Mirror Therapy – Principle — SCE Neurology MCQ
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Correct answer: D — Looking at the unaffected limb's reflection creates a visual illusion of normal movement in the affected limb — this visual feedback activates mirror neuron networks and may promote motor recovery through visual-motor neuroplasticity
Mirror therapy places a mirror in the patient's midsagittal plane. The patient moves the unaffected limb while watching its reflection in the mirror, which creates a visual illusion of the affected limb moving normally. This visual feedback is thought to activate mirror neuron networks in the ipsilesional hemisphere, promoting neuroplasticity and motor recovery. Evidence from stroke RCTs shows benefit for upper limb motor recovery and pain (including CRPS). It is inexpensive, can be done at home, and is increasingly used alongside conventional therapy. B: It targets the affected limb's recovery. C: Not primarily for vision. D: Different from neglect therapy. E: It also improves motor function.
Reference: RCP Stroke Guidelines; Thieme et al. Cochrane Mirror Therapy Review