Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.

Riphah International University

Status: Completed

Conditions: Weakness, Muscle; Acute Pain; Stroke, Ischemic

Treatments: Other: fine motor activities; Other: conventional therapy and mirror therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05506826

REC/RCR & AHS/21/0254

Details and patient eligibility

About

to compare the effects of the Mirror therapy and fine motor activities on hand function in chronic stroke patients

Full description

This study will be conducted to compare the effects of mirror therapy and fine motor activities in chronic stroke patients. Total Twenty eight hemiplegic patients will be recruited according to inclusion criteria and data will be collected from Riphah rehabilitation centre Lahore and Mian Munshi Hospital Lahore (DHQ). The patients will randomly assigned to a mirror therapy group (n=14) and Fine motor activities group (n=14). The patients in both groups will undergo conventional therapy for 4 weeks (60minutes/day, 5 days/week). The patients will be evaluated at the beginning and end of the treatment by Fugl- Meyer Aassessment (FMA) wolf motor assessment scale and the Functional Independence Measure (FIM). After approval from ethical committee, data collection will be started and informed consent will be taken from all patients.

Enrollment: 28 patients

Sex: All

Ages: 35 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• A score greater than 24 on the Mini-Mental State examination test
• Chronic stroke patients whose episode of stroke onset was 6 months to 2 years.
• Patients who are able to communicate well and grasp the therapist's spoken instructions

Exclusion criteria

• Patients who have restricted joint movement in their healthy upper extremities.
• Neglect syndrome or a visual field deficiency
• Patients with recurrent stroke.
• Spine surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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28 participants in 2 patient groups

fine motor activities group

Experimental group

Description:

Patients in this group will receive conventional therapy for 1 month sixty minutes/day, 5 days/week in addition to performing fine motor exercises like therapy ball exercises, therapy putty exercises, table top exercises, moving beans, stacking pennies and rubber band resistances exercises etc. for 30 minutes

Treatment:

Other: fine motor activities

control group

Active Comparator group

Description:

Patients in this group will receive conventional therapy for four weeks sixty minutes per day, five days per week. In addition, receive thirty minutes of mirror therapy, which included periodic wrist flexion-extension, flexion and extension exercises of fingers on non paralyzed limb

Treatment:

Other: conventional therapy and mirror therapy