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The comparative study of the effect of mirror therapy as an adjunct and conventional strengthening exercises in recovering upper extremity motor function among selected six months to 3 years post-CVA hemiparetic patients in Cebu Doctors' University affiliated centers from December 2010 to January 2011.


Melody L. Amandoron,
Nora A. Anderson,
Felissa S. Aton,
Hazmin Marie Ira R. Hugo,
Rhyan Ray S. Lazaga,
Cecille Ann R. Zamora,
Valen Villo

Related Institution

College of Rehabilitative Sciences - Physical Therapy Department - Cebu Doctors' University

Publication Information

Publication Type
Thesis Degree
Physical Therapy
Publication Date
March 2011


RESEARCH DESIGN: The study utilized the Prospective Comparative Study to determine the effect of Mirror Therapy as an adjunct and Conventional Strengthening Exercises in recovering upper extremity function among post-CVA Hemiparetic patients.

RESEARCH LOCALE: This study was conducted in Cebu Doctors' University Affiliated Rehabilitation Centers as follows: Mandaue Rehabilitation Center, Area Vocational Rehabilitation Center, and San Nicholas Rehabilitation Center.

RESEARCH PARTICIPANTS: There were 16 Hemiparetic post-CVA patients. Therapy 1 had 8 patients and Therapy 2 had 8 patients, as well as with ages ranging from 30-70 years old were gathered as subjects for this study.

PROCEDURE: Therapy 1 received mirror therapy plus conventional strengthening exercises while Therapy 2 received the conventional strengthening exercises while. The procedure was applied for 10 treatment session for at least 1 hour.

RESEARCH INSTRUMENT: The study used Stroke Rehabilitation Assessment of Movement (STREAM) as an assessment tool. STREAM was designed to provide a comprehensive, objective, and quantitative evaluation of the motor functioning of individuals with stroke. It was also designed to be quick and simple to administer. The STREAM instrument consists of 30 items that are equally distributed among 3 subscales: upper-limb movements, lower-limb movements, and basic mobility items.

RESULTS: The mean pre-test of Therapy 1 was 207.13 ± 45.71 while the mean pre-test of Therapy 2 was 179.75 ± 24.87. The mean post-test of Therapy 1 was 216 ± 50.98 while the mean post-test of Therapy 2 was 183.25 ± 22.01. Therapy 1 showed improvement of 8.88 ± 9.42 while Therapy 2 showed improvement of 3.50 ± 7.48. The mean change from pre-test to post-test for Therapy 1 was (p=8.88) and for Therapy 2 was (p=3.50).

CONCLUSION: There was a significant change in Therapy 1 (Mirror Therapy coupled with Conventional Strengthening Exercise) while no change in Therapy 2 in recovering post- CVA Hemiparetic patients with upper extremity motor dysfunction in selected Cebu Doctors' University affiliated rehabilitation centers. There was no significant difference in Therapy 1 & Therapy 2. Thus, no sufficient evidence that experimental group was better than control group.


 The purpose of the study was to determine the comparison between the effect of Mirror Therapy and Conventional Strengthening Exercises in recovering upper extremity motor function among selected six months to 3 years post-CVA Hemiparetic patients in Cebu Doctors' University affiliated centers.


1. Barton, Estrid , Johnson, Margaret . The Restoration of Normal Movement After Stroke 1995.
2. Carr, Janet H., Shepherd, Roberta B.. Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill 2002.
3. Fauci, Anthony S., Braunwald, E. , et. al., . Harrison Principle of Internal Medicine New York: McGraw-Hill Companies, 2008.
4. O, Susan B., Schimitz, Thomas J.. Physical rehabilitation 2007.
5. Smith, Marion . Stroke rehabilitation: a collaborative approach 2000.
6. Moriello, Carline , et. al., . "Development of a Position-Specific Index of Muscle Strength to be Used in Stroke Evaluation" Archives of Physical Medicine and Rehabilitation, 87, 1490-1495, November 2006
7. Yavuzer, Gunes , et. al., . "Mirror Therapy Improves Hand Function in Subacute Stoke: A Randomized Controlled Trial" Archives of Physical Medicine and Rehabilitation 89, 393-398, March 2008
8. Bohannon, Richard W.. (). Muscle Strength and Muscle Training After Stroke.. . Retrieved from: www.medicaljournals.se/jrm/content/download.php?doi=10.2340
9. Dohle, Christian , et. al., . (). Mirror Therapy Promotes Recovery From Severe Hemiparesis: A Randomized Controlled Trial. . . Retrieved from: http://www.fisioterapiamarlenemuller.com.br/pdfs/DOHLE,2008%20Mirr or%20therapy%20promotes%20recovey%20from%20 severe%20hemiparesis .pdf
10. Jeffrey, Susan . (). Mirror Therapy May Facilitate Recovery in Hemiplegic Stroke Patients . . Retrieved from: http://www.Medscape.com/viewarticle/582056
11. Itoh, Masayoshi , Lee, M.H.M. . (). Physical Therapy (PT): Rehabilitation: Merck Manual Home Edition.. . Retrieved from: http://www.merck.com/mmhe/sec01/ch007/ch007c.html
12. Maier, Karyn . (). What is Mirror Therapy?. . Retrieved from: http://www.wisegeek.com/what-is-mirror-therapy.htm
13. Vega, Jose . (). What Is Stroke?. . Retrieved from: http://stroke.about.com/od /whatis astrok1/a/Biolstroke.htm
14. (). Cerebrovascular-Accident. . Retrieved from: http://www.scribd.com/doc/ 9669047/Cerebrovascular-Accident
15. (). Muscle Weakness After Stroke:Hemiparesis.. . Retrieved from: http://www.stroke. org/site DocServer /Hemiparesis.pdf?docID=2803Accident
16. (). Mirror Box.. . Retrieved from: http://en.wikipedia.org wiki/Mirrorbox
17. (). Mirror Therapy May Help In Treatment Of Stroke Patients. . Retrieved from: http://www.pslgroup.Com/dg/106b3a.htm

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