Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Enhancing Upper Limb Functionality, Gross and Fine Motor Skills, Autonomy, and Quality of Life in Acute Stroke Patients: A Mirror Therapy, Cognitive Therapeutic Exercise, and Task-Oriented Training

Version 1 : Received: 31 January 2024 / Approved: 1 February 2024 / Online: 1 February 2024 (13:50:07 CET)

How to cite: Fernández-Solana, J.; Vélez-Santamaría, R.; Moreno-Villanueva, A.; Álvarez-Pardo, S.; González-Bernal, J.J.; Santamaría-Peláez, M.; González-Santos, J. Enhancing Upper Limb Functionality, Gross and Fine Motor Skills, Autonomy, and Quality of Life in Acute Stroke Patients: A Mirror Therapy, Cognitive Therapeutic Exercise, and Task-Oriented Training. Preprints 2024, 2024020050. https://doi.org/10.20944/preprints202402.0050.v1 Fernández-Solana, J.; Vélez-Santamaría, R.; Moreno-Villanueva, A.; Álvarez-Pardo, S.; González-Bernal, J.J.; Santamaría-Peláez, M.; González-Santos, J. Enhancing Upper Limb Functionality, Gross and Fine Motor Skills, Autonomy, and Quality of Life in Acute Stroke Patients: A Mirror Therapy, Cognitive Therapeutic Exercise, and Task-Oriented Training. Preprints 2024, 2024020050. https://doi.org/10.20944/preprints202402.0050.v1

Abstract

Mirror Therapy (MT) and Cognitive Therapeutic Exercise (CTE) are two neurorehabilitation techniques based on neuroplasticity and designed to enhance the functionality of the upper limb. Therefore, the aim is to assess the effectiveness of the combination of CTE and MT with task-oriented training (TOT) on fine and gross motor skills of the affected hand, as well as the functionality of the affected upper limb, autonomy, independence, and quality of life (QoL) in patients with acute stroke. This longitudinal and multicenter study involved a sample of 120 participants selected randomly and consecutively. Three groups were formed, including a control group (CG) and two treatment groups, one with MT and the other with CTE. The functionality of the upper limb, fine and gross motor skills, the quantity and quality of use of the affected upper limb, autonomy, and QoL were evaluated using various scales validated in the Spanish population at the baseline, after 20 treatment sessions, and at three months of follow-up. ANCOVA analysis was conducted, revealing statistically significant differences between assessments in the CG compared to the experimental groups (GEs), indicating a notable improvement in overall functionality, fine and gross motor skills, autonomy, and QoL in the latter. However, there were no significant differences between the GEs. Therefore, the application of either of these experimental combinations is crucial for the motor recovery, functionality, and improvement of the quality of life of individuals who have suffered a stroke.

Keywords

mirror therapy; cognitive therapeutic exercise; task-oriented training; upper limb; gross notor; fine motor; autonomy; quality of life; acute stroke

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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