4.2 Review

The Efficacy of Lower Extremity Mirror Therapy for Improving Balance, Gait, and Motor Function Poststroke: A Systematic Review and Meta-Analysis

期刊

出版社

ELSEVIER
DOI: 10.1016/j.jstrokecerebrovasdis.2018.09.017

关键词

Stroke; mirror therapy; gait; balance; mobility; motor recovery

向作者/读者索取更多资源

Background: Mirror therapy is less commonly used to target the lower extremity after stroke to improve outcomes but is simple to perform. This review and meta-analysis aimed to evaluate the efficacy of lower extremity mirror therapy in improving balance, gait, and motor function for individuals with stroke. Methods: PubMed, Cochrane Central Register of Controlled Trials, MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, and PsychINFO were searched from inception to May 2018 for randomized controlled trials (RCTs) comparing lower extremity mirror therapy to a control intervention for people with stroke. Pooled effects were determined by separate meta-analyses of gait speed, mobility, balance, and motor recovery. Results: Seventeen RCTs involving 633 participants were included. Thirteen studies reported a significant between-group difference favoring mirror therapy in at least one lower extremity outcome. In a meta-analysis of 6 trials that reported change in gait speed, a large beneficial effect was observed following mirror therapy training (standardized mean differences [SMD] = 1.04 [95% confidence interval [CI] = .43, 1.66], I-2 = 73%, and P<.001). Lower extremity mirror therapy also had a positive effect on mobility (5 studies, SMD=.46 [95% CI = .01, .90], I-2 = 43%, and P = .05) and motor recovery (7 studies, SMD = .47 [95% CI = .21, .74], I-2 = 0%, and P < .001). A significant pooled effect was not found for balance capacity. Conclusions: Mirror therapy for the lower extremity has a large effect for gait speed improvement. This review also found a small positive effect of mirror therapy for mobility and lower extremity motor recovery after stroke.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.2
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Rehabilitation

Influence of Peer-led Wheelchair Training on Wheelchair Skills and Participation in Older Adults: Clinical Outcomes of a Randomized Controlled Feasibility Trial

William C. Miller, Krista L. Best, Janice J. Eng, Francois Routhier

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION (2019)

Article Rehabilitation

Exploring perceptions of stroke survivors and caregivers about secondary prevention: a longitudinal qualitative study

Beena P. Parappilly, William B. Mortenson, Thalia S. Field, Janice J. Eng

DISABILITY AND REHABILITATION (2020)

Article Neurosciences

Determinants Influencing the Prestroke Health Behaviors and Cardiovascular Disease Risk of Stroke Patients: A Cross-Sectional Study

Beena P. Parappilly, Thalia S. Field, William B. Mortenson, Brodie M. Sakakibara, Janice J. Eng

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2019)

Article Rehabilitation

Group-based telerehabilitation intervention using Wii Fit to improve walking in older adults with lower limb amputation (WiiNWalk): A randomized control trial

Gordon Tao, William C. Miller, Janice J. Eng, Elham Esfandiari, Bita Imam, Heather Lindstrom, Michael W. Payne

Summary: The study aimed to evaluate the efficacy of the WiiNWalk intervention on walking-related outcomes in older adults with lower limb amputation. Results showed improvement in balance confidence but not in physical function related to walking in the WiiNWalk group. Future rehabilitation games should be more specific to the context of amputation.

CLINICAL REHABILITATION (2022)

Article Rehabilitation

Responsiveness and trajectory of changes in the rating of everyday arm-use in the community and home (REACH) scale over the first-year post-stroke

Lisa A. Simpson, Kathryn S. Hayward, Lara A. Boyd, Beverley C. Larssen, W. Ben Mortenson, Amy Schneeberg, Noah D. Silverberg, Janice J. Eng

Summary: This study aimed to examine the trajectory of REACH scores over the first-year post-stroke and determine if baseline impairment levels modify the scores. The study found that REACH scores improved over time, with more significant improvements in individuals with severe impairment. However, individuals with mild/moderate impairment plateaued and even showed a decrease in the early chronic phase.

CLINICAL REHABILITATION (2023)

Review Rehabilitation

The influence of seated exercises on balance, mobility, and cardiometabolic health outcomes in individuals living with a stroke: A systematic review and meta-analysis

Paul Mackie, Janice J. Eng

Summary: Seated exercises can be a safe and effective alternative to traditional weight-bearing exercises in stroke patients, improving balance and mobility outcomes. However, the effects on cardiometabolic health are still unclear.

