Efficacy of Task-Oriented Mirror Therapy on Enhancing Functional  Recovery for Unilateral Neglect Post Stroke

Dhanusia S; Divyadarshini K; Prathap  Suganthirababu; Priyadharshini Kumar; Rajalaxmi  V; Vanitha Jayaraj; Vignesh  Srinivasan

Authors

Dhanusia S Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0003-2164-078X
Divyadarshini K Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-1419-266X
Prathap Suganthirababu Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-1419-266X
Priyadharshini Kumar Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-8121-2640
Rajalaxmi V Faculty of Physiotherapy, Dr. MGR Educational and Research Institute University, Chennai, Tamil Nadu, India https://orcid.org/0000-0002-7306-4537
Vanitha Jayaraj Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0001-9049-3803
Vignesh Srinivasan Saveetha college of physiotherapy, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India https://orcid.org/0000-0003-3378-4334

Keywords:

Catherine Bergego Scale, line bisection test, Rehabilitation, Post-stroke

Abstract

Objective Stroke is a neurological condition with multiple complications, one of the most common being Unilateral Spatial Neglect (USN), where patients lose awareness of one side of their body. Both task-oriented
mirror therapy and task-oriented therapy can aid in improving functional performance. The objective of the study was to compare the efficacy of task-oriented mirror therapy with task-oriented therapy in improving functional recovery among patients with USN.

Methods This was a comparative study of 30 individuals. Using the sealed envelope method, participants were randomly assigned into group A or group B with 15 individuals in each group as per the inclusion and exclusion criteria. Group A was administered task-oriented mirror therapy and group B was administered task-oriented therapy. The therapy sessions were conducted for 45 minutes daily, 5 times a week, over a span of 4 weeks. The outcome measures were evaluated using the Catherine Bergego Scale (CBS) and the Line Bisection Test.

Results Task-oriented mirror therapy had a greater impact on unilateral spatial neglect compared to task-oriented therapy without a mirror. A notable difference was found in the post-test mean and standard deviation values for CBS in group A [8.20 ± 2.624] and Group B [15.07 ± 3.105], as well as for line bisection test in group A [7.27 ± 1.534] and Group B [14.53 ± 2.973], both with a p < 0.001.

Conclusion Task-oriented mirror therapy showed better improvement in functional outcomes for patients with unilateral spatial neglect compared to task-oriented therapy.

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