Effectiveness of Mirror Therapy on Muscle Strength in Stroke Patients: A Systematic Literature Review


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Authors

  • Triya Yestika Saleha Department of Nursing, Poltekkes Kemenkes Tasikmalaya
  • Yanti Cahyati Department of Nursing, Poltekkes Kemenkes Tasikmalaya

DOI:

https://doi.org/10.69606/jps.v4i01.310

Keywords:

Therapy Reflection, Muscle Strength, Stroke Patients

Abstract

Background: Stroke is still the leading cause of death in brain health problems throughout Indonesia. In stroke patients, 70-80% of patients experience hemiparesis (muscle weakness on one side of the body). One of the rehabilitation and non-pharmacological interventions is muscle strength training, which stimulates nerves and increases functional motor/muscle strength using mirror therapy. Mirror therapy is a treatment for stroke patients that involves the mirror neuron system in the cerebral cortex and helps restore motor skills in the hands and mouth. Aims: To know the effect of mirror therapy on the muscle strength of stroke patients. Method: This research is a literature review. This review aims to review empirical evidence regarding the effectiveness of mirror therapy in improving muscle strength in stroke patients through a systematic analysis of the literature from 2019 to 2024. The PRISMA-based search and selection procedure yielded 16 articles for analysis. Results: Based on an analysis of 16 articles, mirror therapy improves muscle strength in stroke patients (p < 0.05). Conclusion: Mirror therapy can improve muscle strength and can be used as part of standard care for stroke patients with muscle weakness, both in the hospital and at home. The author recommends the application of mirror therapy in stroke patients for self-care interventions at home,

References

American Heart Association. (2019). Ischemic and hemorrhagic strokes: Symptoms and outcomes. https://www.heart.org

American Stroke Association. (2021). Understanding stroke: The importance of timely treatment. https://www.stroke.org

Irawandi, D., & Alfa, S. (2017). Effectiveness of Mirror Therapy for Muscle Strength in Ischemic Stroke Patients with Hemiparesis. 3(Inc), 3–5. https://doi.org/10.2991/inc-17.2017.6

Istianah, A. G., W. H., & Arifin, Z. (2020). Efektivitas Mirror Therapy terhadap Kekuatan Otot dan Status Fungsional Pasien Stroke Non-Hemoragi. The Indonesian Journal of Health Science, 12(2), 158–168. http://jurnal.unmuhjember.ac.id/index.php/TIJHS/article/view/4872/3056

Klinkwan, P., Kongmaroeng, C., Muengtaweepongsa, S., & Limtrakarn, W. (2022). The Effectiveness of Mirror Therapy to Upper Extremity Rehabilitation in Acute Stroke Patients. Applied Science and Engineering Progress, 15(4). https://doi.org/10.14416/j.asep.2021.05.002

Lee, C., Jeon, S. H., Kim, M. J., Ra, G. D., Lee, Y., Hong, S. H., Shin, B., & Goo, H. (2021). Obat Faktor-Faktor yang Mempengaruhi Depresi Pasca Stroke Pada Pasien Stroke Iskemik Akut Setelah 3 Bulan.

Lee, S.-T., & Kim, K.-Y. (2020). The Effects of Convergent Stimulation on tDCS during Mirror Therapy to Improve the Muscle Strength and Gait Ability in Chronic Stroke Patients. Journal of Industrial Convergence, 18(4), 51–59. https://doi.org/10.22678/jic.2020.18.4.051

Limtrakarn, W., Tangmanee, N., & Muengtaweepongsa, S. (2022). Mirror Therapy Rehabilitation for Lower Limb of Acute Stroke Patients. Applied Science and Engineering Progress, 15(4). https://doi.org/10.14416/j.asep.2021.05.001

Nadatien, I., Salamah, U. L., & Hidaayah, N. (2024). Assessment of Stroke Patients’ Muscle Strength Following a Combination of Mirror Therapy and ROM (Range of Motion) Exercises Based on Self-Care Theory. Interest : Jurnal Ilmu Kesehatan, 13(1), 59–68. https://doi.org/10.37341/interest.v13i1.635

Nur’aini, L. N., Sukraeny, N., & Armiyat, Y. (2024). Application of Mirror Therapy on Muscle Strength in Non-Hemorrhagic Stroke Patients. Menara Journal of Health Science, 3(2), 256–266.

