Impact of Mirror Therapy Techniques with Conventional Therapy to Facilitate Hand Functions and Adl`S in Post Stroke Survivor

International Journal of Research and Innovation in Social Science (IJRISS) | Volume III, Issue XII, December 2019 | ISSN 2454–6186

Impact of Mirror Therapy Techniques with Conventional Therapy to Facilitate Hand Functions and Adl`S in Post Stroke Survivor

Sana Nauman, Shankar Lal Ahuja, Nighat Tahir, Drsyed Imran
Dow University of Health Sciences, Pakistan

Abstract
BACKGROUND: Rehabilitation of the hemiplegic arm after stroke represents a major challenge especially in hand functioning and ADL training.
OBJECTIVE: To evaluate impact of Mirror therapy in Stroke patient to improve hand functioning and ADL’s.
METHOD: Experimental study design, this study was conducted at Institute of Physical Medicine and Rehabilitation, DOW University of Health Sciences. We recruited 25 hemiplegic patients through convenience sampling techniques; inclusion criteria for present study was stroke (1 year),age30-60 both male and female, Manual muscle Test Grade at shoulder is 3,modified Ashworth scale is at +2, No severe cognitive impairment (MMSE score >24). and exclude patient with Sensory impairment in U.E,TBI,modified Ashworth is at 3 and 4,Visual and Auditory Impairment,Psychological/Perceptual Disorder. All patients were assessed by Fugal-Meyer Assessment Upper Extremity (FMA-UE) for Motor function, Functional Independence Measurement (FIM) for Activities of Daily Living (ADL’s) and Modified Ashworth scale (MAS) scale for muscles spasticity before and after the intervention. They received both conventional occupational therapy and modified mirror therapy program, followed for 12 sessions (40-45 minutes per day thrice a week). Protocol followed in modified Mirror Therapies are active range of motion exercises along with task oriented activities
RESULT: Subjects for modified Mirror Therapy group in addition to conventional therapy shows that there is a significant improvement in baseline FMA mean, standard deviation 27.4 ±1.13± after treatment FMA mean, standard deviation 43.57 ± 9.6 with p value 0.0001.
There is a significant improvement in baseline FIM score from 35.9 mean, standard deviation 8.5 to FIM after treatment score to 48.92 mean, 9.9 standard deviation, markedly change in the spasticity of upper limb.(P=0.025)
CONCLUSION:
Modified Mirror Therapy in addition to conventional rehabilitation program was found to provide additional benefits in upper extremity motor recovery bilateral coordination and hand manipulation in stroke patients.

Keywords: Physical Rehab, Mirror Therapy,ADL’s,FMA-UE

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