Additional Effects of Mirror Therapy on Shoulder Mobility and Function in Post-stroke Adhesive Capsulitis Patients

Foundation University Islamabad

Status: Completed

Conditions: Range of Motion; Mirror Therapy; Adhesive Capsulitis

Treatments: Procedure: Control Group; Procedure: Mirror therapy along with conventional therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06947239

FUI/CTR/2024/67

Details and patient eligibility

About

The estimated annual incidence of stroke in Pakistan is 250/100, 000. Upper limb impairments and post-stroke musculoskeletal complications such as pain, subluxation and restricted joint range of motion are commonly reported. Among many other shoulder impairments, adhesive capsulitis is a leading cause of limited mobility, reduced range of motion, and pain in stroke patients.

The aim of the current study will benefit the clinicians and physiotherapists as it provide an insight to treat post stroke adhesive capsulitis. Effects of mirror therapy have been established but the literature does not provide best treatment approaches or modalities for different types of Hemiplegic shoulder pain. This study will address the limitations in treatment approaches concerning the shoulder joint and its mobility in post-stroke adhesive capsulitis.

The study will be non-blinded randomized control trial, consisting of two groups. Study will be conducted over a period of 1 year. Subjects will be selected via non-probability purposive sampling technique using coin toss method followed by randomization into two groups (A and B).Ethical approval will be obtained from ERC FUMC.

One group will receive mirror therapy while other will receive conventional exercises treatment for period of 6 weeks. Baseline tests will be performed before and after the intervention of mirror therapy & outcome measure assessments will be done after every 3 weeks for a total period of 6 weeks intervention period. Data will be entered and analyzed on SPSS version 22.

Full description

OBJECTIVES OF STUDY

1. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint range of motion in post-stroke adhesive capsulitis patients.
2. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint function in post-stroke adhesive capsulitis patients.
3. To compare the difference between the effects of mirror therapy with conventional therapy alone for improving shoulder mobility and function in post stroke adhesive capsulitis patients.

HYPOTHESIS ALTERNATE HYPOTHESIS

1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p > 0.05).
2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p > 0.05).

NULL HYPOTHESIS

1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p > 0.05).
2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p > 0.05).

Enrollment: 22 patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both genders male and female
• Age 40-70 years
• Ability to understand and follow simple verbal instructions
• Patients able to stand for at least 10-15 mins.
• Ability to participate in a therapy session by coming to hospital.
• Chronic Stroke (ischemic) patients (6 months-1year) with adhesive capsulitis (capsular pattern :external rotation> abduction > internal rotation)
• Scores of >24 on Montreal Cognitive assessment scale.

Exclusion criteria

• Upper limb fractures or cervical spine pathology or radiculopathy
• History of upper limb surgery or trauma
• Rotator cuff pathology or prolonged immobilization of upper limb
• Rheumatic disease, fibromyalgia or any other musculoskeletal disorder that is altering upper extremity movement
• Any other neurological condition

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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22 participants in 2 patient groups

Mirror therapy along with conventional therapy

Experimental group

Description:

It includes participants receiving mirror therapy session in adhesive capsulitis of post stroke patients for a period of 6 weeks. The experimental group will receive 20 minutes of conventional therapy followed by 20 minutes of mirror therapy training including 3 minutes of rest period between the interventions.

Treatment:

Procedure: Mirror therapy along with conventional therapy

Conventional Therapy

Active Comparator group

Description:

it includes 11 participants receiving conventional physical therapy for a period of 6 weeks. The control group will receive the conventional therapy for 40 minutes including: 1. Heat pack \& TENS to alleviate pain for 15 minutes 2. Shoulder isometric exercises 10 reps

Treatment:

Procedure: Control Group