Background: Stroke leads to disturbance of various brain functions leading to impairments in tone, coordination, muscle recruitment patterns and difficulty in selective joint movements. 72% of the stroke patients presents with lower limb weakness. However, gait impairments are present even after 3 months of stroke. Rehabilitation strategies available to improve function in stroke patients are often intensive and making its availability for all patients difficult. Hence, novel treatment strategies are needed to improve functional performance. Task-oriented movements induce greater cortical activity and also induces more motor recovery than movements without task. Task oriented mirror therapy is a novel combination therapy which may provide better rehabilitation outcomes after stroke. Aim: To evaluate the effect of lower limb task-oriented mirror therapy on balance, gait and mobility in patients with subacute stroke. Methodology: A pilot randomized controlled trial was conducted among 30 participants. Participants were randomized into experimental group and control group. Outcome measures like Berg Balance Scale (BBS), 10-Meter Walk Test (10 MWT) and Functional Ambulatory Category (FAC) were assessed at pre intervention and at post intervention after 4 weeks. Experimental group (n=15) received task-oriented mirror therapy along with conventional therapy and the control group (n=15) received conventional therapy. Result: The result suggested that there was signi icant difference within experimental group for outcomes like BBS, 10 MWT and FAC (p=0.0001). Experimental group exhibited signi icant difference as compared to control group for BBS (p=0.005), 10 MWT (p=0.0001) and FAC (p=0.0001). Conclusion: Task-oriented mirror therapy along with conventional therapy may improve balance, gait and mobility in patients with subacute stroke after 4 weeks of intervention.
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The Annals of Medical and Health Sciences Research is a monthly multidisciplinary medical journal.