Author(s)

Bruno Vieira Cortez¹, Constância Karyne da Silva Coêlho¹, Danylo Rafhael Costa Silva², Maria da Conceição Barros Oliveira², Giselle Borges Vieira Pires de Oliveira³, Francisco Mayron de Sousa e Silva¹, Éric Heleno Freire Ferreira Frederico⁴, Danúbia da Cunha de Sá-Caputo⁴, Mario Bernardo-Filho⁴, Janaína de Moraes Silva³

¹Departamento de Fisioterapia, Faculdade Maurício de Nassau, Teresina, Brasil.
²Pós-graduação da Rede Nordeste de Biotecnologia da Universidade Federal do Piauí, Universidade Federal do Piauí, Teresina, Brasil.
³Departamento de Fisioterapia, Universidade Estadual do Piauí, Teresina, Brasil.
⁴Laboratório de Vibracoes Mecanicas e Práticas Integrativas e Complementares, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.

Introduction: Mental exercise using the mirror therapy (MT) improves the retention of newly acquired skills and the performance of sequential motor skills in subjects with post-stroke hemiparesis. Objectives: The study aimed to analyze the mirror therapy effect on the range of motion and the lower limb functionality in post-stroke hemiparesis subjects. Materials and Methods: Eleven participants with hemiparesis in the lower limb were subjected to the 10 sessions of a MT protocol. The interventions were three times per week per 30 minutes each day. Evaluation of active and passive ankle goniometry (dorsiflexion and eversion movements); Ascent and Descent Ladder Rate (ADLR); Time Up and Go test (TUG test); EFEI scale; and FAAM scale were performed. The data were collected before and after the intervention using MT, and then statistically compared. Results: The MT improved significantly (p < 0.01) the range of motion of the paretic lower limb both evaluated by active and passive ankle goniometry. An increase in the speed of gait and other functional tasks related to the paretic lower limbs were found through the TUG and ADLR tests. It also demonstrated a positive influence on the functionality of the paretic lower limb motor control through the analysis of the scores in the FAAM and EFEI scales. Conclusion: It is concluded that the MT therapy can help the patients with post-stroke hemiparesis in the improvement of several functions. Probably, the mirror therapy would aid in the repair of the injuries in the cortical areas.

Mirror Therapy, Stroke, Hemiparesis, Visual Feedback, Functionality

Cortez, B. , da Silva Coêlho, C. , Silva, D. , Oliveira, M. , de Oliveira, G. , de Sousa e Silva, F. , Frederico, É. , de Sá-Caputo, D. , Bernardo-Filho, M. and de Moraes Silva, J. (2016) Effects of Mirror Therapy on the Lower Limb Functionality Hemiparesis after Stroke. Health, 8, 1442-1452. doi: 10.4236/health.2016.814144.