Task Oriented Mirror Therapy for Upper Limb Motor Function in Stroke Patient

Foundation University Islamabad

Status: Enrolling

Conditions: Stroke Patients

Treatments: Procedure: High Intensity Task Oriented Mirror Therapy; Procedure: LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Study type: Interventional

Funder types: Other

Identifiers

NCT06945211

FUI/CTR/2024/65

Details and patient eligibility

About

Stroke remains a major public health disease worldwide ,it usually associating with damage to the motor function and other functional disabilities. Persistent upper extremity dysfunction affects many post strokepatients and is strongly associated with decreased activities of daily living . Mirror therapy one of the rehabilitation that is beneficial for neuroplasticity .This therapy is used to improve motor function after stroke .

Full description

OBJECTIVES:

The objectives of this study are :

1. To imorove upper limb motor function and
2. To improve activities of daily lving .
3. To enhance motor skills.

HYPOTHESIS:

Alternate Hypothesis:

There will be statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p<0.05)

Null Hypothesis:

There will be no statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function

,activities of daily living and enhancing motor skills in stroke patients (p>0.05)

RESEARCH DESIGN : Experimental study .Randomized control trail.

Enrollment: 36 estimated patients

Sex: All

Ages: 45+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both genders.
• Age of patient 45 years and above
• Both ischemic and hemorrhagic stroke ( subacute and chronic stroke). Cognitive function relatively intact score > 24 MoCA
• The patient can sit with / without support for more than 30 min

Exclusion criteria

• Subjects with visual impairments or unilateral neglect.
• having global aphasia.
• unstable medical conditions or comorbidities.
• score 3 and above on modified ashworth scale.
• patient with orthopedic condition or any fractures.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

INTERVENTION GROUP A LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Experimental group

Description:

Subjects will recieve Low Intensity Task Oriented Mirror Therapy: Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen. The subject will be instructed to perform movement with unaffected arm. Task oriented activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.

Treatment:

Procedure: LOW INTENSITY TASK ORIENTED MIRROR THERAPY

INTERVENTION GROUP B HIGH INTENSITY TASK ORIENTED MIRROR THERAP

Experimental group

Description:

Subjects will receive High Intensity Task Oriented Mirror Therapy : Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen. The subjects will be instructed to perform movement with unaffected arm. Task Oriented Activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.

Treatment:

Procedure: High Intensity Task Oriented Mirror Therapy