Topics in Stroke Rehabilitation最新文献

{"title":"Does acupuncture combined with MOTOmed movement therapy have a better rehabilitation effect on post-stroke hemiplegia patients? A systematic review and meta-analysis.","authors":"Zhongyuan Li, Yufei Hou, Guiting Su, Shuzhen Tu, Fang Liu","doi":"10.1080/10749357.2024.2429317","DOIUrl":"10.1080/10749357.2024.2429317","url":null,"abstract":"<p><strong>Background: </strong>Combinations of rehabilitation therapies are widely used in patients with post-stroke hemiplegia. A combination of acupuncture and MOTOmed had been shown to promote the recovery of post-stroke hemiplegia patients. We conducted a systematic review of evidence from studies that investigated the use of acupuncture combined with MOTOmed for rehabilitation of patients with post-stroke hemiplegia.</p><p><strong>Objective: </strong>To estimate the rehabilitation effect of acupuncture combined with MOTOmed movement therapy in patients with post-stroke hemiplegia.</p><p><strong>Methods: </strong>Randomized controlled trials (RCTs) of acupuncture combined with MOTOmed movement therapy in patients with post-stroke hemiplegia were retrieved from nine databases. Risk-of-bias assessments were conducted using the Cochrane Risk-of-bias Tool. Meta-analysis of outcome measures was performed using RevMan 5.4 software. And we followed the PRISMA 2020 guidelines.</p><p><strong>Results: </strong>Eighteen studies involving 1637 participants were included. Compared with conventional rehabilitation, acupuncture, or MOTOmed movement therapy alone, acupuncture combined with MOTOmed movement therapy increased the scores of Fugl-Meyer Assessment Scale-lower extremity (FMA-LE), Berg Balance Scale (BBS), Functional Ambulation Categories scale (FAC), Maximal Walking Speed test (MWS), gait parameters of 3D gait analysis, Barthel Index (BI), Modified Barthel Index (MBI), total effective rate, and the levels of neurotrophic factors (NGF, BDNF and NT-3) in serum, while reduced the scores of Clinic Spasticity Index (CSI) and National Institutes of Health Stroke Scale-Lower Extremity (NIHSS-LE) (<i>p</i> < 0.05 for all).</p><p><strong>Conclusion: </strong>Acupuncture combined with MOTOmed movement therapy has better efficacy than conventional rehabilitation, acupuncture, or MOTOmed alone in patients with post-stroke hemiplegia. This combination therapy can promote the rehabilitation of these patients.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"512-530"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of inspiratory and expiratory muscle training on respiratory function and decannulation outcome in patients with tracheostomy after stroke: a randomized controlled trial.","authors":"Lei Li, Rui Liu, Zhonghua Yu, Jing He, Quan Wei","doi":"10.1080/10749357.2024.2437328","DOIUrl":"10.1080/10749357.2024.2437328","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the clinical efficacy and safety of inspiratory and expiratory muscle training (IEMT) for patients who underwent tracheostomy after stroke.</p><p><strong>Methods: </strong>The study was an investigator-initiated, single-center, two-arm, evaluator-blinded, randomized clinical trial conducted at West China Hospital of Sichuan University, China, from January 2022 to June 2022. The patients were randomly divided into the intervention group and control group. Patients in both groups received conventional clinical, rehabilitation treatment and usual care. The intervention group also received IEMT for three weeks. There were three primary outcomes including maximal inspiratory pressure (MIP, cmH₂O), maximal expiratory pressure (MEP, cmH2O) and decannulation outcome after intervention (n, %). The secondary outcomes were other respiratory function outcomes, motor function, activities of daily living (ADL), quality of life (QoL) and the new pulmonary infection rate after the intervention at three weeks.</p><p><strong>Results: </strong>A total of 50 participants were enrolled [25 in each group; 39 (78%) were men; mean (SD) age, 55.94 (11.97) years]. At three weeks, significant differences were found in the MIP [control vs IEMT: 39.04 (6.21) vs 56.28 (10.41), <i>p</i> < 0.001]; MEP [43.48 (5.36) vs 62.16 (10.18), <i>p</i> < 0.001], and tracheal tube extraction success rate [2 (8%) vs 9 (36%), <i>p</i> = 0.019] between the two groups. In addition, the new pulmonary infection rate in the intervention groups were significantly different (all <i>p</i> < 0.05) from those in the control group.