Mirror therapy and treadmill training for patients with chronic stroke: a pilot randomized controlled trial.
Top Stroke Rehabil
; 26(3): 163-172, 2019 04.
Article
en En
| MEDLINE
| ID: mdl-30580672
ABSTRACT
BACKGROUND:
Previous lower-limb mirror therapy research has focused on non-weight bearing interventions.OBJECTIVES:
The primary aim of this study was to investigate the effect and feasibility of a combination of mirror therapy and treadmill training on post-stroke lower-limb recovery compared to a placebo intervention.METHODS:
All patients (N = 30) walked on a treadmill for 30 min per day, 3 days per week, for 4 weeks. The mirror therapy and treadmill training group (n = 15) walked on the treadmill while viewing a reflection of their non-paretic limb in a mirror positioned in their mid-sagittal plane. The placebo group (n = 15) received no mirror visual feedback due to an altered mirror position. PRIMARY OUTCOMEMEASURES:
Ten Metre Walk Test (10MWT) and Six Minute Walk Test (6MWT). SECONDARY OUTCOMEMEASURES:
Modified Ashworth Scale (MAS) and Fugl-Meyer Assessment-Lower Extremity (FMA-LE). Feasibility was appraised by examining participant compliance and any adverse events.RESULTS:
No significant between group differences were demonstrated for the 10MWT, 6MWT or FMA-LE at post-training or 3-month follow-up assessment. A significant between group difference on the MAS was demonstrated in the reduction of ankle dorsiflexion muscle tone (p = 0.006) and ankle plantarflexion muscle tone (p = 0.01) in the mirror therapy group compared to the placebo group at post-training assessment but not at 3-month follow-up.CONCLUSION:
Our study reveals that in our group of patients with chronic stroke, mirror therapy combined with treadmill training facilitated significant reductions in ankle muscle tone (p < 0.05) compared to a placebo intervention.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Modalidades de Fisioterapia
/
Accidente Cerebrovascular
/
Terapia por Ejercicio
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Clinical_trials
/
Etiology_studies
Límite:
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Top Stroke Rehabil
Asunto de la revista:
ANGIOLOGIA
/
REABILITACAO
Año:
2019
Tipo del documento:
Article
País de afiliación:
Irlanda