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Abstract Details

Efficacy of Robot-assisted Mirror Therapy in Post-stroke Motor Rehabilitation: A Systematic Review and Meta-analysis
Cerebrovascular Disease and Interventional Neurology
S20 - Innovations in Cerebrovascular Therapy (5:18 PM-5:30 PM)
010

To evaluate the effectiveness of Robotic Mirror Therapy compared to conventional rehabilitation in improving motor function among post-stroke adults.

Stroke often leads to motor dysfunction that limits functional independence, and conventional rehabilitation typically results in only partial recovery. Robot-Assisted Mirror Therapy (RMT), which integrates robotic-assisted movement with mirror visual feedback, has emerged as a promising approach to enhance neuroplasticity and improve motor function.
This systematic review and meta-analysis followed the PRISMA guidelines and was registered in PROSPERO (CRD420251167440). A comprehensive literature search was conducted in PubMed and Embase from inception to October 2025 to identify studies evaluating Robot-Assisted Mirror Therapy (RMT) for motor function recovery in post-stroke patients. Data were synthesized using random-effects models in RevMan, and pooled mean differences were calculated for pretest and posttest scores on the Fugl-Meyer Assessment (FMA) and Modified Ashworth Scale (MAS).
Eight studies involving 505 participants (293 intervention, 212 control) were included. Pooled analysis of the Fugl-Meyer Assessment (FMA-UE) showed a significant improvement in motor function with Robot-Assisted Mirror Therapy (RMT) compared to conventional rehabilitation (SMD = 0.50; 95% CI 0.11–0.89; p = 0.0113; I² = 58.4%). Baseline pretest values were comparable (SMD = 0.29; 95% CI 0.00–0.57; p = 0.0492; I² = 31.3%). For the Modified Ashworth Scale (MAS), no significant difference in post-intervention spasticity was found between groups (SMD = –0.05; 95% CI –0.26 to 0.15; p = 0.606; I² = 0.0%), confirming that RMT improves motor recovery but its effect on spasticity remains unclear.

Robot-Assisted Mirror Therapy (RMT) significantly enhances upper-limb motor recovery in post-stroke patients but shows no clear benefit in reducing spasticity. These findings support incorporating robotic and visual feedback approaches into rehabilitation, though further large-scale trials are needed to confirm long-term effects.
Authors/Disclosures
Muaz Ahmed, MBBS
PRESENTER 		Mr. Ahmed has nothing to disclose.
Hamid Bin Tariq, MBBS Mr. Bin Tariq has nothing to disclose.
Suleman Saeed, MBBS Mr. Saeed has nothing to disclose.
Abdul Rehman, MBBS Mr. Rehman has nothing to disclose.
Abdul K. Shahbaz, MBBS Mr. Shahbaz has nothing to disclose.
Muhammad Ali E. Bhatti, MBBS Mr. Bhatti has nothing to disclose.
Anas Nasir, MBBS Mr. Nasir has nothing to disclose.
Dania Hussain Miss Hussain has nothing to disclose.
Muhammad Ali Bin Jabir, MBBS Dr. Jabir has nothing to disclose.
Zahra A. Haque, MBBS Dr. Haque has nothing to disclose.
Izza Zahra, MBBS Miss Zahra has nothing to disclose.