</p><p><strong>Conclusions: </strong>IEMT can improve respiratory function, decannulation outcome, among patients with tracheostomy after stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"492-501"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of cardiorespiratory physiotherapy on lung function in stroke: a network meta-analysis.","authors":"So-Hyun Kim, Sung-Hyoun Cho","doi":"10.1080/10749357.2024.2417647","DOIUrl":"10.1080/10749357.2024.2417647","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of various physiotherapy interventions for improving lung function has not been compared.</p><p><strong>Objectives: </strong>To evaluate cardiorespiratory physiotherapy interventions on lung function in patients with stroke, prioritize intervention types, and establish hierarchy.</p><p><strong>Methods: </strong>Twelve randomized controlled trials published during 2000-2022 in PubMed, EMBASE, Cochrane Library, and Web of Science were selected. Interventions included aerobic training (AT), combined inspiratory and expiratory training (CIET), inspiratory training (IT), combined aerobic and breadth training (CABT), and conventional training (CT). Outcome variables were forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), and FEV1/FVC.</p><p><strong>Results: </strong>CIET and IT were more effective than CT for FEV1 and FVC. CIET and IT showed larger effect sizes compared to AT for FEV1. The intervention rankings were as follows: IT (86.62%), CIET (63.31%), CABT (50.79%), AT (28.72%), and CT (20.55%) for FEV1; IT (93.89%), CIET (75.06%), CT (42.38%), CABT (37.73%), and AT (0.94%) for FVC; and IT (78.30%), CT (54.14%), CABT (42.62%), CIET (41.65%), and AT (33.29%) for FEV1/FVC. CIET and IT were more effective than CT for FVC in patients with stroke aged ≥60 years.</p><p><strong>Conclusions: </strong>Besides FEV1/FVC, IT and CIET inhalation exercises improved lung function more effectively than other therapies, with IT or CIET being more effective than AT or CT. CIET and IT were more effective than CT for FVC in patients with stroke aged ≥60 years than in those <60 years. These findings highlight the significance of breathing training for patients with stroke and support clinical decision-making.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"459-471"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The optimal treatment duration for inspiratory muscle strengthening exercises in stroke patients: a double-blinded randomized controlled trial.","authors":"Yunus Emre Doğan, Mustafa Aziz Yıldırım, Kadriye Öneş, Burak Kütük, İlhami Ata, İlhan Karacan","doi":"10.1080/10749357.2024.2423591","DOIUrl":"10.1080/10749357.2024.2423591","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the ideal duration of inspiratory muscle training in stroke patients.</p><p><strong>Objective: </strong>The aim of this study was to assess the effects of short-term and long-term inspiratory muscle strengthening exercises in stroke patients.</p><p><strong>Methods: </strong>This study was a prospective, double-blind, randomized controlled trial involving 50 stroke patients. Based on baseline maximum inspiratory pressure (MIP) values, participants were divided into two strata: those with severely weak inspiratory muscle (stratum A) and those with moderately weak inspiratory muscle (stratum B). Within each stratum, individuals were randomly assigned to either the 4-week exercise group, the 8-week exercise group, or the sham group. The exercise groups underwent inspiratory muscle strengthening exercises. The MIP, 6-minute walk test (6MWT), and the Nottingham Extended Activities of Daily Living (NEADL) Index were assessed at baseline, 8, 12, and 24 weeks.</p><p><strong>Results: </strong>Subjects in Stratum A exhibited notably greater improvement after 8 weeks of training compared to those in Stratum B. Furthermore, both Stratums displayed significantly greater improvement following 8 weeks of training compared to sham training. In Stratum B cases, a significantly higher level of improvement was noted with the 4-week training in comparison to the sham training. A significant increase in NEADL index and 6MWT score was observed during the 24-week follow-up period.