62160
document
Combining afferent stimulation and mirror therapy for rehabilitating motor function , motor control , ambulation , and daily functions after stroke . BACKGROUND Mirror therapy ( MT ) and mesh glove ( MG ) afferent stimulation may be effective in reducing motor impairment after stroke . A hybrid intervention of MT combined with MG ( MT + MG ) may broaden aspects of treatment benefits . OBJECTIVE To demonstrate the comparative effects of MG + MT , MT , and a control treatment ( CT ) on the outcomes of motor impairments , manual dexterity , ambulation function , motor control , and daily function . METHODS Forty-three chronic stroke patients with mild to moderate upper extremity impairment were randomly assigned to receive MT + MG , MT , or CT for 1.5 hours/day , 5 days/week for 4 weeks . Outcome measures were the Fugl-Meyer Assessment ( FMA ) and muscle tone measured by Myoton-3 for motor impairment and the Box and Block Test ( BBT ) and 10-Meter Walk Test ( 10 MWT ) for motor function . Secondary outcomes included kinematic parameters for motor control and the Motor Activity Log and ABILHAND Questionnaire for daily function . RESULTS FMA total scores were significantly higher and synergistic shoulder abduction during reach was less in the MT + MG and MT groups compared with the CT group . Performance on the BBT and the 10 MWT ( velocity and stride length in self-paced task and velocity in as-quickly-as-possible task ) were improved after MT + MG compared with MT . CONCLUSIONS MT + MG improved manual dexterity and ambulation . MT + MG and MT reduced motor impairment and synergistic shoulder abduction more than CT. Future studies may integrate functional task practice into treatments to enhance functional outcomes in patients with various levels of motor severity . The long-term effects of MG + MT remain to be evaluated .
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Intervention_Physical
afferent stimulation
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Intervention_Physical
mirror therapy
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Intervention_Physical
Mirror therapy ( MT )
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Intervention_Physical
mesh glove ( MG ) afferent stimulation
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Intervention_Physical
MT combined with MG ( MT + MG )
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Intervention_Physical
MG + MT , MT
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Intervention_Control
control treatment ( CT )
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Intervention_Physical
MT + MG
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Intervention_Physical
MT
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Intervention_Control
CT
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Intervention_Physical
MT + MG
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Intervention_Physical
MT
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Intervention_Control
CT
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Intervention_Physical
MT + MG
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Intervention_Physical
MT
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Intervention_Physical
MT + MG
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Intervention_Physical
MT + MG
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Intervention_Physical
MT
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Intervention_Control
CT.
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Intervention_Physical
MG + MT
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Outcome_Physical
motor function
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Outcome_Physical
motor control
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Outcome_Physical
ambulation
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Outcome_Physical
daily functions after stroke
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Outcome_Physical
Fugl-Meyer Assessment ( FMA ) and muscle tone
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Outcome_Other
Myoton-3 for motor impairment
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Outcome_Physical
Box and Block Test ( BBT )
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Outcome_Physical
10-Meter Walk Test ( 10 MWT )
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Outcome_Physical
kinematic parameters for motor control
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Outcome_Physical
Motor Activity Log
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Outcome_Physical
ABILHAND Questionnaire for daily function
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Outcome_Physical
FMA total scores
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Outcome_Physical
synergistic shoulder abduction during reach
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Outcome_Physical
BBT
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Outcome_Physical
10 MWT
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Outcome_Physical
manual dexterity and ambulation
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Outcome_Physical
motor impairment and synergistic shoulder abduction
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Participant_Condition
Forty-three chronic stroke patients with mild to moderate upper extremity impairment