目的：本研究旨在探討鏡像療法結合擴增實境於臨床與居家情境中，對慢性中風者之動作功能、平衡、日常功能及生活品質的影響，並於介入後及三個月後進行追蹤評估。方法：本研究為單盲、隨機對照試驗，共納入 12 位慢性中風患者，隨機分派至醫院組或居家組。兩組均接受每次 90 分鐘、每週 3 至 5 次、為期 3 週的鏡像療法結合擴增實境練習。主要成效評量為傅格- 梅爾上肢動作功能評估及伯格平衡量表；次要成效評量為動作活動日誌與中風衝擊量表 3.0。評估時間點為治療前、治療後及治療後三個月追蹤。結果：兩組於介入後在各項成效指標上皆有改善。臨床組鏡像療法結合擴增實境在上肢動作功能改善上顯著優於居家組（FMA-UE, p = .04），平衡能力改善亦呈現較佳趨勢；居家組則於偏瘓側上肢的功能性使用表現上顯著優於臨床組（MAL-AOU, p = .03）。介入後三個月追蹤時，兩組間未見顯著差異。結論：鏡像療法結合擴增實境介入於臨床場域有助於促進上肢動作功能與平衡之恢復，而居家介入則較有利於上肢動作能力在日常生活中的功能性轉移。研究結果顯示，不同練習情境可能帶來互補性的復健效益，規劃中風復健介入時宜考量訓練場域之特性。

Objective: To evaluate the benefits of mirror therapy (MT) combined with augmented reality (AR) on motor function, balance, daily functioning, and quality of life among individuals

with chronic stroke in clinic- and home-based contexts. Methods: A single-blind randomized controlled trial enrolled 12 participants with chronic stroke, assigned to either a clinic-

based MT+AR (CbMT + AR) or home-based MT+AT (HbMT + AR) group. Both received 90-minute sessions, 3–5 times per week for 3 weeks. Primary outcomes were the Fugl-

Meyer Assessment of upper extremity (FMA-UE) and Berg Balance Scale (BBS); secondary outcomes included the Motor Activity Log (MAL) and the Stroke Impact Scale 3.0 (SIS 3.0).

Results: Both groups demonstrated significant improvements across outcome measures following the intervention. Between-group comparisons revealed setting-specific advantages,

with the CbMT+AR achieved significantly greater motor gains (FMA-UE, p = .04) and showed a trend toward greater balance improvement, whereas HbMT+AR demonstrated superior

functional arm use (MAL-AOU, p = .03). At the three-month follow-up, no significant between-group differences were observed. Conclusions: Clinic-based MT+AR appears to facilitate

motor and balance recovery, whereas home-based MT+AR may better support the transfer of motor gains to daily functional arm use. These findings suggest complementary, context-

dependent benefits of MT+AR training across practice settings and highlight the importance of considering training context when designing stroke rehabilitation programs.