In Portugal, stroke is one of the leading causes of death and disability. Brachial hemiparesis is a common consequence, impacting functional independence for self-care. Integrating technologies and resources such as mirror therapy (MT) into care is emerging as a way to enhance the outcomes of traditionally provided rehabilitation nursing care. Visual and kinesthetic illusion activates mirror neurons and stimulates neuronal plasticity for functional recovery. Methods: Scoping Review according to the methodology of Joanna Briggs Institute (JBI) with research conducted in CINAHL Ultimate, MEDLINE Ultimate, PubMed, Scopus, LILACS Plus and RCAAP and unindexed articles. Objectives: To map rehabilitation nurse interventions in the implementation and monitoring of Mirror Therapy; to identify outcomes of Mirror Therapy in the context of Nursing care in Rehabilitation for People with Stroke; and to identify gaps in current knowledge that may guide future research in Rehabilitation Nursing. Results: 9 studies were analyzed (5 RCT; 3 RSL; 1 quantitative experimental study). Conclusions: Mirror therapy (MT) is a promising, feasible, and low-cost intervention to be integrated into post-stroke rehabilitation. It is associated with significant improvements in upper limb motor function and quality of life. It has shown effectiveness in reducing spasticity, without benefits in sensory deficit. Effectiveness is optimized when performed five times a week for up to four weeks, with sessions shorter than 60 min. The best results are observed in patients in the chronic phase, six months after stroke.

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Mirror Therapy in Stroke Patient Rehabilitation: Scoping Review

  • Ana Rita Duque,
  • Maria José Bule

摘要

In Portugal, stroke is one of the leading causes of death and disability. Brachial hemiparesis is a common consequence, impacting functional independence for self-care. Integrating technologies and resources such as mirror therapy (MT) into care is emerging as a way to enhance the outcomes of traditionally provided rehabilitation nursing care. Visual and kinesthetic illusion activates mirror neurons and stimulates neuronal plasticity for functional recovery. Methods: Scoping Review according to the methodology of Joanna Briggs Institute (JBI) with research conducted in CINAHL Ultimate, MEDLINE Ultimate, PubMed, Scopus, LILACS Plus and RCAAP and unindexed articles. Objectives: To map rehabilitation nurse interventions in the implementation and monitoring of Mirror Therapy; to identify outcomes of Mirror Therapy in the context of Nursing care in Rehabilitation for People with Stroke; and to identify gaps in current knowledge that may guide future research in Rehabilitation Nursing. Results: 9 studies were analyzed (5 RCT; 3 RSL; 1 quantitative experimental study). Conclusions: Mirror therapy (MT) is a promising, feasible, and low-cost intervention to be integrated into post-stroke rehabilitation. It is associated with significant improvements in upper limb motor function and quality of life. It has shown effectiveness in reducing spasticity, without benefits in sensory deficit. Effectiveness is optimized when performed five times a week for up to four weeks, with sessions shorter than 60 min. The best results are observed in patients in the chronic phase, six months after stroke.