Efficacy Of Mirror Therapy To Improve Motor Function Of Upper Extremity In Stroke Patient Admitted At Tertiary Care Hospital, Bhubaneswar-A Randomized Pilot Study

Abstract

Background: Hemiplegia in a stroke patient's limb is a common complication, with estimates ranging from 50 to 80 percent of stroke patients experiencing this condition. Objectives: To evaluate the efficacy Mirror therapy has been shown to improve upper extremity motor function in stroke patients. Methods: - This study used a randomised controlled clinical trial. 40 patients (20 in the control and 20 in the experimental groups)) were allocated by consecutive sampling technique. The study was conducted in Neuro surgery HDU, ICU, Neuro AC ward Multi ward of PBMH, KIMS Bhubaneswar in stroke patients. The tools used for data collection are demographic, clinical data and FMA (Fugl meyer assessment tool).  Pre-test was conducted to evaluate upper extremity motor function in stroke patients.  Mirror therapy was administered 20-30 min once per day weekly 5 times for 4 weeks. After 4 weeks of intervention post test was conducted by the use of same tool and data were analysed. The analysis was carried out using SPSS software version 24.0 and Microsoft Excel 2018. Descriptive statistics such as mean±SD and inferential statistics such as t-test and ANOVA were utilized, and analysis was carried out. Results: Statistical findings revealed that the mean score of post-test was 25.3 ± 3.1 in control group and 46.3 ± 7.7 in post-test score in intervention group. At post-test the mean score was substantially higher in intervention group than control (p=0.001) which is found to be statistically significant at p<0.05 level. Conclusion: Mirror therapy was discovered to be an effective, non-pharmacological, low-cost method of improving upper-extremity motor performance. When compared to the control group, there was a significant improvement in upper extremity motor function in the intervention group.