CLINICAL REHABILITATION (2023)

Article Substance Abuse

Exploring the experience of inpatients with severe alcohol use disorder on a managed alcohol program (MAP) at St. Paul's Hospital

Beena P. Parappilly, Emma Garrod, Ryan Longoz, Eric Eligh, Holly van Heukelom, Christopher Kit Fairgrieve, Bernadette Pauly

HARM REDUCTION JOURNAL (2020)

Article Neurosciences

Evaluating artificial intelligence software for delineating hemorrhage extent on CT brain imaging in stroke AI delineation of ICH on CT

Adam Vacek, Grant Mair, Philip White, Philip M. Bath, Keith W. Muir, Rustam Al-Shahi Salman, Chloe Martin, David Dye, Francesca M. Chappell, Ruediger von Kummer, Malcolm Macleod, Nikola Sprigg, Joanna M. Wardlaw

Summary: This study evaluated the performance of e-ASPECTS software in delineating the extent of intracranial hemorrhage (ICH) on brain CT scans. The results showed that the software achieved excellent or good delineation of ICH extent in 71% of cases. However, it was more likely to over- or under-estimate the extent when ICH was more extensive, intraventricular, or extra-axial.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Long-term prognostic value of [15O]H2O PET imaging in patients suspected for cerebral hemodynamic insufficiency

Mathias Jacobsen Bach, Audrone Jakubauskaite, Ian Law, Otto Molby Henriksen, Inger Havsteen, Alexander Cuculiza Henriksen, Sverre Rosenbaum, Lisbeth Marner

Summary: This study found that the rCBFacz value after ACZ challenge can serve as an important indicator for predicting future cerebrovascular events, with high accuracy and prognostic value.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Joblessness, decreased income, and disability in intensive care unit survivors of nontraumatic intracranial hemorrhage in South Korea

Tak Kyu Oh, Saeyeon Kim, In-Ae Song

Summary: The study found that many survivors of nontraumatic intracranial hemorrhage in South Korea experience unemployment, decreased household income, and newly acquired disability after intensive care unit admission. However, these changes are not associated with 2-year all-cause mortality.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Chagas disease stroke and associated risk factors: A case-control study

Eduardo Sousa de Melo, Rodrigo de Paiva Bezerra, Arthur Cesario de Holanda, Maria Junia Lira e Silva, Paloma Peter Travassos, Tayne Fernanda Lemos da Silva, Genova Maria de Azevedo Oliveira, Silvia Marinho Martins Alves, Carolina de Araujo Medeiros, Maria das Neves Dantas da Silveira Barros, Wilson Alves de Oliveira, Gisele Sampaio Silva, Luciana Patrizia Alves de Andrade Valenca

Summary: Cardiac involvement has been found to be the predominant factor correlated with stroke in Chagas disease. While atherosclerosis-related risk factors are prevalent, their influence on ischemic stroke in Chagas disease appears limited.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Pulmonary abscess combined with pulmonary vein thrombosis and stroke: A case report

Pingping Zheng, Ning Zhang, Zixi Chen

Summary: This case presents a rare infectious cause of stroke and air embolism involving a pulmonary abscess and pulmonary vein thrombosis. Early detection, diagnosis, and appropriate treatment of infected systemic embolism in young patients are crucial to prevent serious complications.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Predictors of recurrent cerebral ischemia after patent foramen ovale closure: A single center observational study

Filippo Luca Gurgoglione, Luigi Vignali, Maria Alberta Cattabiani, Emilia Solinas, Giorgio Benatti, Iacopo Tadonio, Federico Barocelli, Chiara Dizdari, Domenico Tuttolomondo, Diego Ardissino, Francesco Nicolini, Giampaolo Niccoli

Summary: The incidence of recurrent ischemic neurological events after transcatheter patent foramen ovale closure is relatively low. Obesity, Risk of Paradoxical Embolism score < 7, and migraine are independent positive predictors of recurrent stroke or transient ischemic attack.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Safety and efficacy of endovascular thrombectomy for primary and secondary MeVO

Angelo Cascio Rizzo, Ghil Schwarz, Amedeo Cervo, Giuditta Giussani, Chiara Ceresa, Antonella Gatti, Fausto De Angeli, Cristina Motto, Angelo Guccione, Rachele Tortorella, Giuseppe Granata, Claudia Rollo, Antonio Macera, Mariangela Piano, Guglielmo Pero, Elio Clemente Agostoni

Summary: This study aimed to evaluate the efficacy and safety of endovascular treatment (EVT) in primary and EVT-induced secondary medium-vessel occlusions (MeVO). The results showed that primary MeVO had poorer outcomes in terms of complications, EVT efficacy, and the proportion of patients with a modified Rankin Scale (mRS) of 0-2 at 3 months compared to exclusive large-vessel occlusion (LVO). However, EVT-induced secondary MeVO showed similar safety and efficacy outcomes as exclusive LVO and had better outcomes in terms of mRS 0-2 compared to primary MeVO.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Ischemic Stroke with Positive Antiphospholipid Antibodies in Bloom Syndrome: A Case Report

