PTRCTJournal of rehabilitation medicine2025

Soft robotic gloves versus mirror therapy: a long-term comparative study on hand function and motor recovery in post-stroke rehabilitation.

Osama R Abdelraouf, Mohamed A Abdel Ghafar, Mariam E Mohamed and 6 others

PMID 40874348

WHAT IT FOUND

Stroke patients who added soft robotic glove training to usual physical therapy showed greater hand dexterity, grip strength and motor recovery than those who added mirror therapy, and glove gains remained at 6 months.

Key findings

01Both groups received conventional physical therapy, and the glove group had greater gross manual dexterity gains than the mirror group at 8 weeks and at 6 months.

02The glove group also had greater grip strength and upper-limb motor recovery scores than the mirror group at 6 months.

03Glove gains continued after the 8-week intervention, while mirror gains plateaued during the 6-month follow-up.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The paper says 49 patients participated, but its flowchart says 54 were randomized and 25 glove and 24 mirror therapy participants were analysed after withdrawals. Every participant also received conventional physical therapy, so improvements within either group cannot be separated from usual care. The authors state that adherence to the glove and mirror therapy protocols may have varied. The authors state that a larger sample would improve generalizability. No neuroimaging was included, so the paper does not show how the interventions changed brain function.

Declared interests

The authors declared no conflicts of interest. Funding was provided by Princess Nourah bint Abdulrahman University Researchers Supporting Project Number PNURSP2025R16, Riyadh, Saudi Arabia.

The easy way to misread this

Do not conclude that the soft robotic glove alone caused the recovery. Every participant also received conventional physical therapy, and the paper states that improvements in one group likely resulted from both standard treatment and the new intervention.

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