A Review on the Effects of Mirror Therapy in Stroke Patients with Partial Paralysis


Epidemiology and Biostatistics Unit, School of Health Sciences, The University of Zambia, Lusaka, Zambia
Department of Physiotherapy, School of Health Sciences, The University of Zambia, Lusaka, Zambia.
Paralysis of the arm or leg is common after stroke and frequently causes problems with activities of daily living such as walking, dressing, or eating. Mirror therapy is a rehabilitation therapy in which a mirror is placed between the arms or legs so that the image of a moving non-affected limb gives the illusion of normal movement in the affected limb. By this setup, different brain regions for movement, sensation, and pain are stimulated. However, the precise working mechanisms of mirror therapy are still unclear. Research for literature in various databases is still on-going but some progress has shown that this therapy at least aids the patients. This study reviews the evidence of the Effects of Mirror therapy in Stroke Patients with Partial paralysis. This review article was conducted basing on the previous studies published in English from the years 2009-2016, retrieved from the electronic data: PubMed and Google scholar crossing the keys words ìmirror therapyî and ìstrokeî found in studies which were read and analysed. Only articles that focused on the Effects of Mirror therapy on stroke patients with partial paralysis were included. Mirror Therapy may be beneficial in improving some of the motor functions of the hemiplegic stroke patients. However, there is limited evidence for its optimal use and specific treatment regimens at different stages of stroke.
Abo Salem HM, Huang X. 2015. The effects of mirror therapy on clinical improvement in hemiplegic lower extremity rehabilitation in subjects with chronic stroke. International Scholarly and Scientific Research & Innovation, 9(2), 163-166.
Altschuler EL, Wisdom SB, Stone L, Foster C et al., 1999. Rehabilitation of hemiparesis after stroke with a mirror. The Lancet, 353(9169), 2035-2036.
Buccino G, Binkofski F, Fink GR, et al., 2001. Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study. Eur J Neurosci, 13, 400-404.
Crosby LD. 2015. Mirror therapy for the lower extremities post-stroke.
Deconinck FJA, Smorenburg ARP, Benham A et al., 2015. Reflections on mirror therapy: a systematic review of the effect of mirror visual feedback on the brain. Neurorehab Neural Re, 29(4), 349e361.
Ezendam D, Bongers RM, Jannink MJ. 2009. Systematic review of the effectiveness of mirror therapy in upper extremity function. Disabil Rehabil, 31, 2135-2149.
Fadiga L and Craighero L. 2004. Electrophysiology of action representation. Clinl Neurophysiol, 21(3), 157-169.
Freysteinson WM. 2009. Therapeutic mirror interventions: an integrated review of the literature. J Holist Nurs, 27(4), 241-252.
Hamdy S, Rothwell JC, Aziz Q, Singh KD, Thompson DG. 1998. Long-term reorganization of human motor cortex driven by short-term sensory stimulation. Nat Neurosci, 1, 64-68.
Ji SG, Kim MK. 2015. The effects of mirror therapy on the gait of subacute stroke patients: a randomized controlled trial. Clin Rehabil, 29(4), 348-354.
Lee MM, Cho HY, Song CH. 2012. The mirror therapy program enhances upper-limb motor recovery and motor function in acute stroke patients. Am J Phys Med Rehabil, 91, 689-700.
Lipert J, Dettmers C, Terborg C, Weiller C. 2001. Inhibition of ipsilateral motor cortex during phasic generation of low force. Clin Neurophysiol, 112, 114-121.
Luft AR, Forrester L, Macko RF et al., 2005. Brain activation of lower extremity movement in chronically impaired stroke survivors. Neuroimage, 26(1), 184-194.
Mohan U, Babu SK, Kumar KV et al., 2013. Effectiveness of mirror therapy on lower extremity motor recovery, balance and mobility in patients with acute stroke: a randomized sham-controlled pilot trial. Ann Indian Acad Neurol, 16(4), 634-639.
Ramachandran VS, Altschuler E. 2009. The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain, 132, 1693-1710.
Ramachandran VS, Rogers-Ramachandran D, Cobb S. 1995. Touching the phantom limb. Nature, 377(6549), 489-490.
Rossiter HE, Borreli MR, Borchert RJ, Bradbury D, Ward NS. 2015. Cortical mechanisms of mirror therapy after stroke. Neurorehab Neural Re, 29(5), 444-452.
Rothgangel AS, Braun SM, Beurskens AJ, Seitz RJ, Wade DT. 2011. The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature. Int J Rehabil Res, 34(1), 1e13.
Su®tbeyaz S, Yavuzer G, Sezer N, Koseoglu BF. 2007. Mirror therapy enhances lower-extremity motor recovery and motor functioning after stroke: a randomized controlled trial. Arch Phy Med Rehabil, 88, 555-559.
Taub E. 1980. Somatosensory deafferentation research with monkey: implications for rehabilitation medicine. In: Williams, Wilkins, editors. Behavioural psychology in rehabilitation medicine: clinical applications. Baltimore: L.P. Ince, 371-401.
Thieme H, Mehrholz J, Pohl M, Behrens J, Dohle C. 2018. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev, 11(7), CD008449.
Toh SFM and Fong KNK. 2012. Systematic review on the effectiveness of mirror therapy in training upper limb hemiparesis after stroke. Hong Kong J Occup Th, 22, 84-95.
Wada Y, Kondo I, Sonoda S et al., 2011. Mirror therapy for severely affected ankle joints of stroke patients. JJCRS, 2, 71-76.
World Health Organisation. 2012. World health statistics 2012. Retrieved November 2015 from
World Health Organization. 2014. Global status report on non communicable diseases 2014. Retrieved November 2015 from
Yavuzer G, Selles R, Sezer N et al., 2008. Mirror therapy improves hand} function in subacute stroke: a randomized controlled trial. Arch Phy Med Rehabil, 89(3), 393-398.
Chiluba BC, Kalumbi J, Lloyd T, Mphanza M, Nyambe JM. 2019. A Review on the Effects of Mirror Therapy in Stroke Patients with Partial Paralysis. J Integral Sci, 2(2), 19-23.
Chiluba BC

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