Nursalam, K., I. D., & Aridamayanti, B. G. (2020). Mirror therapy using cylindrical grip muscle strength and extremity range of motion. International Journal of Innovation, Creativity and Change, 13(6), 263–275.

Prasetyaningsih, R. H., & Kurniawan, H. (2021). Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients. Jurnal Keterapian Fisik, 6(2), 136–144. https://doi.org/10.37341/jkf.v0i0.293

Putri, E. L., & Wasilah, H. (2019). Penerapan Mirror Therapy untuk Meningkatkan Kekuatan Otot pada Pasien Stroke di RSU Fatmawati: Studi Kasus. Multisensory Perception: From Laboratory to Clinic, 449–461. https://doi.org/10.1016/B978-0-12-812492-5.00020-6

Robinson, D. P., Pansori, H. M., & Hermiati, D. (2023). Pengaruh Mirror Therapy Terhadap Uji Kekuatan Otot Pasien Stroke Non-Hemoragik di Rsud Curup Tahun 2022. 2(1), 287–295.

Rofina, L., Wida, A. S. W. D., & Adesta, R. O. (2019). Pengaruh Terapi Cermin Terhadap Kekuatan Otot Pasien dengan Gangguan Mobilitas Fisik Akibat Stroke di Ruang Perawatan Interna RSUD dr. T.C.Hillers Maumere. Jurnal Keperawatan dan Kesehatan Masyarakat, VI(2), 1–10.

Saleem, M., Mumtaz, S., Gill, N., Gulab, A. A., & Bukhari, B. (2022). Comparison Of Mirror Therapy Versus Muscle Strengthening Exercises For Arm Rehabilitation In Patients With Sub-Acute Stroke : A Randomized Controlled Trial. 1–7. https://doi.org/10.52229/pjpt.v5i3.1830

Santiago, A. B. G., Martínez, C. M. C., & Hernández-Morante, J. J. (2022). Effectiveness of Intensively Applied Mirror Therapy in Older Patients with Post-Stroke Hemiplegia: A Preliminary Trial. European Neurology, 85(4), 291–299. https://doi.org/10.1159/000522413

Setiyawan, N. P. S., & Harti, A. S. (2019). Pengaruh Mirror Therapy Terhadap Kekuatan Otot Ekstremitas pada Pasien Stroke di Rsud Dr. Moewardi. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama, 6(2), 49. https://doi.org/10.31596/jkm.v6i2.296

Simamora, A. A., Simamora, F. A., & Silvia. (2021). Pengaruh Mirror Therapy Terhadap Peningkatan Kekuatan Otot pada Pasien Stroke di Rumah Sakit Umum Daerah Kota Padang Sidimpuan. Sustainability (Switzerland), 5(2), 1–14.

WHO. (2016). Stroke: A global response for prevention and management. Geneva. World Health Organization.

WHO. (2017). Global burden of stroke and its subtypes: Ischemic vs hemorrhagic. World Health Organization.

WHO. (2018). The top 10 causes of death. World Health Organization (WHO). https://www.who.int

Widiyono, H., V. D., & Nurani, W. (2023). Terapi cermin dapat meningkatkan kekuatan otot pada penderita stroke nonhemoragi. Jurnal Keperawatan Malang (JKM), 8(1), 339–353.

Zuliawati, R., M., & Tane, R. (2023). The Effect of Mirror Therapy on Muscle Strength in Non-Hemorrhagic Stroke Patients in Sembiring General Hospital. Jurnal Keperawatan Dan Fisioterapi (Jkf), 5(2), 381–388. https://doi.org/10.35451/jkf.v5i2.1402

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Published

2026-03-30

How to Cite

Saleha, T. Y., & Cahyati, Y. (2026). Effectiveness of Mirror Therapy on Muscle Strength in Stroke Patients: A Systematic Literature Review. Journal of Pubnursing Sciences, 4(01), 38–51. https://doi.org/10.69606/jps.v4i01.310

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