title: Using mirror therapy in the home environment: a case report.
abstract: OBJECTIVE
  Mirror therapy (MT) is a potential intervention to improve function after stroke. How to apply this intervention in practice is not clear. This case report illustrates the feasibility and effectiveness of a self-administered home-based MT program.
  
  
  METHODS
  A home-based MT program was practiced over 5 wk. The participant was encouraged to use MT for 30 min 5×/wk. Therapist contact occurred 1×/wk to monitor performance. An independent evaluator administered three outcome measures pre- and postintervention: Upper Extremity Sensory and Pain sections of the Fugl-Meyer Assessment; Jebsen-Taylor Test of Hand Function, and the Manual Ability Measure-20.
  
  
  RESULTS
  The participant engaged in a mean of 39.23 (±7.44) min of MT per day and used a variety of the recommended activities. Change scores indicated improvement on all of the included outcome measures.
  
  
  CONCLUSIONS
  This case report suggests that a predominantly self-administered home-based MT program is feasible and effective at improving function after stroke.
authors.affiliation: Dawn M. Nilsen, EdD, OTL, is Assistant Professor of Rehabilitation and Regenerative Medicine (Occupational Therapy), Columbia University, 710 West 168th Street, Eighth Floor, New York, NY 10032; dmn12@columbia.edu.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Nilsen
authors.affiliation: Theresa DiRusso, OTR, is Occupational Therapist, Orange Regional Medical Center, Middletown, New York.
authors.forename: Theresa
authors.initials: T
authors.lastname: DiRusso
mesh_terms: D000203:Activities of Daily Living; D005240:Feasibility Studies; D006699:Home Care Services; D006801:Humans; D019018:Imagery, Psychotherapy; D008297:Male; D008875:Middle Aged; D012648:Self Care; D000071939:Stroke Rehabilitation