</p><p><strong>Conclusion: </strong>For individuals with moderately weak inspiratory muscle strength, a 4-week exercise program proves sufficient in enhancing inspiratory muscle strength, walking capacity, and daily life activities. However, individuals with severely weak inspiratory muscle strength benefit more from an 8-week treatment.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"472-480"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Backward walking training is as effective as or better than forward walking training for improving walking speed after stroke: a systematic review with meta-analysis.","authors":"Kênia Kp Menezes, Patrick R Avelino, Louise Ada, Lucas R Nascimento","doi":"10.1080/10749357.2024.2420547","DOIUrl":"10.1080/10749357.2024.2420547","url":null,"abstract":"<p><strong>Objective: </strong>In people who have had stroke, are the effects of backward walking comparable with forward walking for improving walking (i.e. speed, cadence, and stride length)? Does the addition of backward walking to forward walking help improve the benefits of forward walking? Are any benefits maintained beyond intervention?</p><p><strong>Methods: </strong>A systematic review of randomized trials, with adults following stroke, was developed. The intervention of interest was backward walking training, delivered either as a solo intervention or in combination with forward walking training. The outcome measures of interest were walking speed, cadence, and stride length.</p><p><strong>Results: </strong>The effect of backward walking training is similar as or better than that of forward walking training for improving walking speed (MD 0.16 m/s, 95% CI 0.06 to 0.27), but results for cadence and stride length were very imprecise. The addition of backward walking training to forward walking training provided negligible effects on walking speed (MD 0.03 m/s, 95% CI 0.01 to 0.04), cadence (MD 5 steps/min, 95% CI 1 to 10), and stride length (MD 0.04 m, 95% CI -0.01 to 0.09). Maintenance of effects beyond the intervention period remains uncertain.</p><p><strong>Conclusions: </strong>This review provided moderate-quality evidence that backward walking training is slightly better than forward walking training for improving walking speed after stroke, but not when it is additional to forward walking training. Large and well-designed trials are warranted to strengthen the evidence regarding backward walking training, especially in the subacute phase after stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"531-543"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, cross-cultural adaptation, and clinimetric evaluation of the lower extremity Fugl-Meyer assessment (FMA-LE) in Persian speaking stroke patients.","authors":"Zahra Hassani, Elham Loni, Markus Melloh, Hamid Reza Mokhtarinia","doi":"10.1080/10749357.2025.2524995","DOIUrl":"10.1080/10749357.2025.2524995","url":null,"abstract":"<p><strong>Background: </strong>The Fugl-Meyer Assessment of Lower Extremity (FMA-LE) is a widely recognized and recommended tool for evaluating motor impairments post-stroke; however, an official Persian version is currently unavailable.</p><p><strong>Objective: </strong>This study translated, culturally adapted the lower extremity FMA (FMA-LE) method into Persian and evaluated its clinimetric properties in Persian post-stroke patients.</p><p><strong>Methods: </strong>In this cross-sectional study, Persian speaking post stroke patients (<i>n</i> = 80, age 66.66 ± 11.70 years, male = 60%) were enrolled. Translation and cultural adaptations were performed according to the standard guidelines and published papers. Clinimetric properties evaluation included face validity, content validity, and construct validity through correlation with motor subscale of Functional independence measurement (FIM) method; additionally, inter-rater and test-retest reliability were conducted.</p><p><strong>Results: </strong>A Persian FAM-LE version was developed through consensus agreement on the challenging items with minor modifications. The Content Validity Index values for motor function score (0.91) and its total score (0.94) were acceptable. The intra-rater and inter-rater reliability were ICC = 0.94 (95% CI: 0.90-0.96) and ICC = 0.98 (95% CI: 0.80-0.99), respectively. Concurrent validity showed a moderate correlation between the FMA-LE total score, FMA-LE motor function section, and FIM motor subscale score (<i>r</i> = 0.55 and 0.49). No floor/ceiling effects were found.