Comparing Unimanual and Bimanual Mirror Therapy for Upper Limb Recovery Post Stroke
Home Mirror Therapy: A Randomized Control Study Comparing Unimanual and Bimanual Mirror Therapy for Improved Hand Function Post-stroke
1 other identifier
observational
22
1 country
1
Brief Summary
The purpose of this randomized controlled study is to
- Control Group subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
- Experimental group 1 subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
- Experimental group 2 subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Nov 2014
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 19, 2016
CompletedFirst Posted
Study publicly available on registry
May 23, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2018
CompletedMay 10, 2019
May 1, 2019
3.3 years
May 19, 2016
May 8, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Fugl-Meyer Assessment (FMA)
Gold Standard to evaluate and measure recovery in patients with hemiplegia post stroke.
Baseline to Six (6) Weeks
Grip strength
Grip strength is important to measure as it is correlated with stroke recovery.
Baseline to Six (6) Weeks
Action Research Arm Test (ARAT)
An interview based tool that measures a subject's perceived difficulty with the use of their arm/hands with activities of daily living post-stroke.
Baseline to Six (6) Weeks
Stroke Impact Scale Version 3.0
A subjective standardized 59-items 8 domain questionnaire assessing health status post-stroke.
Baseline to Six (6) Weeks
Study Arms (3)
Control Group
Subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
Experimental Group 1
Subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
Experimental Group 2
Subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.
Interventions
Subjects in the control group will receive a traditional home Occupational Training exercise program as per conventional OT guidelines with the same home program duration.
The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.
Eligibility Criteria
Participants included in the study will be those referred to outpatient occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke.
You may qualify if:
- First time unilateral stroke \> 3 months post stroke.
- Cognitively be able to follow direction
- Cognitively be able to consent to participation in research study
- Moderate/severe deficits as per the Fugl-Meyer assessment score from 10-50 and the ability to grasp and release a small towel or washcloth.
You may not qualify if:
- Complex medical problems, that would render the subject unable to participate in an extensive home program
- History of pre-existing neurological or psychiatric diseases, orthopedic conditions of the upper limbs, or peripheral nerve injuries that render the subject unable to sit or to move either upper limb
- Hearing and vision impairments which may impede subjects participation in the home program
- Perceptual deficits such as apraxia, neglect, or agnosias as per clinical evaluation which may impede subjects participation in the home program
- Botox injection in affected arm/hand within 3 months
- Global aphasia that may interfere with understanding instruction for testing or home exercise program.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
New York University School of Medicine
New York, New York, 10016, United States
Related Publications (1)
Geller D, Nilsen DM, Quinn L, Van Lew S, Bayona C, Gillen G. Home mirror therapy: a randomized controlled pilot study comparing unimanual and bimanual mirror therapy for improved arm and hand function post-stroke. Disabil Rehabil. 2022 Nov;44(22):6766-6774. doi: 10.1080/09638288.2021.1973121. Epub 2021 Sep 19.
PMID: 34538193DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Steve Vanlew, MD
New York University Medical School
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2016
First Posted
May 23, 2016
Study Start
November 1, 2014
Primary Completion
March 1, 2018
Study Completion
March 1, 2018
Last Updated
May 10, 2019
Record last verified: 2019-05