The effect of mirror therapy on spasticity in adult patients with stroke: a systematic review and meta-analysis.

IF 2.5 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2025-06-02 DOI:10.1080/10749357.2025.2509063

Anıl Tekeoğlu Tosun, Çağdaş Işiklar, İpek Yeldan

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Abstract

Objective: This study aims to investigate the effects of Mirror Therapy (MT) on spasticity and related parameters in stroke patients.

Methods: A systematic review was performed in databases PubMed, Web of Science, Science Direct, Cochrane, and Scopus databases for published RCTs (Randomized Controlled Trials) from the date of each database's inception to May 2021. Modified Ashworth Scale (MAS) in adult patients with stroke compared to conventional therapy, sham, and additional therapy control were included. Physiotherapy Evidence Database Scale was used to assess the methodological quality of each study.

Results: The overall effect of MT on MAS was statistically significant and beneficial when studies were analyzed in terms of both upper and lower extremities (p < 0.001). MT demonstrated a large and beneficial overall effect on the Brunnstrom Assessment compared to conventional therapy (p < 0.001). The overall impact of MT on Fugl-Meyer Assessment (FMA) was large and statistically significant (p < 0.001). However, a meta-analysis of three studies using the 10-meter walk test showed that the overall effect of MT was not statistically significant (p = 0.258).

Conclusion: This systematic review and meta-analysis demonstrates reductions in upper and lower extremity spasticity and improved motor recovery with MT, both isolated and combined with other treatments, in adults with stroke.

Prospero registration number: CRD42021255154.

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镜像疗法对成年脑卒中患者痉挛的影响：一项系统回顾和荟萃分析。

目的：探讨镜像疗法（MT）对脑卒中患者痉挛及相关参数的影响。方法：系统回顾PubMed、Web of Science、Science Direct、Cochrane和Scopus数据库中从每个数据库建立之日起至2021年5月已发表的随机对照试验（rct）。将改良Ashworth量表（MAS）在成年脑卒中患者中与常规治疗、假治疗和额外治疗对照进行比较。采用物理治疗证据数据库量表评估每项研究的方法学质量。结果：从上肢和下肢两方面分析研究，MT对MAS的总体影响具有统计学意义，并且是有益的（p pp p = 0.258）。结论：该系统综述和荟萃分析表明，MT治疗可减少成人中风患者的上肢和下肢痉挛，并改善运动恢复，无论是单独治疗还是与其他治疗联合使用。普洛斯彼罗注册号：CRD42021255154。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.