Abstract
Mirror therapy (MT) is an evidence-based treatment method for upper-extremity dysfunction after stroke. We conducted multiple treatments with evidence-based treatment methods including Constraint-induced movement therapy and robot therapy for a stroke patient with severe upper extremity dysfunction;however, we could not improve finger extension. We implemented MT in the late subacute period, resulting in improved extension function of the index finger. Furthermore, the patient could undergo task-oriented training with the paralyzed hand, resulting in partial use of the paralyzed hand in activities daily of living. Although the mechanism of recovery of MT is still unknown, combined therapy using MT for severe upper limb dysfunction may improve upper limb function.