Evidence map›Paper›PMID 41540441›Full record

SynthesisJournal of neuroengineering and rehabilitation2026

Effectiveness of mirror and robot-assisted therapy for upper extremity rehabilitation in post-stroke patients: a meta-analysis.

Chaoran Gao, Han Zhang, Kang He, Liuxia Wu, Li Zhang, Qiang Gao

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of neuroengineering and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chaoran Gao *Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Han Zhang *Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Kang HeDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Liuxia WuDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Li ZhangDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
Qiang GaoDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China. gaoqiang_hxkf@163.com.

Funding

Chengdu Science and Technology Bureau 2023-YF09-00044-SN
6 · The paper itself

Abstract

introductionStroke is a leading cause of death and disability, with survivors often facing upper extremity (UE) impairments. Mirror therapy (MT) can enhance motor function but is influenced by cognitive and emotional factors. Robot-assisted therapy (RT) has shown efficacy in restoring UE function. Robot-mirror therapy (RMT), which combines MT and RT, has been investigated in several trials, with some showing benefits while others reported limited effects. This meta-analysis aimed to evaluate RMT's effectiveness in improving UE function in stroke patients.

methodsWe included RCTs involving RMT in adult stroke patients. Searches covered ten databases (Cochrane Library, Scopus, PubMed, Web of Science, Embase, CNKI, CINAHL, PEDro, ClinicalTrials.gov, WHO ICTRP) through October 2025, with a grey literature search. Two independent reviewers conducted study selection, data extraction, and quality assessment. The risk of bias and the certainty of the evidence were assessed using the Cochrane collaboration's tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guideline, respectively.

resultsSixteen RCTs (n=736) were analyzed. RMT significantly improved UE motor function (Fugl-Meyer Assessment-Upper Extremity (FMA-UE); MD 7.52, 95% CI 4.16-10.87; P<.0001 and Wolf Motor Function Test; MD 5.13, 95% CI 2.33-7.92; P=.0003), distal UE motor function (FMA-UE (distal); MD 2.92, 95% CI 1.43-4.42; P=.0001), hand motor function (SMD 1.06, 95% CI 0.15-1.97; P=.02), hand muscle strength (grip strength; SMD 1.34, 95% CI 0.17-2.51; P=.02), activities of daily living (Modified Barthel Index; MD 7.80, 95% CI 4.15-11.45; P<.0001 and Functional Independence Measure; MD 4.73, 95% CI 0.30-9.15; P=.04), and quality of life (SMD 1.00, 95% CI 0.00-1.99; P=.05). Subgroup analysis showed better outcomes in older patients (≥55), shorter interventions (<18 hours), and trial length of 3-6 weeks.

conclusionModerate-quality evidence supports the effectiveness of RMT-based interventions for improving UE motor function and activities of daily living in stroke patients. Trial Registration PROSPERO CRD420251077740.

Indexed as

Mirror Movement TherapyRoboticsStroke RehabilitationUpper ExtremityHumansRecovery of FunctionStrokeMeta-analysisMirror therapyRehabilitationRobot-assisted therapyStrokeUpper extremity

Identifiers

PMID41540441
PMCPMC12892505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.