Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/80731
Title: Comparison between movement-based and task-based mirror therapies on improving upper limb functions in patients with stroke : a pilot randomized controlled trial
Authors: Bei, ZF
Zhang, JQ 
Zhang, ZW
Shu, T
Niu, WX
Keywords: Mirror therapy
Task-oriented training
Upper limb
Stroke
Rehabilitation
Issue Date: 2019
Publisher: Frontiers Research Foundation
Source: Frontiers in neurology, 26 Mar. 2019, v. 10, 288, p. 1-10 How to cite?
Journal: Frontiers in neurology 
Abstract: Objective: The aim of this trial was to compare the effect of movement-based mirror therapy (MMT) and task-based mirror therapy (TMT) on improving upper limb functions in patients with stroke.
Methods: A total of 34 patients with sub-acute stroke with mildly to moderately impaired upper limb motor functions. The participants were randomly allocated to one of three groups: MMT, TMT, and conventional treatment (CT). The MMT group underwent movement-based mirror therapy for around 30 min/day, 5 days/week, for 4 weeks, whereas the TMT group underwent dose-matched TMT. The CT group underwent only conventional rehabilitation. The MMT and TMT groups underwent CT in addition to their mirror therapy. Blinded assessments were administered at baseline and immediately after the intervention. Upper limb motor functions, measured using Fugl-Meyer Assessment-upper extremity (FMA-UE), Wolf Motor Function Test (WMFT), and hand grip strength; upper limb spasticity, measured using the modified Ashworth scale (MAS); and activities of daily living, measured using the modified Barthel index (MBI).
Results: A significant time-by-group interaction effect was noted in FMA-UE. Post-hoc analysis of change scores showed that MMT yielded a better effect on improving FMA-UE than the other two therapies, at a marginally significant level (P = 0.050 and 0.022, respectively). No significant interaction effect was noted in WMFT, hand grip strength, MAS, and MBI.
Conclusion: Both MMT and TMT are effective in improving the upper limb function of patients with mild to moderate hemiplegia due to stroke. Nevertheless, MMT seems to be superior to TMT in improving hemiplegic upper extremity impairment. Further studies with larger stroke cohorts are expected to be inspired by this pilot trial.
URI: http://hdl.handle.net/10397/80731
EISSN: 1664-2295
DOI: 10.3389/fneur.2019.00288
Rights: Copyright © 2019 Bai, Zhang, Zhang, Shu and Niu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)(https://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
The following publication Bai Z, Zhang J, Zhang Z, Shu T and Niu W (2019) Comparison Between Movement-Based and Task-Based Mirror Therapies on Improving Upper Limb Functions in Patients With Stroke: A Pilot Randomized Controlled Trial. Front. Neurol. 10:288, 10 pages is available at https://dx.doi.org/10.3389/fneur.2019.00288
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