Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke
Applying evidence-based therapies in stroke rehabilitation plays a crucial role in this process, as they are supported by studies and results that demonstrate their effectiveness in improving functionality, such as mirror therapy (MT), cognitive therapeutic exercise (CTE), and task-oriented training...
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| Format: | Article |
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MDPI AG
2024-02-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/12/5/569 |
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| author | Jessica Fernández-Solana Sergio Álvarez-Pardo Adrián Moreno-Villanueva Mirian Santamaría-Peláez Jerónimo J. González-Bernal Rodrigo Vélez-Santamaría Josefa González-Santos |
| author_facet | Jessica Fernández-Solana Sergio Álvarez-Pardo Adrián Moreno-Villanueva Mirian Santamaría-Peláez Jerónimo J. González-Bernal Rodrigo Vélez-Santamaría Josefa González-Santos |
| author_sort | Jessica Fernández-Solana |
| collection | DOAJ |
| description | Applying evidence-based therapies in stroke rehabilitation plays a crucial role in this process, as they are supported by studies and results that demonstrate their effectiveness in improving functionality, such as mirror therapy (MT), cognitive therapeutic exercise (CTE), and task-oriented training. The aim of this study was to assess the effectiveness of MT and CTE combined with task-oriented training on the functionality, sensitivity, range, and pain of the affected upper limb in patients with acute stroke. A longitudinal multicenter study recruited a sample of 120 patients with acute stroke randomly and consecutively, meeting specific inclusion and exclusion criteria. They were randomly allocated into three groups: a control group only for task-oriented training (TOT) and two groups undergoing either MT or CTE, both combined with TOT. The overall functionality of the affected upper limb, specific functionality, sensitivity, range of motion, and pain were assessed using the Fugl–Meyer Assessment Upper Extremity (FMA-UE) scale validated for the Spanish population. An initial assessment was conducted before the intervention, a second assessment after completing the 20 sessions, and another three months later. ANCOVA analysis revealed statistically significant differences between the assessments and the experimental groups compared to the control group, indicating significant improvement in the overall functionality of the upper limb in these patients. However, no significant differences were observed between the two experimental groups. The conclusion drawn was that both therapeutic techniques are equally effective in treating functionality, sensitivity, range of motion, and pain in the upper limb following a stroke. |
| first_indexed | 2024-04-25T00:29:40Z |
| format | Article |
| id | doaj.art-0ee210a51d1647629d3ceae135501e59 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-25T00:29:40Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-0ee210a51d1647629d3ceae135501e592024-03-12T16:44:52ZengMDPI AGHealthcare2227-90322024-02-0112556910.3390/healthcare12050569Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute StrokeJessica Fernández-Solana0Sergio Álvarez-Pardo1Adrián Moreno-Villanueva2Mirian Santamaría-Peláez3Jerónimo J. González-Bernal4Rodrigo Vélez-Santamaría5Josefa González-Santos6Department of Health Sciences, University of Burgos, 09001 Burgos, SpainFaculty of Health Science, University Isabel I, 09003 Burgos, SpainFaculty of Health Science, University Isabel I, 09003 Burgos, SpainDepartment of Health Sciences, University of Burgos, 09001 Burgos, SpainDepartment of Health Sciences, University of Burgos, 09001 Burgos, SpainDepartment of Health Sciences, University of Burgos, 09001 Burgos, SpainDepartment of Health Sciences, University of Burgos, 09001 Burgos, SpainApplying evidence-based therapies in stroke rehabilitation plays a crucial role in this process, as they are supported by studies and results that demonstrate their effectiveness in improving functionality, such as mirror therapy (MT), cognitive therapeutic exercise (CTE), and task-oriented training. The aim of this study was to assess the effectiveness of MT and CTE combined with task-oriented training on the functionality, sensitivity, range, and pain of the affected upper limb in patients with acute stroke. A longitudinal multicenter study recruited a sample of 120 patients with acute stroke randomly and consecutively, meeting specific inclusion and exclusion criteria. They were randomly allocated into three groups: a control group only for task-oriented training (TOT) and two groups undergoing either MT or CTE, both combined with TOT. The overall functionality of the affected upper limb, specific functionality, sensitivity, range of motion, and pain were assessed using the Fugl–Meyer Assessment Upper Extremity (FMA-UE) scale validated for the Spanish population. An initial assessment was conducted before the intervention, a second assessment after completing the 20 sessions, and another three months later. ANCOVA analysis revealed statistically significant differences between the assessments and the experimental groups compared to the control group, indicating significant improvement in the overall functionality of the upper limb in these patients. However, no significant differences were observed between the two experimental groups. The conclusion drawn was that both therapeutic techniques are equally effective in treating functionality, sensitivity, range of motion, and pain in the upper limb following a stroke.https://www.mdpi.com/2227-9032/12/5/569acute strokemirror therapycognitive therapeutic exercisetask-oriented trainingupper limbfunctionality |
| spellingShingle | Jessica Fernández-Solana Sergio Álvarez-Pardo Adrián Moreno-Villanueva Mirian Santamaría-Peláez Jerónimo J. González-Bernal Rodrigo Vélez-Santamaría Josefa González-Santos Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke Healthcare acute stroke mirror therapy cognitive therapeutic exercise task-oriented training upper limb functionality |
| title | Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke |
| title_full | Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke |
| title_fullStr | Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke |
| title_full_unstemmed | Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke |
| title_short | Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke |
| title_sort | efficacy of a rehabilitation program using mirror therapy and cognitive therapeutic exercise on upper limb functionality in patients with acute stroke |
| topic | acute stroke mirror therapy cognitive therapeutic exercise task-oriented training upper limb functionality |
| url | https://www.mdpi.com/2227-9032/12/5/569 |
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