Mirror Therapy in Stroke Rehabilitation: Current Perspectives

Dorcas Bc Gandhi, Albert Sterba, Himani Khatter, Jeyaraj D Pandian, Dorcas Bc Gandhi, Albert Sterba, Himani Khatter, Jeyaraj D Pandian

Abstract

In contrast to varied therapy approaches, mirror therapy (MT) can be used even in completely plegic stroke survivors, as it uses visual stimuli for producing a desired response in the affected limb. MT has been studied to have effects not just on motor impairments but also on sensations, visuospatial neglect, and pain after stroke. This paper attempts to systematically review and present the current perspectives on mirror therapy and its application in stroke rehabilitation, and dosage, feasibility and acceptability in stroke rehabilitation. An electronic database search across Google, PubMed, Web of Science, etc., generated 3871 results. After screening them based on the inclusion and exclusion criteria, we included 28 studies in this review. The data collected were divided on the basis of application in stroke rehabilitation, modes of intervention delivery, and types of control and outcome assessment. We found that most studies intervened for upper limb motor impairments post stroke. Studies were equally distributed between intervention in chronic and acute phases post stroke with therapy durations lasting between 1 and 8 weeks. MT showed definitive motor and sensory improvements although the extent of improvements in sensory impairments and hemineglect is limited. MT proves to be an effective and feasible approach to rehabilitate post-stroke survivors in the acute, sub-acute, and chronic phases of stroke, although its long-term effects and impact on activities of daily living need to be analysed extensively.

Keywords: hemineglect; mirror therapy; motor; pain; rehabilitation; sensory; stroke; unilateral neglect.

Conflict of interest statement

Dr Dorcas BC Gandhi reports grants from Wellcome Trust Research Training Fellowship, outside the submitted work. The authors report no other conflicts of interest in this work.

© 2020 Gandhi et al.

Figures

Figure 1
Figure 1
PRISMA flow chart.
Figure 2
Figure 2
The risk of bias scored on the Cochrane tool.

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