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Effect of mirror therapy on the recovery of upper limb function in individuals with chronic stroke: a systematic review

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Question: Is Mirror Therapy more effective than other interventions in the recovery of upper limb function in individuals with chronic stroke? Background: Mirror therapy (MT) is used to improve motor function after a stroke. During MT, a mirror is placed between the two upper limbs (UL), thus reflecting movements of the non-affected side as if it were the affected side. Objectives: This review aims to analyze the evidence on the effectiveness of MT in the recovery of UL function in a population with post-chronic stroke. Methods: The literature search was carried out in PubMed, ISI Web of Science, and PEDro databases. Inclusion criteria: a) studies that include individuals diagnosed with stroke for at least 6 months; b) intervention with MT in UL or comparing it with other interventions; c) articles published until 2023; d) articles published in English or Portuguese; e) randomized controlled studies. Exclusion criteria: a) animal studies; b) studies that do not provide a detailed description of the intervention; c) Studies using central electrical stimulation. Eighteen studies met all the inclusion criteria Main results and conclusions: Results suggest that MT is more effective than other therapies in motor recovery and function of the affected UL than these techniques alone, although the results have been modest in most of the included studies. There is also a more significant improvement in the distal movements of the affected hand than in the rest of the UL.

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Physiotherapy Rehabilitation Mirror therapy Chronic stroke Upper limb Hemiplegia

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Patrocínio C, Fernandes B, Pires AF. Effect of mirror therapy on the recovery of upper limb function in individuals with chronic stroke: a systematic review. In: 18th World Congress on Controversies in Neurology, London (UK), March 21-23, 2024. poster 329.

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