Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, September 7, 2025

Evaluating the Effect of Mirror Therapy on Cognitive Neuroplasticity and Motor Recovery in Stroke Rehabilitation

Your mentors and senior researchers incompetently didn't know of all this previous research? 

  • mirror training (2 posts to September 2021)

    •  Evaluating the Effect of Mirror Therapy on Cognitive Neuroplasticity and Motor Recovery in Stroke Rehabilitation

      Perkash Lal1 , Satish Kumar2, Jeetendar Valecha3, Mahrukh Warraich4, Aneela Shoukat4, Safa Rafaqat4 1Agha Khan University and Hospital, Karachi, Pakistan 2Liaquat University of Medical & Health Sciences, Jamshoro, Pakistan; 3Lincoln University College, Malaysia; 4Iqra University, Islamabad, Pakistan 

     ABSTRACT 

    Background: 

    Stroke commonly leads to significant motor impairments through cortical damage. Mirror therapy (MT), utilizing visual feedback to stimulate motor cortex activity, has shown promise as a neuroplasticity-enhancing intervention for motor recovery. This study investigated mirror therapy's effects on neuroplastic changes and functional motor outcomes in post-stroke patients during rehabilitation. 

     Methodology: 

    We conducted a randomized controlled trial with 40 post-stroke patients (ages 40–70) presenting upper limb motor deficits. Participants were randomly allocated to mirror therapy (Group A) or task-oriented training (Group B). Both groups received 6-week interventions, 5 sessions weekly. Cognitive neuroplasticity was measured using Trail Making Tests (TMT) assessing attention, visual search, and executive function. Motor function evaluation included Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and Action Research Arm Test (ARAT). 

     Results: 

    All 40 patients (mean age 58.7±7.9 years) completed the intervention. While both groups demonstrated significant within group improvements (p<0.001), mirror therapy showed superior effectiveness over task-oriented training. TMT improvements significantly favored mirror therapy: TMT-A (-26.3±8.9 vs -14.4±7.2 seconds, p<0.001); TMT-B (-43.8±12.7 vs -19.5±9.8 seconds, p<0.001). Motor assessments similarly favored mirror therapy: FMA-UE (+15.8±4.3 vs +10.7±3.9 points, p<0.001); ARAT (+13.8±3.7 vs +8.8±4.1 points, p<0.001). Effect sizes were large across measures (Cohen's d: 1.25-2.12). 

     Conclusion: 

    Mirror therapy demonstrated clear superiority over task-oriented training for enhancing cognitive neuroplasticity and motor recovery in stroke patients. These results suggest mirror therapy provides comprehensive benefits addressing multiple post stroke impairment aspects simultaneously, supporting its integration into standard rehabilitation protocols for upper limb motor deficits. Keywords: Cognitive Neuroplasticity, Mirror Therapy, Motor Recovery, Stroke Rehabilitation, Upper Limb Function.

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