Mirror Therapy Education for Acute Stroke Patients

NCT04542772 | Unknown DMC

• 1 other identifier: C-20-15
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

In Canada, the number of stroke survivors is equivalent to the size of one of the four Atlantic Provinces. The incident rate of stroke has been increasing steadily since 1995. The majority of the stroke survivors lose upper extremity function, resulting in diminished activities of daily living (ADL). Many therapeutic interventions are recommended to improve upper extremity function or ADLs of stroke survivors, however, Mirror Therapy (MT), inexpensive intervention, can be self-administered by stroke survivors with intact cognition. Thus, the research question is whether a self-administered MT technique improves acute stroke patients' upper extremity motor function and recovery?

Conditions

Stroke, Acute

Outcome Measures

Primary Outcomes (2)

• Fugl-Meyer Assessment scale

  Scores of \< 31 corresponded with 'no to poor' upper extremity capacity, 32 to 47 represented 'limited capacity', 48 to 52 represented 'notable capacity' and 53 to 66 represented 'full' upper extremity capacity.

  Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks.

• Wolf Motor Function Test

  Assess upper extremity function; maximum Score is 75; lower scores are indicative of lower functional levels.

  : Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks

Secondary Outcomes (1)

• Modified Barthel Index

  : Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks

Study Arms (2)

Mirror Therapy + Standard of Care

EXPERIMENTAL

Participants in this group will receive standard of care based on their needs along with mirror therapy education.

Other: Mirror Therapy; Other: Regular Rehabilitation

Standard of Care

ACTIVE COMPARATOR

Participants in this group will receive only standard of care based on their needs.

Other: Regular Rehabilitation

Interventions

Mirror Therapy OTHER

Participants will receive the standard-of-care; multidisciplinary rehabilitation intervention based on their needs and tolerance, and will receive an additional 30 min of Mirror Therapy education. During Mirror Therapy education, the patients will be educated or shown how to perform MT and the patients will complete the recommended exercises on their own for 30 minutes/day for 5 days a week/ for 4 weeks. Standard Mirror Therapy Protocol will be followed.

Mirror Therapy + Standard of Care

Regular Rehabilitation OTHER

Participants will receive the standard-of-care, multidisciplinary rehabilitation intervention based on their needs and tolerance.

Mirror Therapy + Standard of Care; Standard of Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Admitted with diagnosis of stroke with onset within two weeks
• Medically stable
• Able to follow directions
• No severe cognitive impairments that could interfere with patient participation
• Consent to treatment by patient
• Alpha-Functional Independence Measure (Alpha-FIM) score of \> 40

You may not qualify if:

• Medical instability
• Lack of motivation
• Recurrent/ chronic stroke
• Recent upper extremity musculoskeletal injuries with movement restrictions
• Receptive or global aphasia
• Delirium
• Unilateral neglect
• Visual field deficiency.

Sponsors & Collaborators

• Health Sciences North Research Institute: lead
• NORTHERN ONTARIO ACADEMIC MEDICINE ASSOCIATION (NOAMA): collaborator

Related Publications (1)

• Rajendran V, Jeevanantham D, Lariviere C, Singh RJ, Zeman L, Papuri P. Effectiveness of self-administered mirror therapy on upper extremity impairments and function of acute stroke patients: study protocol. Trials. 2021 Jul 9;22(1):439. doi: 10.1186/s13063-021-05380-9.

  PMID: 34243808 DERIVED

MeSH Terms

Conditions

Stroke

Interventions

Mirror Movement Therapy

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics

Central Study Contacts

Venkadesan Rajendran, PhD

CONTACT

1-866-469-0822; vrajendran@hsnsudbury.ca

Padma Puranam, MD

CONTACT

1-866-469-0822; ppuranam@hsnsudbury.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 26, 2020
• First Posted: September 9, 2020
• Study Start: May 1, 2021
• Primary Completion: September 1, 2021
• Study Completion: September 1, 2021
• Last Updated: February 15, 2021

Record last verified: 2021-02