Effects of Mirror Visual Observation Priming on Upper Extremity Motor Recovery After Stroke: A Pilot Randomized Controlled Trial.

To investigate the priming effects of mirror visual observation (MVO) on upper extremity (UE) motor recover after stroke. Randomized, controlled, observer-blinded study. Rehabilitation Medicine Department in Tertiary Hospital. Twenty individuals (N=20) with first unilateral stroke within 1 week to 6...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 106; no. 11; pp. 1629 - 1636
Autores principales: Zhuang, Jinyang, Lin, Jiali, Li, Qinying, Jia, Jie
Formato: research randomized controlled trial Journal Article
Publicado: W B Saunders Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
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      pub: W B Saunders
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        188877296
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        188877296
        10.1016/j.apmr.2025.04.014
        188877296
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        atl: Effects of Mirror Visual Observation Priming on Upper Extremity Motor Recovery After Stroke: A Pilot Randomized Controlled Trial.
      aug:
        au:
          Zhuang, Jinyang
          Lin, Jiali
          Li, Qinying
          Jia, Jie
        affil: Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
      sug:
        subj:
          Stroke Rehabilitation
          Upper Extremity Physiology
          Motor Skills Evaluation
          Recovery Evaluation
          Psychomotor Performance
          Task Performance and Analysis
          Human
          Randomized Controlled Trials
          Descriptive Statistics
          Data Analysis Software
          Pilot Studies
          Scales
          Stroke Complications
          Confidence Intervals
          Grip Strength
          Recovery
          Random Assignment
          Tertiary Health Care
      ab: To investigate the priming effects of mirror visual observation (MVO) on upper extremity (UE) motor recover after stroke. Randomized, controlled, observer-blinded study. Rehabilitation Medicine Department in Tertiary Hospital. Twenty individuals (N=20) with first unilateral stroke within 1 week to 6 months. Participants were randomly divided into 2 groups: the experimental group (EG) receiving MVO with task-oriented training (MVO+TOT); and the control group (CG) receiving sham MVO+TOT. The intervention consisted of 30 minutes of MVO or sham MVO, a 10-minute break, and 30 minutes of TOT daily, 5 days a week, for 3 weeks. The primary outcome was the Fugl-Meyer Assessment Upper Extremity Motor Function Subscale (FMA_UE). The change of FMA_UE (ΔFMA_UE) before and after the intervention was assessed for clinical significance. The secondary outcomes included grip strength, the Action Research Arm Test (ARAT), and the Modified Barthel Index (MBI). All patients completed the trial without adverse reactions. The EG had a better treatment experience than the CG. Both groups showed improvements in FMA_UE, grip strength, ARAT, and MBI scores from baseline (P <.05 for all). Postintervention, there were no differences between the groups in grip strength, ARAT, and MBI scores (P >.05 for all). However, the EG showed a better improvement in FMA_UE scores compared with the CG (P =.044). The ΔFMA_UE of both groups surpassed the minimal clinically important difference (MCID). The average ΔFMA_UE difference between the groups was 10.80 (95% CI, 6.31-15.29), exceeding the MCID with statistical significance (P <.001). MVO demonstrates a priming effect that enhances the recovery of UE motor impairments poststroke with clinical significance.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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