Effect of Mirror Therapy Versus Cognitive Therapeutic Exercise on Upper Limb Functionality, Autonomy, and Poststroke Quality of Life: A Randomized Trial.
Importance: A combination of rehabilitation techniques may be useful to optimize individualized treatment and efficient resource utilization. Objective: To assess the effect of cognitive therapeutic exercise (CTE) and mirror therapy (MT) combined with task-oriented training (TOT) on upper limb funct...
| Published in: | American Journal of Occupational Therapy Vol. 79; no. 5; pp. 1 - 14 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
American Occupational Therapy Association
Sep/Oct2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187784715&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187784715 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Sep/Oct2025 vid: 79 iid: 5 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 187784715 187784715 187784715 10.5014/ajot.2025.050834 187784715 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of Mirror Therapy Versus Cognitive Therapeutic Exercise on Upper Limb Functionality, Autonomy, and Poststroke Quality of Life: A Randomized Trial. aug: au: Fernández-Solana, Jessica Vélez-Santamaría, Rodrigo Moreno-Villanueva, Adrián Álvarez-Pardo, Sergio González-Bernal, Jerónimo Santamaría-Peláez, Mirian González-Santos, Josefa affil: Jessica Fernández-Solana, PhD, OT, PT, is Associate Lecturer, Occupational Therapist, and Physiotherapist, Department of Health Sciences, University of Burgos, Burgos, Spain. sug: subj: Mirror Therapy Rehabilitation, Cognitive Therapeutic Exercise Upper Extremity Physiopathology Autonomy Evaluation Stroke Complications Stroke Rehabilitation Quality of Life Evaluation Task Performance and Analysis Functional Training Methods Motor Skills Evaluation Paralysis Rehabilitation Arm Physiopathology Functional Assessment Activities of Daily Living Evaluation Human Randomized Controlled Trials Random Assignment Comparative Studies Stroke Patients Treatment Outcomes Prospective Studies Multicenter Studies Pretest-Posttest Control Group Design Academic Medical Centers Spain Scales Clinical Assessment Tools Combined Modality Therapy Analysis of Covariance Data Analysis Software Descriptive Statistics Nonprobability Sample Male Female Middle Age Aged Aged, 80 and Over Ischemic Stroke Rehabilitation Hemorrhagic Stroke Rehabilitation Neuropsychological Tests Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Importance: A combination of rehabilitation techniques may be useful to optimize individualized treatment and efficient resource utilization. Objective: To assess the effect of cognitive therapeutic exercise (CTE) and mirror therapy (MT) combined with task-oriented training (TOT) on upper limb functionality, fine and gross motor skills, use of the paretic arm, functional independence in activities of daily living (ADLs), and quality of life among people with subacute stroke. Design: Randomized trial, longitudinal, and multicenter study with one control group (CG) and two experimental groups (EGs) who were assessed before, after, and 3 mo posttreatment. Setting: University of Burgos and Burgos University Hospital, Burgos, Spain. Participants: One hundred twenty patients with subacute stroke and motor symptoms in the upper limb recruited through consecutive nonprobabilistic sampling and excluding those with tremor due to another neurological disease or cognitive impairment. Intervention: MT + TOT (EG1) and CTE + TOT (EG2) over 20 1-hr sessions. T3he CG received usual therapy (TOT) that simulated everyday situations. Outcomes and Measures: The studied variables were evaluated with the Action Research Arm Test, Box and Block Test, Motor Activity Log, FIM™–Functional Assessment Measure, and Stroke-Specific Quality of Life Scale. Results: Statistically significant differences were found between the CG group and both EGs, with improvements in upper limb functionality, fine and gross motor skills, use of the paretic arm, functional independence in ADLs, and quality of life. No differences were found between EGs. Conclusions and Relevance: Application of these combined interventions improved all variables studied. Plain-Language Summary: This study found that the use of cognitive therapeutic exercise and mirror therapy combined with task-oriented training may improve upper limb functionality, fine and gross motor skills, the use of the paretic arm, functional independence in activities of daily living, and quality of life among people with subacute stroke. The authors assess the effect of cognitive therapeutic exercise and mirror therapy combined with task-oriented training for people with subacute stroke. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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