You'll have to ask your doctor to get the protocol for the mirror therapy anyway. If you have spasticity the regular therapy doesn't work so mirror therapy and action observation might work. Botox is not therapy.
Comparison of Task Oriented Approach and Mirror Therapy for Post-stroke Hand Function Rehabilitation
B Ragamai* and K Madhavi MNR Sanjeevani College of Physiotherapy, Subedari, Warangal, Telangana, IndiaAbstract
Objective:The purpose of this study was to compare the effectiveness of task-oriented therapy and mirror therapy on improving hand function in post-stroke patients.
Methods:
Total subjects 30 were randomly divided into two groups: the task-oriented group (15 patients) and the mirror therapy group (15 patients). The task-oriented group underwent task-oriented training for 45 mins a day for 5 days a week for 4 weeks. The mirror therapy group underwent a mirror therapy program under the same schedule as task-oriented therapy. The manual dexterity and motor functioning of the hand were evaluated before the intervention and 4 weeks after the intervention by using FMA (Fugl-Meyer assessment) and BBT (Box & Block test).
Results:
Hand function of all patients increased significantly after the 4-week intervention program on the evaluation of motor function and manual dexterity by FMA and BBT in both the groups of Task-Oriented approach and Mirror therapy, but Group A Task-oriented approach improved more significantly when compared to Group B Mirror therapy.
Conclusion:
The treatment effect was more in patients who received a Task-Oriented approach compared to Mirror therapy. These findings suggest that the Task-Oriented approach was more effective in post stoke hand function rehabilitation.