Gokila, S (2016) A study to assess the effectiveness of mirror therapy to improve upper extremity motor function in stroke patients at PSG Hospitals, Coimbatore. Masters thesis, PSG College of Nursing, Coimbatore.
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Abstract
Stroke is a global health problem. It is the second commonest cause of death and fourth leading cause of disability worldwide. Mirror therapy is a relatively new approach in rehabilitation used in different neurological disorders including stroke. In mirror therapy, a mirror is placed beside the unaffected limb, blocking the view of the affected limb.Objective: The main objective of the study was to evaluate the effectiveness of mirror therapy on motor function of upper extremity in intervention group and sham therapy in comparison group. Methods: The research design adopted was True experimental pre test post test design. The sample size was 30 stroke patients with impaired upper extremity motor function in PSG hospitals. Purposive sampling technique was used in this study. Patients were randomly assigned into 15 in the intervention group and 15 in the comparison group. Brunnstrom motor recovery scale III and IV stage patients were selected for this study. Fugl- Meyer Assessment tool were used to assess upper extremity motor performance, sensory function, passive joint motion and joint pain. Pre test data were collected on the first day of intervention in both groups using Fugl-Meyer Assessment. Post test I and post test II data were collected at the 7th and 14th day of intervention in both groups using Fugl-Meyer Assessment. Mirror therapy was administered 30 minutes/ day and 7 times a week for minimum 2 weeks and maximum till the discharge for intervention group. Sham therapy was administered 30 minutes/ day and 7 times a week for minimum 2 weeks and maximum till the discharge for comparison group. Major findings of the study: There was a significant improvement of motor performance in intervention group than comparison group in patients with stroke (t=10.05, p<0.05). There was a significant improvement of sensory function in intervention group than comparison group in patients with stroke (t=8.67, p<0.05). There was a statistically significant improvement of passive joint motion in intervention group than comparison group in patients with stroke (t=8.50, p<0.05). There was a significant improvement of joint pain in intervention group than comparison group in patients with stroke (t=10.83, p<0.05). Conclusion: Mirror therapy was an effective, inexpensive and non pharmacological measure for improving upper extremity motor function. The study result showed that there was a significant improvement in upper extremity motor function involving motor performance, sensory function, passive joint motion and joint pain among stroke patients in intervention group compared with sham therapy group.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Stroke, Mirror therapy; Sham therapy; Brunnstrom motor recovery scale; Fugl-Meyer Assessment |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 08 Aug 2017 10:36 |
| Last Modified: | 09 Aug 2017 02:54 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2371 |
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