• P-ISSN 0974-6846 E-ISSN 0974-5645

Indian Journal of Science and Technology


Indian Journal of Science and Technology

Year: 2022, Volume: 15, Issue: 47, Pages: 2662-2666

Original Article

Effect of Rhythmic Auditory Stimulation against Mirror Therapy on Hand Function in Stroke Patients

Received Date:23 July 2022, Accepted Date:26 September 2022, Published Date:21 December 2022


Objective: Stroke affects the upper limb function keeping the patient dependent for daily activities. Rhythmic auditory stimulation is proved to be beneficial in upper limb functions, although Mirror therapy and Conventional therapy has their own beneficial effects in stroke. The study aimed at comparing the effect of rhythmic auditory stimulation against mirror therapy and conventional therapy. Method: Sixty participants were taken for the study divided into three groups, 20 in each. Interventions were planned with Group A for Conventional therapy, Group B for Rhythmic Auditory Stimulation and Group C as Mirror therapy. Hand grip was measured by Hand held Dynamometer and Hand function by using Action Research Arm Test. Treatment was given for 20 minutes in a day, for 5 sessions a week extending for 4 weeks. Findings: The results obtained after the analysis showed a significant difference in ARAT scores among three groups: Control (34.808.27), RAS (40.607.12) and Mirror therapy (33.507.86) with mean post-test scores (F=4.7400, p=0.0120) and change from pre-test to post-test (F=67.2790, p=0.0001). A significant difference was observed among three groups: Control (21.286.82), RAS (27.616.94) and Mirror therapy (23.39 5.47) with mean post-test scores (F=5.0040, P=0.0100) and pretest posttest score for hand grip (F=59.6750, P=0.0001). Novelty: Mirror therapy and rhythmic auditory stimulation influences the visual and the auditory system respectively. The novelty of this study is being exhibited in identifying the effective intervention that can influence the neuroplasticity of the brain in the learning process. Conclusion: Both RAS and mirror therapy programme have been found to improve hand functions and grip in paretic arms; hence they can be used as an add-on intervention alongside convention therapy to help hemi paretic patients regain upper extremity function. Keywords: Rhythmic Auditory stimulation; Mirror box; Paretic arm; Hand function and Hand grip


  1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association. Circulation. 2020;141(9):139–596. Available from: https://doi.org/10.1161/CIR.0000000000000757
  2. Purton J, Sim J, Hunter SM. The experience of upper-limb dysfunction after stroke: a phenomenological study. Disability and Rehabilitation. 2021;43(23):3377–3386. Available from: https://doi.org/10.1080/09638288.2020.1743775
  3. Salazar AP, Pinto C, Mossi JVR, Figueiro B, Lukrafka JL, Pagnussat AS. Effectiveness of static stretching positioning on post-stroke upper-limb spasticity and mobility: Systematic review with meta-analysis. Annals of Physical and Rehabilitation Medicine. 2019;62(4):274–282. Available from: https://doi.org/10.1016/j.rehab.2018.11.004
  4. Chinnavan E, Priya Y, Ragupathy R, Wah YC. Effectiveness of Mirror Therapy on Upper Limb Motor Functions Among Hemiplegic Patients. Bangladesh Journal of Medical Science. 2020;19(2):208–213. Available from: https://doi.org/10.3329/bjms.v19i2.44997
  5. Wen-Hao H, Zu-Lin D, Hui-Min J, Ying C, Xin L, Qing Z. The Effectiveness of Music Therapy on Hand Function in Patients with Stroke: A Systematic Review of Randomized Controlled Trials. Frontiers in Neurology. 2021;12. Available from: https://doi.org/10.3389/fneur.2021.641023
  6. Haire CM, Tremblay L, Vuong V, Patterson KK, Chen JL, Burdette JH, et al. Therapeutic Instrumental Music Training and Motor Imagery in Post-Stroke Upper-Extremity Rehabilitation: A Randomized-Controlled Pilot Study. Archives of Rehabilitation Research and Clinical Translation. 2021;3(4):100162. Available from: https://doi.org/10.1016/j.arrct.2021.100162
  7. Kang S, Shin JHH, Kim IY, Lee J, Lee JY, Jeong E. Patterns of enhancement in paretic shoulder kinematics after stroke with musical cueing. Scientific Reports. 2020;10(1):1–3. Available from: https://doi.org/10.1038/s41598-020-75143-0
  8. Gandhi DB, Sterba A, Khatter H, Pandian JD. Mirror Therapy in Stroke Rehabilitation: Current Perspectives</p>. Therapeutics and Clinical Risk Management. 2020;16:75–85. Available from: https://doi.org/10.2147/TCRM.S206883
  9. Shaker H, Fahmy EM, Honin AAN, Mohamed SS. Effect of mirror therapy on hand functions in Egyptian chronic stroke patients. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery. 2020;56(1). Available from: https://doi.org/10.1186/s41983-020-00226-8
  10. Šuriņa S, Duhovska J, Mārtinsone K. Music therapy for stroke patients: a systematic review with meta-analysis . Society. Integration. Education. Proceedings of the International Scientific Conference. 2019;4:287. Available from: http://dx.doi.org/10.17770/sie2019vol4.3860


© 2022 Kalidasan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Indian Society for Education and Environment (iSee)


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