Journal
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
Volume 94, Issue 10, Pages 859-868Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/PHM.0000000000000271
Keywords
Stroke; Electric Stimulation; Muscle Hypertonia; Rehabilitation
Categories
Funding
- National Health Research Institutes [NHRI-EX103-10010PI]
- National Science Council [NSC-100-2314-B-002-008-MY3, NSC 102-2314-B-002-154-MY2, NSC102-2628-B-182-005-MY3]
- Healthy Ageing Research Center at Chang Gung University [EMRPD1D0291, CMRPD1B0331]
- Chang Gung Memorial Hospital in Taiwan [CMRPD1C0402]
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Objective: Mirror therapy (MT) combined with mesh glove (MG) afferent stimulation (MT + MG) has been suggested as an effective intervention for motor recovery in patients with stroke. This study aimed to further determine the treatment effects of the MT + MG approach on muscular properties, sensorimotor functions, and daily function. Design: This was a single-blind, randomized, placebo-controlled study. Fort-yeight participants with chronic stroke were recruited from medical centers and were randomly assigned to the MT, MT + MG, and MT with sham MG stimulation (MT + sham) groups. The intervention consisted of 1.5 hrs/day, 5 days/wk for 4 wks. Primary outcomes were the Fugl-Meyer Assessment and muscular properties (muscle tone and stiffness). Secondary outcomes included measures of sensorimotor and daily functions. Results: Compared with the MT and MT + sham groups, the MT + MG group demonstrated improved muscular properties. The MT + MG and MT + sham groups showed greater improvement in manual dexterity and daily function than the MT group did. No beneficial effects on the Fugl-Meyer Assessment and other sensorimotor outcomes were found for the MT + MG group. Conclusions: Although no significant group differences were found in the Fugl-Meyer Assessment, MT + MG induced distinctive effects on muscular properties, manual dexterity, and daily function.
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