Virtual Reality-Based Mirror Therapy and FES-Cycling in Stroke Rehabilitation

This randomized controlled, assessor-blinded study aimed to compare the effects of virtual reality-based mirror therapy (VRBMT) and functional electrical stimulation-assisted cycling (FES-cycling) when combined with conventional rehabilitation on upper extremity recovery in patients with stroke. Participants with first-ever stroke, unilateral hemiplegia, and upper extremity impairment within six months after stroke onset were randomly assigned to one of three groups: conventional rehabilitation alone, conventional rehabilitation plus VRBMT, or conventional rehabilitation plus FES-cycling. All participants received a four-week rehabilitation program. Upper extremity motor function, functional independence, use of the affected upper extremity in daily activities, and quality of life were assessed before and after the intervention.

Inclusion Criteria: * Age older than 18 years * First-ever stroke * Unilateral hemiplegia * Time since stroke onset ≤6 months * Upper extremity Brunnstrom recovery stage between 1 and 4 * Modified Ashworth Scale score \