Background: Stroke is clinical symptoms which disturbances in blood circulation to the brain caused either local or global malfunctioning that occurs suddenly and rapidly progressive that usually caused hemiparesis in stroke patients. Late and inappropriate exercises management may cause permanent disability. The range of motion exercises and early mobilization in stroke patients may reduce the risk of disability. The one of rehabilitation and intervention is muscle strength exercise by stimulating the nerves and improve the functional status of the motor/muscle strength by using mirror therapy. Method: These research based on the literature review (systematic review) of international journals, which is use quasi-experiment, one group prepost test design. These research using purposive sampling with 10 respondents, while the research instruments using observation sheet those are muscle strength scale and visual imagery scale, the exercise guide sheets and mirror as media. The research analysis using univariate and bivariate analysis. A bivariate analysis using Wilcoxon test. Results: The results of these studies indicate that there is increasing in average muscle strength after mirror therapy exercises five times a day for 7 days evidenced by prior intervention the muscles strength mean of upper extremities is 2:12 (0.45. After the intervention, the muscle strength mean of upper extremities became 3.83 (0.56). Based on the results of bivariate analysis obtained the calculated value (4369) and significance levels (p) <0.05. Conclusion: The results of the journal's review can be concluded that there is significant differences are muscle strength before and after mirror therapy exercise in ischemic stroke patients with hemiparesis
