Review Article

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

Table 21

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

SourceParticipantsInterventionComparatorSessionsPrimary outcomeBlindingMain findings

Lum et al., 2002 [7]27 patients with chronic hemiparesisRobotic mirror therapyNeurodevelopmental therapy24 sessions during 2 monthsNoSimple blinding (outcome raters)The robot group had larger improvements in a portion of the Fugl-Meyer test after 1 and 2 months of treatment, in strength and larger increases in reach extent after 2 months. At the 6-month follow-up, the groups no longer differed in terms of the Fugl-Meyer test; however, the robot group had larger improvements in the FIMâ„¢.

Lum et al., 2006 [25]30 subacute stroke patientsRobot-assisted treatment (unilateral, bilateral or combined)Neurodevelopmental therapy15 sessions during 4 weeksNoSimple blinding (outcome raters)Robotic training compared with conventional therapy produced larger improvements on a motor impairment scale and a measure of abnormal synergies. However, gains in all treatment groups were equivalent at the 6-month follow-up.

Burgar et al., 2011 [26]54 hemiparetic patientsUsual care and robot-assisted therapy (low or high dose)Usual care and additional conventional therapy15 to 30 sessions during 3 weeksFugl-Meyer AssessmentSimple blinding (outcome raters)Gains in the primary outcome measure were not significantly different between groups at follow-up.

Liao et al., 2011 [81]20 post stroke patientsRobot-assisted therapyDose-matched active control therapy20 sessions during 4 weeksRatio of
mean activity between the impaired and unimpaired arm
Simple blinding (outcome rater)The robot-assisted therapy group significantly increased motor function, hemiplegic arm activity and bilateral arm coordination compared with the dose-matched active control group.

Kang et al., 2017 [27]21 post stroke patients with central facial paresisOrofacial exercise and mirror therapy using a tablet PCOrofacial exerciseTwice daily for 14 daysNoNo blindingThe degree of improvement of facial movement was significantly larger in the mirror group than in the control group.