Mirror therapy improves the upper limb function of hemiparetic stroke survivors: A meta-analysis
10.3760/cma.j.issn.0254-1424.2018.11.009
- VernacularTitle:镜像疗法改善脑卒中偏瘫患者上肢功能障碍的Meta分析
- Author:
Juan PENG
1
;
Shibin YANG
;
Ailing LI
;
Rui JIAN
;
Weiping LI
;
Bo CHEN
;
Jihua YU
;
Fangyuan XU
Author Information
1. 西南医科大学附属医院康复医学科
- Keywords:
Mirror therapy;
Stroke;
Upper limb function;
Meta-analyses
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(11):844-853
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate systematically the efficacy of mirror therapy for improving the upper limb function, daily life and pain of stroke survivors. Methods The PubMed, EBSCO, Web of Science, Ovid, Co-chrane Library, Open Gray, China Biological Medicine, China National Knowledge Infrastructure, GoogleScholar, VIP and Wan Fang Data databases were searched for reports of randomized and controlled trials ( RCTs) of mirror therapy for improving the upper limb function of stroke survivors. Only papers published before December 2015 were surveyed. The relevant references of the primary studies were also searched. The literature screening, data extraction and assessments were conducted by two reviewers independently. The meta-analysis was performed using version 5.2 of the RevMan software. Results A total of 22 RCTs involving 823 patients were discovered, some not dealing with mirror therapy. Comparing the studies with and without visual feedback, there were significant differences in upper limb motor function as measured by the Fugl-Meyer, ARAT and Brunnstrom instruments. The average Barthel indexes and visual analogue scale were also significantly different. Conclusion Mirror therapy can improve upper limb function and ability in the activities of daily living, and also relieve pain among stroke survivors to some degree, though its long-term efficacy is still unclear. Large-sample, multi-center, high-quality RCTs are required to verify these conclusions.
