Just when the hell is a stroke protocol going to be written up on mirror therapy? Or should stroke survivors do this on their own because their doctors are fucking incompetent? I can't comprehend how mirror therapy would work on the lower limb. I need it since spasticity is making my walking all screwed up.
Don't listen to me, that would just lead you down the dangerous path of practicing medicine without a license.
Article type: Case Report
Affiliations:
[a] Clinical Health & Nutrition Centre (CHANCE), School of Science, Institute of Technology, Ballinode, Sligo, Ireland
|
[b]
RCSI Royal College of Surgeons in Ireland, Dublin, Ireland
|
[c]
University College Dublin, Dublin, Ireland
Correspondence:
[*]
Corresponding author: Daniel Simpson, Clinical Health & Nutrition
Centre (CHANCE), School of Science, Institute of Technology, Ash Lane,
Ballinode, Sligo, Ireland. Tel.: +353 0 870531507; E-mail: daniel.simpson@mail.itsligo.ie.
Abstract:
BACKGROUND:A
large proportion of patients with chronic stroke have permanent lower
limb functional disability leading to reduced levels of independent
mobility. Individually, both cross-education of strength and mirror
therapy have been shown to improve aspects of lower limb functioning
post-stroke.
OBJECTIVES:This case report examined whether the novel combination of
both therapies could be a feasible intervention leading to improvements
in lower limb impairments and functional ability for a post-stroke
individual.
METHODS:The participant was a 66-year-old male and was six
months’ post-stroke. Due to hemiparesis and spasticity he had lower limb
motor impairment. The participant engaged in a combination of
cross-education strength training plus mirror therapy three days per
week for four weeks. Outcome measures included Maximal Voluntary
Contraction, Modified Ashworth Scale, 10 Metre Walk Test, Timed Up and
Go and London Handicap Scale. Intervention adherence, adverse effects
and subjective feedback were also recorded.
RESULTS:Maximal Voluntary
Contraction increased in both limbs. Improvements were also seen in the
Modified Ashworth Scale, 10 Metre Walk Test and Timed Up and Go.
Improvements in function were reflected in a positive increase in
self-perceived participation scores. The intervention was well received
and no adverse effects were noted for the participant.
DISCUSSION:The
positive outcomes from this new combination therapy for this participant
are encouraging and indicate the potential benefit of mirror therapy as
an adjunct to cross-education training for improving lower limb
strength, spasticity and motor function post-stroke.
Keywords: Stroke rehabilitation, hemiparesis, cross-education, mirror therapy
DOI: 10.3233/PPR-180125
Published: 07 February 2019
Price: EUR 27.50
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