Lisalde-Rodríguez María Elena, Garcia-Fernández José Antonio
Hospital Universitario Central de Asturias, Oviedo, Espana.
Rev Neurol. 2016 Jan 1;62(1):28-36.
Mirror therapy is a relatively new intervention, every time more used and with easy access for the rehabilitation treatment of stroke patient. The patient moves the unaffected limb in front of a mirror watching the reflection of that move as if he was moving de affected limb.
To analyze the effectiveness of mirror therapy in the sensorimotor function, hemineglect and activities of daily living of stroke patients.
We defined a strategy of bibliography search in Medline, EMBASE, PEDro y Cochrane Central Register of Controlled Trials (CENTRAL) looking for randomised controlled trials (RCT) conducted with hemiplegic patients considering mirror therapy as the main rehabilitation intervention. Seven trials met the inclusion criteria with medium-high methodological quality. Most of them evaluate the mirror therapy effect on motor outcomes showing significant improvements. Three of this RCTs evaluate the effect of mirror therapy on the hemineglect with positive result.
A combination of mirror therapy with conventional rehabilitation obtained significant improvements mainly in motor function but not that much on sensory function and functional performance. About the effect of mirror therapy on hemineglect, there are significant improvements but supported only with a few RCTs with small sample sizes producing promising but inconclusive results.
镜像疗法是一种相对较新的干预措施，越来越多地被用于中风患者的康复治疗，且易于实施。患者在镜子前移动未受影响的肢体，看着该动作的反射影像，就好像他正在移动受影响的肢体一样。
分析镜像疗法对中风患者感觉运动功能、半侧空间忽视及日常生活活动能力的有效性。
我们制定了在医学期刊数据库（Medline）、荷兰医学文摘数据库（EMBASE）、循证医学数据库（PEDro）和考克兰系统评价数据库（Cochrane Central Register of Controlled Trials，CENTRAL）中进行文献检索的策略，以寻找将镜像疗法作为主要康复干预措施的偏瘫患者随机对照试验（RCT）。七项试验符合纳入标准，方法学质量为中高。其中大多数评估了镜像疗法对运动结局的影响，显示出显著改善。其中三项随机对照试验评估了镜像疗法对半侧空间忽视的影响，结果为阳性。
镜像疗法与传统康复相结合主要在运动功能方面取得了显著改善，但在感觉功能和功能表现方面改善不大。关于镜像疗法对半侧空间忽视的影响，虽有显著改善，但仅得到少数样本量较小的随机对照试验的支持，结果虽有前景但尚无定论。
