Effects of Mirror Therapy and Cognitive Therapeutic Exercise in Stroke Patients

Universidad de Burgos

Status: Enrolling

Conditions: Stroke; Hemiparesis

Treatments: Behavioral: Cognitive therapeutic exercise; Behavioral: Mirror therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04163666

UBU-HUBU: MT-CTE

Details and patient eligibility

About

This is a randomized clinical trial aimed at patients with a diagnosis of residual hemiparesis due to ischemic or hemorrhagic stroke. Its objective is to evaluate the effects of the mirror therapy and cognitive therapeutic exercise, both in combination with task-oriented motor learning, to achieve maximum functionality of the affected upper member,

Full description

Objective: To assess the effect at 3 months of the of the mirror therapy and cognitive therapeutic exercise, both in combination with task-oriented motor learning, applied for 30 days in the functionality of the affected upper member, cognitive performance, emotional state, performance of daily living activities and quality of life in stroke patients.

Design and setting: A randomized clinical trial of three parallel groups.

Population: 152 patients with residual hemiparesis due to ischemic or hemorrhagic stroke will be included, selected by consecutive sampling at the Neurological Service and Stroke Unit of the University Hospital of Burgos (HUBU).

Measurements and intervention: Functionality of the affected upper member, cognitive performance, emotional state, performance of daily living activities and health-related quality of life will be evaluated. The intervention groups will receive a treatment based either on mirror therapy or on congnitive therapeutic exercise, both combined with task-oriented motor learning for 30 days. No additional intervention with the participants of the control group will be completed.

Enrollment: 152 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of residual hemiparesis due to ischemic or hemorrhagic stroke,
• Movements of the affected upper members classified between stages II and IV on the Brunnstrom Scale
• Score on the Montreal Cognitive Assessment (MOCA) scale equal to or over 26

Exclusion criteria

• Heminegligence
• Wernicke's aphasia
• Visual deficits (homonymous hemianopsia)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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152 participants in 3 patient groups

Mirror therapy group

Experimental group

Description:

The mirror therapy group will receive a treatment based on this therapy, combined with task-oriented motor learning.

Treatment:

Behavioral: Mirror therapy

Cognitive therapeutic exercise group

Experimental group

Description:

The cognitive therapeutic exercise group will receive a treatment based on this therapy, combined with task-oriented motor learning.

Treatment:

Behavioral: Cognitive therapeutic exercise

Control Group

No Intervention group

Description:

No additional intervention with the participants of this group will be completed.