Clinical trial NCT05506826: Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.
Official title: Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke, Ischemic
Acute Pain
Weakness, Muscle
Keywords: Stroke, Ischemic
Acute Pain
Weakness, Muscle
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-08-18
Enrollment: 28
Sex: ALL
Minimum age (years): 35
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Study participants will be divided in two groups. Patients in group A will receive conventional therapy for four weeks sixty minutes per day, five days per week. In Group B patients will perform 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 along with conventional therapy
Primary purpose: TREATMENT

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

Detailed 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.

Eligibility criteria: 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.

Primary outcomes:
measure: fugl mayer assessment FMA upper limb
timeFrame: 9 months
measure: The Functional Independence Measure (FIM)
timeFrame: 9 months
measure: The Wolf Motor Function Test (WMFT)
timeFrame: 9 months
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Riphah International University
state: Fedral
Study officials:
affiliation: Riphah International University
name: zeest hashmi, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hillis AE. Developments in treating the nonmotor symptoms of stroke. Expert Rev Neurother. 2020 Jun;20(6):567-576. doi: 10.1080/14737175.2020.1763173. Epub 2020 May 12.
citation: Gandhi DB, Sterba A, Khatter H, Pandian JD. Mirror Therapy in Stroke Rehabilitation: Current Perspectives. Ther Clin Risk Manag. 2020 Feb 7;16:75-85. doi: 10.2147/TCRM.S206883. eCollection 2020.
citation: Umeki N, Murata J, Higashijima M. Effects of Training for Finger Perception on Functional Recovery of Hemiplegic Upper Limbs in Acute Stroke Patients. Occup Ther Int. 2019 Nov 4;2019:6508261. doi: 10.1155/2019/6508261. eCollection 2019.
citation: Fong KNK, Ting KH, Chan CCH, Li LSW. Mirror therapy with bilateral arm training for hemiplegic upper extremity motor functions in patients with chronic stroke. Hong Kong Med J. 2019 Feb;25 Suppl 3(1):30-34. No abstract available.