Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Paula,Mayara H.
Data de Publicação: 2016
Outros Autores: Barbosa,Rafael I., Marcolino,Alexandre M., Elui,Valéria M. C., Rosén,Birgitta, Fonseca,Marisa C. R.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Physical Therapy
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000100058
Resumo: BACKGROUND: Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE: To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late classic sensory program for hand nerve repair. METHOD: This is a randomized controlled trial. We assessed 20 patients with median and ulnar nerve and flexor tendon repair using the Rosen Score combined with the DASH questionnaire. The early phase group using mirror therapy began on the first postoperative week and lasted 5 months. The control group received classic sensory re-education when the protective sensation threshold was restored. All participants received a patient education booklet and were submitted to the modified Duran protocol for flexor tendon repair. The assessments were performed by the same investigator blinded to the allocated treatment. Mann-Whitney Test and Effect Size using Cohen's d score were used for inter-group comparisons at 3 and 6 months after intervention. RESULTS: The primary outcome (Rosen score) values for the Mirror Therapy group and classic therapy control group after 3 and 6 months were 1.68 (SD=0.5); 1.96 (SD=0.56) and 1.65 (SD=0.52); 1.51 (SD=0.62), respectively. No between-group differences were observed. CONCLUSION: Although some clinical improvement was observed, mirror therapy was not shown to be more effective than late sensory re-education in an intermediate phase of nerve repair in the hand. Replication is needed to confirm these findings.
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spelling Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trialhand injuriesperipheral nerve injuriesrehabilitation BACKGROUND: Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE: To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late classic sensory program for hand nerve repair. METHOD: This is a randomized controlled trial. We assessed 20 patients with median and ulnar nerve and flexor tendon repair using the Rosen Score combined with the DASH questionnaire. The early phase group using mirror therapy began on the first postoperative week and lasted 5 months. The control group received classic sensory re-education when the protective sensation threshold was restored. All participants received a patient education booklet and were submitted to the modified Duran protocol for flexor tendon repair. The assessments were performed by the same investigator blinded to the allocated treatment. Mann-Whitney Test and Effect Size using Cohen's d score were used for inter-group comparisons at 3 and 6 months after intervention. RESULTS: The primary outcome (Rosen score) values for the Mirror Therapy group and classic therapy control group after 3 and 6 months were 1.68 (SD=0.5); 1.96 (SD=0.56) and 1.65 (SD=0.52); 1.51 (SD=0.62), respectively. No between-group differences were observed. CONCLUSION: Although some clinical improvement was observed, mirror therapy was not shown to be more effective than late sensory re-education in an intermediate phase of nerve repair in the hand. Replication is needed to confirm these findings.Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia 2016-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000100058Brazilian Journal of Physical Therapy v.20 n.1 2016reponame:Brazilian Journal of Physical Therapyinstname:Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)instacron:ABRAPG-FT10.1590/bjpt-rbf.2014.0130info:eu-repo/semantics/openAccessPaula,Mayara H.Barbosa,Rafael I.Marcolino,Alexandre M.Elui,Valéria M. C.Rosén,BirgittaFonseca,Marisa C. R.eng2016-05-31T00:00:00Zoai:scielo:S1413-35552016000100058Revistahttps://www.scielo.br/j/rbfis/https://old.scielo.br/oai/scielo-oai.phpcontato@rbf-bjpt.org.br||contato@rbf-bjpt.org.br1809-92461413-3555opendoar:2016-05-31T00:00Brazilian Journal of Physical Therapy - Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)false
dc.title.none.fl_str_mv Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
title Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
spellingShingle Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
Paula,Mayara H.
hand injuries
peripheral nerve injuries
rehabilitation
title_short Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
title_full Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
title_fullStr Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
title_full_unstemmed Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
title_sort Early sensory re-education of the hand after peripheral nerve repair based on mirror therapy: a randomized controlled trial
author Paula,Mayara H.
author_facet Paula,Mayara H.
Barbosa,Rafael I.
Marcolino,Alexandre M.
Elui,Valéria M. C.
Rosén,Birgitta
Fonseca,Marisa C. R.
author_role author
author2 Barbosa,Rafael I.
Marcolino,Alexandre M.
Elui,Valéria M. C.
Rosén,Birgitta
Fonseca,Marisa C. R.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Paula,Mayara H.
Barbosa,Rafael I.
Marcolino,Alexandre M.
Elui,Valéria M. C.
Rosén,Birgitta
Fonseca,Marisa C. R.
dc.subject.por.fl_str_mv hand injuries
peripheral nerve injuries
rehabilitation
topic hand injuries
peripheral nerve injuries
rehabilitation
description BACKGROUND: Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE: To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late classic sensory program for hand nerve repair. METHOD: This is a randomized controlled trial. We assessed 20 patients with median and ulnar nerve and flexor tendon repair using the Rosen Score combined with the DASH questionnaire. The early phase group using mirror therapy began on the first postoperative week and lasted 5 months. The control group received classic sensory re-education when the protective sensation threshold was restored. All participants received a patient education booklet and were submitted to the modified Duran protocol for flexor tendon repair. The assessments were performed by the same investigator blinded to the allocated treatment. Mann-Whitney Test and Effect Size using Cohen's d score were used for inter-group comparisons at 3 and 6 months after intervention. RESULTS: The primary outcome (Rosen score) values for the Mirror Therapy group and classic therapy control group after 3 and 6 months were 1.68 (SD=0.5); 1.96 (SD=0.56) and 1.65 (SD=0.52); 1.51 (SD=0.62), respectively. No between-group differences were observed. CONCLUSION: Although some clinical improvement was observed, mirror therapy was not shown to be more effective than late sensory re-education in an intermediate phase of nerve repair in the hand. Replication is needed to confirm these findings.
publishDate 2016
dc.date.none.fl_str_mv 2016-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000100058
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-35552016000100058
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/bjpt-rbf.2014.0130
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
publisher.none.fl_str_mv Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia
dc.source.none.fl_str_mv Brazilian Journal of Physical Therapy v.20 n.1 2016
reponame:Brazilian Journal of Physical Therapy
instname:Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)
instacron:ABRAPG-FT
instname_str Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)
instacron_str ABRAPG-FT
institution ABRAPG-FT
reponame_str Brazilian Journal of Physical Therapy
collection Brazilian Journal of Physical Therapy
repository.name.fl_str_mv Brazilian Journal of Physical Therapy - Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia (ABRAPG-FT)
repository.mail.fl_str_mv contato@rbf-bjpt.org.br||contato@rbf-bjpt.org.br
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