Year :
2024
| Month :
June
| Volume :
18
| Issue :
6
| Page :
KC01 - KC05
Full Version
Effectiveness of Mirror Therapy through Telerehabilitation on Upper Extremity Performance in Hemiparetic Stroke Patients: An Experimental Study
Published: June 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69263.19517
AT Althaf, Ganapathy Sankar Umaiorubagam, Monisha Ravikumar, Redkar Simran Sandeep
1. Postgraduate Student, SRM College of Occupational Therapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, India.
2. Professor and Dean, SRM College of Occupational Therapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, India.
3. Research Scholar, SRM College of Occupational Therapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, India.
4. Research Scholar, SRM College of Occupational Therapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu, India.
Correspondence Address :
Dr. Ganapathy Sankar Umaiorubagam,
Professor and Dean, SRM College of Occupational Therapy, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu District, Tamil Nadu-603203, India.
E-mail: ganapatu@srmist.edu.in
Abstract
Introduction: A major challenge in stroke rehabilitation is the paresis of the Upper Extremity (UE), resulting in limited functional performance. Recently, motor imagery and Mirror Therapy (MT) have been recommended as an additional rehabilitation strategies that could be beneficial for motor rehabilitation after a stroke.
Aim: To determine the effectiveness of mirror visual feedback through Telerehabilitation (TR) on UE functional performance in hemiparetic stroke patients.
Materials and Methods: An experimental pretest, post-test study design was conducted at SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India from January 2021 to June 2021. Total of 60 patients diagnosed with hemiparetic stroke were included in the study through convenience sampling and divided into two groups. The experimental group (n=30) received TR, and the control group (n=30) received face-to-face MT for 12 weeks. A pretest and post-test evaluation were administered using the Wolf Motor Function Test (WMFT) and Fugl-Meyer Assessment for the Upper Extremity (FMA-UE). Within-group analysis was performed using the Wilcoxon Signed-Rank Test, while intergroup analysis was conducted using the Mann-Whitney U Test.
Results: The study revealed statistical significance between the pretest and post-test scores of the WMFT-FAS (Functional Ability Score), WMFT-Time (Performance Time), and FMA-UE in the control and experimental groups. The results showed no statistically significant difference between the post-test scores of the control and experimental groups in the FMA and WMFT-FAS. However, there was a statistically significant distinction in the post-test scores between the control and experimental groups in WMFT-Time.
Conclusion: The study concluded that mirror visual feedback through TR was an effective treatment method to improve UE functional performance among hemiparetic stroke patients by offering an alternative service delivery model for occupational therapy.
Keywords
Cerebrovascular accident, Cognitive retraining, Occupational therapy, Technology-based intervention
DOI: 10.7860/JCDR/2024/69263.19517
Date of Submission: Dec 25, 2023
Date of Peer Review: Feb 19, 2024
Date of Acceptance: Apr 15, 2024
Date of Publishing: Jun 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 25, 2023
• Manual Googling: Feb 21, 2024
• iThenticate Software: Apr 13, 2024 (12%)
ETYMOLOGY: Author Origin
EMENDATIONS: 7
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