</p><p><strong>Conclusions: </strong>The Persian FMA-LE method demonstrated excellent reliability and moderated validity, rendering it suitable for measuring motor function and related disability levels in Iranian post-stroke patients.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine-learning-based prognostic models for independence in toilet-related activities in patients with subacute stroke: a retrospective study.","authors":"Yuta Miyazaki, Michiyuki Kawakami, Kunitsugu Kondo, Akiko Hirabe, Takayuki Kamimoto, Tomonori Akimoto, Nanako Hijikata, Masahiro Tsujikawa, Kaoru Honaga, Kanjiro Suzuki, Tetsuya Tsuji","doi":"10.1080/10749357.2025.2516850","DOIUrl":"https://doi.org/10.1080/10749357.2025.2516850","url":null,"abstract":"<p><strong>Background: </strong>Independence in toilet‑related activities critically shapes discharge planning and caregiver burden after stroke. Reliable early‑stage prediction models could therefore aid individualized rehabilitation.</p><p><strong>Objective: </strong>To compare the predictive performance of logistic regression (LR) and five machine learning algorithms - decision tree (DT), support vector machine (SVM), artificial neural network (ANN), k‑nearest neighbors (KNN), and ensemble learning (EL) - for toilet-related independence at discharge.</p><p><strong>Methods: </strong>We retrospectively analyzed subacute stroke survivors admitted to Tokyo Bay Rehabilitation Hospital from March 2015 to September 2019. Independence was defined as a score ≥ 6 on four Functional Independence Measure (FIM) subitems (toileting, bladder management, bowel management, toilet transfers). Participants' characteristics and FIM subitems were entered as predictors. LR and five machine‑learning algorithms were trained with five‑fold cross‑validation. Model performances were evaluated by the area under the receiver‑operating‑characteristic curve (AUC).</p><p><strong>Results: </strong>Of 824 participants (mean age 70.9 years), 453 (55%) were independent at discharge. In validation data, SVM (AUC = 0.9223) achieved, followed by LR (0.9202), ANN (0.9201), KNN (0.9072), EL (0.8961), and DT (0.8394). On test data, SVM and LR maintained AUCs of 0.9101 and 0.9078, whereas ANN declined to 0.8922. EL (0.9021) and KNN (0.9020) remained stable; DT (0.7864) performed the lowest. In LR, FIM-Bed to chair transfer was the strongest positive predictor, and age was the strongest negative predictor.</p><p><strong>Conclusions: </strong>SVM provided the highest accuracy with minimal overlearning. LR offered similar performance and greater interpretability, supporting its clinical use. These models could provide valuable information in stroke rehabilitation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is training speed an accurate predictor of who attains a minimal clinically important difference in the six-minute walk test in people with chronic stroke?","authors":"Kiersten M McCartney, Pierce Boyne, Ryan T Pohlig, Susanne M Morton, Darcy S Reisman","doi":"10.1080/10749357.2025.2513260","DOIUrl":"10.1080/10749357.2025.2513260","url":null,"abstract":"<p><strong>Background: </strong>People with chronic stroke have significant impairments in their walking capacity. Minimal clinically important differences (MCIDs) can be used to interpret changes in patient outcomes following interventions. There is significant variability in the response to moderate-to-high walking interventions in people with chronic stroke. One reason for this response variability could be the lack of understanding of the threshold exercise dose needed to achieve an MCID.</p><p><strong>Objectives: </strong>The purpose of this analysis was to determine the threshold of exercise training speed most predictive of a small (≥20 m) or moderate (≥50 m) clinically important difference in 6MWT in people with chronic stroke.</p><p><strong>Methods: </strong>Participants with chronic stroke with a walking speed of 0.3-1.0 m/s were randomized into a 12-week (1) fast-walking training or (2) fast-walking training and step-activity monitoring intervention. This analysis included participants (<i>n</i> = 129; age: 63.1 ± 12.5, 46% female) with complete pre- and post-intervention data. Exercise intensity was quantified as average training speed.