Effect of Modified Mirror Therapy in Patients With Upper Limb Hemiparesis After Stroke
Condition: Stroke
MeSH terms: Stroke; Paresis
Study type: Interventional

Summary: 
      This was a randomized controlled study in China conducted during Aug. 2022 to Aug. 2023.
      Totally, patients with upper limb hemiplegia after stroke, who were admitted in the
      Department of Rehabilitation Medicine of two hospitals, were enrolled. The study lasted 30
      days for each participant. The patients enrolled were randomly divided into the experimental
      group and the control group, all under routine rehabilitation therapy. Additionally, the
      patients in the experimental group were given modified mirror therapy.
    

Detailed description: 
      Upper limb hemiparesis is a motor and sensory disorder that occurs after stroke, with an
      incidence rate of up to 55% to 75%. Effective upper limb rehabilitation methods help reduce
      the occurrence of disuse syndrome and complex regional pain syndrome. Therefore, finding
      active and effective limb rehabilitation methods has important practical significance.This
      was a randomized controlled study in China conducted during Aug. 2022 to Aug. 2023. Totally,
      patients with upper limb hemiplegia after stroke, who were admitted in the Department of
      Rehabilitation Medicine of two hospitals, were enrolled. The study lasted 30 days for each
      participant. The patients enrolled were randomly divided into the experimental group and the
      control group, all under routine rehabilitation therapy. Additionally, the patients in the
      experimental group were given modified mirror therapy. The assessment was conducted
      respectively on day 1 and day 30.
    

Intervention name(s): Routine treatment; Rehabilitation training; Modified mirror therapy
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): The routine treatment included intervention for risk factors (such as blood pressure, blood lipids, and blood glucose control, restriction of smoking and alcohol, exercise, etc.); The Participants with stable vital signs were scheduled for specialized rehabilitation training upon enrollment, and targeted rehabilitation programs were selected based on the patient's specific limb function impairment, conducted by experienced rehabilitation therapists.; The patients were instructed to watch the recorded video and imitate the movements of their affected limbs. After the video ended, only the instructions and synchronized music were played. The patient was required to sit in front of a mirror table, with the mirror placed between both arms and facing the healthy side. The patient was required to recall the video based on the verbal instructions while using the healthy side to perform movement training. They were also asked to observe the reflected motion of the healthy limb in the mirror, simultaneously imagining the affected limb moving in sync (the patient focused on the front of the mirror, avoiding direct eye contact with the healthy hand, to create the sensation that it was the affected hand performing the movements).
Other intervention name(s): Comprehensive routine treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment