Review Article

Do Robotics and Virtual Reality Add Real Progress to Mirror Therapy Rehabilitation? A Scoping Review

Table 20

Characteristics of included RCTs (n = 5) which compare first- and second-generation mirror therapy.

SourceParticipants InterventionComparatorSessionsPrimary outcomeBlindingMain findings

Regenbrecht et al., 2011 [78]24 healthy subjectsAugmented mirror box (AMB)Optical mirror box1NoNo blindingThe mirror box technique is able to fool or confuse individual’s perceptions and beliefs. The AMB produced strong results in this regard.

Hoermann et al., 2012 [24]21 healthy subjectsVideo-mediated (advanced) augmented reflection
technology
Optical mirror box1NoNo blindingVideo-mediated manipulations of hand-position reversals produced equal to stronger effects of ownership compared with the mirror reflection.

Kang et al., 2012 [21]18 healthy subjects and 18 hemiplegic patientsVirtual mirror therapyRelaxation or real mirror1NoNo blindingCorticospinal excitability was facilitated to a greater extent in the virtual mirror paradigm than in the real mirror.

Yang et al., 2014 [22]12 stroke patients with pusher syndromeComputer-generated visual feedback trainingMirror visual feedback training3 times a week during 3 weeksNoSimple blinding (assessors)The computer-generated visual feedback training more effectively aided recovery from pusher syndrome and balance (but no significant difference was noted between groups for lower extremity motor function).

In et al., 2016 [23]25 patients with chronic strokeVirtual reality reflection therapy (VRRT)Standard mirror therapy5 time a week during 4 weeksNoSimple blinding (assessors)Applying VRRT might be even more beneficial than conventional rehabilitation program alone in improving affected lower limb function.