-1099
  5. Wayne Rosamand et. al. (2007)., Heart disease and stroke statistics, A report from heart statistics committee and stroke statistics subcommittee., Circulation, 115(5), e69-e171.
  6. Kwakkel G.,Wagenaar R.C., Twisk J.W. and Lankhorst G.J. and Koetsier J.C. (1999)., Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial., The Lancet, 354(9174), 191-196.
  7. Platz T., Eickhof C. and Van Kaick S. et. al. (2005)., Impairment-oriented training or Bobath therapy for severe arm paresis after stroke: a single-blind, multicentre randomized controlled trial., ClinRehabil, 19(7), 714-724.
  8. Ring H. and Rosenthal N. (2005)., Controlled study of neuroprosthetic functional electrical stimulation in sub-acute post-stroke rehabilitation., J Rehabil Med, 37(1), 32-36.
  9. Maserio S., Celia A., Rosati G. and Armani M. (2007)., Robotic-assissted rehabilitation of the upper limb after acute stroke., Arch Phys Med Rehabil, 88(2), 76-82.
  10. Prange G.B., Jannink M.J. and Groothuis-Oudshoorn C.G. (2006)., Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke., J Rehabil Res Dev, 43(2), 171-184.
  11. Ramachandran V.S. and Rogers-Ramachandran D. (1996)., Synaesthesia in phanthom limbs induced with mirrors., Proc R Soc Lond B Biol Sci, 263(1369), 377-386.
  12. Altschuler E.L., Wisdom S.B. and Stone L. et al. (1999)., Rehabilitation of hemiparesis after stroke with a mirror., The Lancet, 353(9169), 2035-2036.
  13. Sathian K., Greenspan A.I. and Wolf S.L. (2000)., Doing it with mirrors: a case study of a novel approach to neurorehabilitation., Neurorehabilitation Neural Repair, 14(1), 73-76.
  14. Stevens J.A. and Stoykov M.E. (2003)., Using motor imagery in the rehabilitation of hemiparesis., Arch Phys Med Rehabil, 84(7), 1090-1092.
  15. Yavuzer G., Selles R., Sezer N. and Sütbeyaz S. (2008)., Mirror therapy improves hand function in subacute stroke: a randomized controlled trial., Arch Phys Med Rehabil, 89(3), 393-398.
  16. Altschuler E.L., Wisdom S.B. and Stone L. et al. (1999)., Rehabilitation of hemiparesis after stroke with a mirror., The Lancet, 353(9169), 2035-2036.
  17. Garry M.I., Loftus A. and Summers J.J. (2005)., Mirror, mirror on the wall: viewing a mirror reflection of unilateral hand movements facilitates ipsilateral M1 excitability., Exp Brain Res,163(1), 118-122.
  18. Carson R.G. (2005)., Neural pathways mediating bilateral interaction between the upper limbs., Brain Res Rev., 49(3), 641-662.