Systematic Review: Effectiveness of Mirror Therapy for Lower Extremity Post-Stroke

IF 0.8 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy Pub Date : 2015-12-01 DOI:10.1016/j.hkjot.2015.12.003

Goris Kin Nga Hung, Cabbee Tsz Lui Li, Alexander Miles Yiu, Kenneth N.K. Fong

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引用次数: 17

Abstract

Background/Objective

This study reviewed the current evidence on the effectiveness of mirror therapy (MT) on improving the motor functions of the hemiplegic lower extremity (LE) in adult clients with stroke.

Methods

A systematic review was conducted of studies published in English in the 10-year period 2005–2015, retrieved from seven electronic databases: Medline, PubMed, CINAHL, PsychInfo, Science Direct, Cochrane and TBI Rehabilitation. Only articles that focused on the effects of MT on hemiparesis affecting LE function and performance were included. The methodological quality of the studies was appraised using the Physiotherapy Evidence Database Scale (PEDro).

Results

The literature search yielded 14 studies that satisfied the selection criteria, of which five (4 randomised controlled trials and 1 case study) were reviewed after screening. Despite the heterogeneity of the studies, they showed MT to be effective in improving some of the motor functions of the LE at different stages of stroke. However, they offered little evidence on MT's long-term effects and for when is the optimal stage to start MT after stroke onset.

Conclusion

Further research is needed to determine the best treatment regimen and optimal time to initiate MT intervention in terms of the phases of stroke. No firm conclusions can be drawn on the effectiveness of MT on the hemiplegic LE until more evidence is available.

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系统评价:下肢卒中后镜像治疗的有效性

背景/目的本研究综述了镜像疗法(MT)改善脑卒中成人偏瘫下肢运动功能的有效性。方法系统回顾2005-2015年间发表的英文文献，检索自Medline、PubMed、CINAHL、PsychInfo、Science Direct、Cochrane和TBI Rehabilitation等7个电子数据库。仅纳入了MT对偏瘫影响LE功能和性能的影响的文章。使用物理治疗证据数据库量表(PEDro)对研究的方法学质量进行评价。结果通过文献检索获得14项符合选择标准的研究，筛选后对其中5项(4项随机对照试验和1项病例研究)进行综述。尽管这些研究存在异质性，但它们表明，MT在改善中风不同阶段LE的一些运动功能方面是有效的。然而，他们提供的证据很少关于MT的长期影响，以及什么时候是中风发作后开始MT的最佳阶段。结论根据脑卒中的不同阶段，确定MT干预的最佳治疗方案和最佳时间仍需进一步研究。在获得更多证据之前，还不能得出MT治疗偏瘫LE的有效性的确切结论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hong Kong Journal of Occupational Therapy 医学-康复医学

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.