Mirror Therapy +Metronome
Mirror therapy is a research-supported technique that uses visual stimuli of your unaffected arm to improve function of your affected arm. Mirror therapy tricks your brain into thinking your affected arm is moving the same way as your unaffected arm. As you progress through mirror therapy, your brain creates new pathways which become more permanent and allow for improved movement of your affected arm. Working with an occupational therapist to learn a mirror therapy protocol is most helpful.
Metronome therapy synchronizes the brain and helps re-wire new connections efficiently and rhythmically.
You will need a sturdy table-top mirror that is at least 14x10 inches. You can purchase an official Mirror Box Therapy Kit or purchase a less expensive mirror like this Tabletop Mirror.
How mirror therapy + metronome is performed:
- Open a free metronome website such as
- Set up the mirror therapy box with your affected forearm and hand inside the box so you cannot see it. Or place a mirror between your hands as seen in this picture.
- Set the metronome to 60 BPM.
- Complete the exercises below 1-3 times a day, start with Routine A only moving your unaffected hand, and then perform Routine B using both hands. 10 reps each to the beat of the metronome. Perform this home program for 8-10 weeks or recommendations from your health provider.
For more information about mirror therapy and how it works, view the video below:
Reference: Thieme H, Morkisch N, Mehrholz J, Pohl M, Behrens J, Borgetto B, Dohle C. Mirror therapy for improving motor function after stroke. Cochrane Database of Systematic Reviews 2018, Issue 7. Art. No.: CD008449. DOI: 10.1002/14651858.CD008449.pub3