Tags

Type your tag names separated by a space and hit enter

Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study.
Arch Phys Med Rehabil. 2016 Apr; 97(4):575-581.AP

Abstract

OBJECTIVE

To investigate the effects of mirror therapy on upper limb motor functions, spasticity, and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1.

DESIGN

Randomized controlled trial.

SETTING

Training and research hospital.

PARTICIPANTS

Adult patients with first-time stroke and simultaneous complex regional pain syndrome type 1 of the upper extremity at the dystrophic stage (N=30).

INTERVENTIONS

Both groups received a patient-specific conventional stroke rehabilitation program for 4 weeks, 5 d/wk, for 2 to 4 h/d. The mirror therapy group received an additional mirror therapy program for 30 min/d.

MAIN OUTCOME MEASURES

We evaluated the scores of the Brunnstrom recovery stages of the arm and hand for motor recovery, wrist and hand subsections of the Fugl-Meyer Assessment (FMA) and motor items of the FIM-motor for functional status, Modified Ashworth Scale (MAS) for spasticity, and visual analog scale (VAS) for pain severity.

RESULTS

After 4 weeks of rehabilitation, both groups had significant improvements in the FIM-motor and VAS scores compared with baseline scores. However, the scores improved more in the mirror therapy group than the control group (P<.001 and P=.03, respectively). Besides, the patients in the mirror therapy arm showed significant improvement in the Brunnstrom recovery stages and FMA scores (P<.05). No significant difference was found for MAS scores.

CONCLUSIONS

In patients with stroke and simultaneous complex regional pain syndrome type 1, addition of mirror therapy to a conventional stroke rehabilitation program provides more improvement in motor functions of the upper limb and pain perception than conventional therapy without mirror therapy.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Ankara Training and Research Hospital, Ankara, Turkey. Electronic address: secilvural@hotmail.com.Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Research Hospital, Ankara, Turkey.Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Research Hospital, Ankara, Turkey.Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Research Hospital, Ankara, Turkey.Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Research Hospital, Ankara, Turkey.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26723854

Citation

Pervane Vural, Secil, et al. "Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: a Randomized Controlled Study." Archives of Physical Medicine and Rehabilitation, vol. 97, no. 4, 2016, pp. 575-581.
Pervane Vural S, Nakipoglu Yuzer GF, Sezgin Ozcan D, et al. Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. Arch Phys Med Rehabil. 2016;97(4):575-581.
Pervane Vural, S., Nakipoglu Yuzer, G. F., Sezgin Ozcan, D., Demir Ozbudak, S., & Ozgirgin, N. (2016). Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. Archives of Physical Medicine and Rehabilitation, 97(4), 575-581. https://doi.org/10.1016/j.apmr.2015.12.008
Pervane Vural S, et al. Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: a Randomized Controlled Study. Arch Phys Med Rehabil. 2016;97(4):575-581. PubMed PMID: 26723854.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. AU - Pervane Vural,Secil, AU - Nakipoglu Yuzer,Guldal Funda, AU - Sezgin Ozcan,Didem, AU - Demir Ozbudak,Sibel, AU - Ozgirgin,Nese, Y1 - 2015/12/23/ PY - 2015/09/29/received PY - 2015/11/27/revised PY - 2015/12/04/accepted PY - 2016/1/3/entrez PY - 2016/1/3/pubmed PY - 2016/8/11/medline KW - Complex regional pain syndromes KW - Hemiplegia KW - Pain KW - Rehabilitation KW - Therapeutics SP - 575 EP - 581 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 97 IS - 4 N2 - OBJECTIVE: To investigate the effects of mirror therapy on upper limb motor functions, spasticity, and pain intensity in patients with hemiplegia accompanied by complex regional pain syndrome type 1. DESIGN: Randomized controlled trial. SETTING: Training and research hospital. PARTICIPANTS: Adult patients with first-time stroke and simultaneous complex regional pain syndrome type 1 of the upper extremity at the dystrophic stage (N=30). INTERVENTIONS: Both groups received a patient-specific conventional stroke rehabilitation program for 4 weeks, 5 d/wk, for 2 to 4 h/d. The mirror therapy group received an additional mirror therapy program for 30 min/d. MAIN OUTCOME MEASURES: We evaluated the scores of the Brunnstrom recovery stages of the arm and hand for motor recovery, wrist and hand subsections of the Fugl-Meyer Assessment (FMA) and motor items of the FIM-motor for functional status, Modified Ashworth Scale (MAS) for spasticity, and visual analog scale (VAS) for pain severity. RESULTS: After 4 weeks of rehabilitation, both groups had significant improvements in the FIM-motor and VAS scores compared with baseline scores. However, the scores improved more in the mirror therapy group than the control group (P<.001 and P=.03, respectively). Besides, the patients in the mirror therapy arm showed significant improvement in the Brunnstrom recovery stages and FMA scores (P<.05). No significant difference was found for MAS scores. CONCLUSIONS: In patients with stroke and simultaneous complex regional pain syndrome type 1, addition of mirror therapy to a conventional stroke rehabilitation program provides more improvement in motor functions of the upper limb and pain perception than conventional therapy without mirror therapy. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/26723854/Effects_of_Mirror_Therapy_in_Stroke_Patients_With_Complex_Regional_Pain_Syndrome_Type_1:_A_Randomized_Controlled_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(15)01560-9 DB - PRIME DP - Unbound Medicine ER -