Comparison of 4-weeks of Motor Relearning Program and Mirror Therapy in Improving Upper Limb Motor Function in Stroke Patients.

Study Overview
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Brief Summary
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Cerebrovascular accident(CVA) or stroke is one of common condition affecting people in developed and underdeveloped countries. MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior. Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required.

Detailed Description
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Cerebrovascular accident(CVA) or stroke is one of common condition affecting people in developed and underdeveloped countries. Mostly patient with stroke face many disabilities and the most important one is upper limb motor impairment. For the optimization of upper extremity and prevention of patient from permanent disability it is essential to promotes Neuro-rehabilitation interventions. Physiotherapy techniques need to be monotonous, thorough and task oriented for neuroplasticity to generate better recovery. There is notable enhancement in ADLS when the rehabilitation program starts within 16 hours to 6 months after stroke In improving upper extremity motor functions there are tremendous types of techniques used i.e. Proprioceptive neuromuscular facilitation(PNF),Brunnstorm, Bobath therapy, Motor relearning program(MRP),Constraint induced movement therapy(CIMT) and Mirror therapy(MT).Out of which we are using two basic techniques i.e. motor relearning program(MRP) and mirror therapy(MT).Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required. Mirror therapy enhance functional activities in patient with hemiplegic stroke. MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior.

Official Title
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Comparison of 4-weeks of Motor Relearning Program and Mirror Therapy in Improving Upper Limb Motor Function in Stroke Patients.

Conditions
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Acute Stroke

Intervention / Treatment
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* Other: motor relearning program
* Other: mirror therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Acute(hemiplegic attack within 1-2 weeks) and sub-acute stroke(hemiplegic attack within 3- 11 weeks). 20 to 80 years. No physical deformity prior to stroke No history of serious underlying pathology and structural deformities. Exclusion Criteria: Patient with chronic hemiplegic stroke. Patient with congenital deformity.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Participants are divided into 2 groups Patients in experimental group will receive treatment through Motor-relearning program. Patient in controlled group will receive treatment through mirror therapy .
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: motor relearning program<br>Patients in this group will receive treatment through Motor-relearning programme. Patients will be instructed to perform multiple task like holding object, elbow extension/flexion and multiple movements of shoulder joint. This group will receive MRP for about time duration of 4 weeks,3 days per week,2 hours session per day. | Other: motor relearning program<br>* MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .<br>|
| Other: mirror therapy<br>Patient in this group will receive treatment through mirror therapy. Patient will sit in such a way that the mirror will be placed in perpendicular direction on a table. Sound limb will place in front of mirror and affected limb will place behind the mirror. Patient will receive visual feedback from sound limb. This group will receive MT for about 4 weeks, 3 days per week, 2 hours session per day. | Other: mirror therapy<br>* Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fugl meyer assessment scale (FMA) | This test is recommended for checking functional return of patient having impairments with stroke.Test consists on the base of assessing patient with moving limb in low tone movements or synergistic pattern and then move actively back to normal function. Total scoring for upper limb is 18. | upto 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motor Relearning Program, Mirror therapy