</p><p><strong>Results: </strong>Receiver operating characteristic curves analyzed whether training speed is predictive of attaining a clinically important difference in the 6MWT. Training speed had poor, non-significant accuracy of predicting a small (AUC [95% CI] = 0.584 [0.475-0.693], <i>p</i> = 0.131) or moderate (AUC [95% CI] = 0.597 [0.498-0.696], <i>p</i> = 0.056) change in 6MWT.</p><p><strong>Conclusions: </strong>The average walking training speed during this high-intensity walking intervention did not accurately predict which people with chronic stroke would attain a small or moderate clinically meaningful change in 6MWT distance.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation, validity and reliability of the Turkish version of the Testing Emotionalism After Recent Stroke - Questionnaire (TEARS-Q-TR).","authors":"Emel Tasvuran Horata, Tuba Can Akman, Izgi Guven, Suat Erel, Niall M Broomfield","doi":"10.1080/10749357.2025.2515137","DOIUrl":"https://doi.org/10.1080/10749357.2025.2515137","url":null,"abstract":"<p><strong>Background: </strong>The Testing Emotionalism After Recent Stroke-Questionnaire (TEARS-Q) evaluates post-stroke emotionalism by focusing on uncontrolled episodes of crying with a cutoff score compared to other available instruments. There is no Turkish scale to assess emotionalism in acute stroke patients.</p><p><strong>Objectives: </strong>To translate and culturally adapt the TEARS-Q into Turkish and evaluate its validity and reliability.</p><p><strong>Methods: </strong>The researchers used an Exploratory Factor Analysis (EFA) to determine construct validity. They calculated Cronbach's alpha to assess internal consistency, intraclass correlation coefficient (ICC), and standard error of measurement (SEM) to test-retest reliability. They used the Neurological Sciences Centre-Lability Scale (CNS-LS) and the Hospital Anxiety and Depression Scale (HAD) subscales (anxiety and depression) to determine convergent and discriminant validity, respectively. A five-year-experienced physiotherapist conducted assessments at baseline and after 15 days.</p><p><strong>Results: </strong>The study comprised eighty-five acute stroke patients, with a mean age of 65.99 ± 13.59 years. EFA indicated a unidimensional structure for the TEARS-Q-TR accounting for 56.46% of the total variance. Cronbach's alpha was 0.883 which indicates good consistency. The analysis obtained an ICC of 0.725, indicating moderate reliability. SEM value of the scale was 3.162. There was a moderate positive relationship between TEARS-Q-TR and CNS-LS (<i>r</i> = 0.517) and a weak positive relationship between TEARS-Q-TR and HAD anxiety (<i>r</i> = 0.351) (<i>p</i> < 0.01). TEARS-Q-TR and HAD depression were not correlated (<i>p</i> > 0.01).</p><p><strong>Conclusions: </strong>The researchers recommend TEARS-Q-TR, a valid and reliable scale for clinical use in acute stroke patients to assess emotionalism practically (with 8 items) and mitigate potential issues that may arise from the misdiagnosis of emotionalism.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of mirror therapy on spasticity in adult patients with stroke: a systematic review and meta-analysis.","authors":"Anıl Tekeoğlu Tosun, Çağdaş Işiklar, İpek Yeldan","doi":"10.1080/10749357.2025.2509063","DOIUrl":"https://doi.org/10.1080/10749357.2025.2509063","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the effects of Mirror Therapy (MT) on spasticity and related parameters in stroke patients.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The overall effect of MT on MAS was statistically significant and beneficial when studies were analyzed in terms of both upper and lower extremities (<i>p</i> < 0.001). MT demonstrated a large and beneficial overall effect on the Brunnstrom Assessment compared to conventional therapy (<i>p</i> < 0.001). The overall impact of MT on Fugl-Meyer Assessment (FMA) was large and statistically significant (<i>p</i> < 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 (<i>p</i> = 0.258).</p><p><strong>Conclusion: </strong>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.</p><p><strong>Prospero registration number: </strong>CRD42021255154.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}