Jing Zhang, Chenming Wei, Jian Wu

Summary: This case report describes a patient with Bloom syndrome who developed acute cerebral infarction along with elevated antiphospholipid antibodies, suggesting a possible association between immune and coagulation abnormalities caused by Bloom syndrome and the development of acute cerebral infarction.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

One year clinical outcome of dual anti-platelet therapy with the Novel Ticagrelor plus Aspirin versus Clopidogrel plus Aspirin for Endovascular Intervention of patients with Intracranial Aneurysm: A meta-analysis

Yunxia Zhou, Shenglan He, Yanhong Hu

Summary: Compared with clopidogrel, DAPT with ticagrelor plus aspirin was associated with significantly lower thromboembolic events without an increase in hemorrhagic events in the treatment of intracranial aneurysms, according to the one-year clinical outcome analysis. However, larger upcoming trials are needed to confirm the effectiveness and safety of ticagrelor-associated DAPT.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Predicting self-perceived manual ability at three and six months after stroke: A prospective longitudinal study

Edvania Andrade de Moura Silva, Ludmilla Ribeiro Batista, Marcela Aline Fernandes Braga, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho de Morais Faria, Iza Faria-Fortini

Summary: The study found that stroke severity is the best predictor of self-perceived manual ability at both three and six months after stroke. Age, although significant, contributes little to the prediction of manual ability.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

A qualitative study of barriers and facilitators to using tenecteplase to treat acute ischemic stroke

Sidarrth Prasad, Erica M. Jones, Mehari Gebreyohanns, Veronica Aguilera, DaiWai M. Olson, Jane A. Anderson, Sean I. Savitz, Salvador C. Flores, Steven J. Warach, Charlotte E. Rhodes, Mark P. Goldberg, Nneka L. Ifejika

Summary: This study identified the barriers and facilitators to adopting tenecteplase (TNK) as a thrombolytic treatment for acute ischemic stroke (AIS) by conducting qualitative research with stroke clinicians in Texas. The findings suggest that providing evidence and identifying key change processes can help clinicians achieve consensus on adopting TNK for AIS treatment.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Somatosensory evoked potentials amplitude is enhanced after non-invasive brain stimulation in chronic ischemic stroke: Preliminary results from a randomised control trial

Jeshma Jayan, Sunil K. Narayan, Yasmin Nesha Haniffa, Navin Kumar

Summary: This study investigated the effects of transcranial electrical and magnetic stimulation on somatosensory evoked potentials in chronic ischemic stroke patients, finding that the real tDCS and rTMS combination results in significant improvement and is safe for use.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

An examination of geographic access to outpatient stroke rehabilitation services in Tennessee, a stroke belt state

Phoebe M. Tran, Cenjing Zhu, William T. Harris II, Sajeesh K. Kamala Raghavan, Agricola Odoi, Liem Tran

Summary: This study assessed the geographic accessibility of stroke rehabilitation facilities in Tennessee. The study found that rural counties had significantly longer travel distances and times compared to urban counties. Counties with high and medium stroke prevalence also had higher travel times and distances compared to low stroke prevalence counties. Therefore, addressing transportation barriers and implementing tele-rehabilitation are crucial for improving access to stroke aftercare in these areas.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Association of Chinese visceral adiposity index with clinical outcome in patients after endovascular thrombectomy

Lili Xu, Shuaiyu Chen, Jing Xu, Yanyan Shi, Zhihang Huang, Meng Wang, Ziqiao Wei, Hui Cao, Junshan Zhou, Wei Wang, Mingyang Du

Summary: This study found that the Chinese Visceral Adiposity Index (CVAI) is positively correlated with 90-day poor outcome in Chinese ischemic stroke patients after endovascular thrombectomy (EVT).

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)

Article Neurosciences

Role of serum alkaline phosphatase as a potential biomarker of severity and prognosis in intracerebral hemorrhage

Guangying Wu, Shuhua Li, Min Luo, Xiaotian Li, Xinghua Zhu, Junhuai Zhang, Qian He, Qian Yang, Guojiang Zhao, Shasha Luo, Zhijie Yang

Summary: The study aimed to investigate the relationship between serum alkaline phosphatase (ALP) levels and the severity and prognosis of intracerebral hemorrhage (ICH). The results showed that serum ALP levels in ICH patients were significantly elevated and correlated with hematoma volume and Glasgow coma scale (GCS) score. High serum ALP levels may serve as a potential predictor for the severity and unfavorable prognosis of ICH.

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES (2024)