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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Effects of the combination of mirror therapy containing tendon gliding exercise and motor task training on sensorimotor function of upper extremity for patients with chronic unilateral stroke

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  • presenting/speaker Hsiu-Yun Hsu - National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
  • Ta-Shen Kuan - National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
  • Ching-Liang Tsai - National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
  • Hsiu-Ching Yang - National Cheng Kung University Hospital, National Cheng Kung University, Tainan, Taiwan
  • Li-Chieh Kuo - National Cheng Kung University, Tainan, Taiwan

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1087

doi: 10.3205/19ifssh1495, urn:nbn:de:0183-19ifssh14959

Published: February 6, 2020

© 2020 Hsu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: The aim of the study was to examine the treatment effects of the combination of mirror therapy containing tendon gliding exercise with task-oriented training on the motor, sensation and performance of upper extremity of the stroke patients.

Materials and Methods: This was a single-blinded, randomized controlled trial. Thirteen and seven patients were recruited in the experimental and the control group, respectively. For the patients in the experimental group, each participant received 30 minutes of mirror therapy, followed by 20 minutes of regular motor task training in each treatment session. The controls received 30 minutes of traditional occupational therapy followed by 20 minutes of motor task training. Treatment intensity, which was matched for both groups, was 50 minutes/day, 3 days/week, for 6 weeks. Outcome measurements were conducted at the time points of baseline and post-treatment included Semmes-Weinstein monofilament (SWM) test, modified Ashworth scale (MAS), Fugl-Meyer motor assessment (FMA) for upper extremity, motor activity log (MAL), and box and blocks test.

Results: Significant change has been found in the score of FMA (the changes were 1.2±1.4, p=0.026) and quality of movement of MAL (the changes were 0.9±1.0, p=0.016), as well as the result of box and blocks test (the changes were 0.8±1.2, p=0.041) after receiving 18 sessions' treatment for the participants in the experimental group. Differently, there was only significant change in the score of FMA (the changes were 1.0±0.8, p=0.038) but not in other outcome measurements between the baseline and post-training evaluation for the control group. However, there were no significant differences in the changes in all of the measuring outcomes following treatment between the experimental and control group.

Conclusions: The combination of mirror therapy containing tendon gliding exercise with motor task training had beneficial effects on sensorimotor function of upper extremity in patients with chronic unilateral stroke.