Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.

NCT05506826 | Completed DMC

• 1 other identifier: REC/RCR & AHS/21/0254
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

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

Conditions

Stroke, Ischemic; Acute Pain; Weakness, Muscle

Keywords

Stroke, Ischemic; Acute Pain; Weakness, Muscle

Outcome Measures

Primary Outcomes (3)

• fugl mayer assessment FMA upper limb

  For stroke patients, the Fugal-Meyer Assessment (FMA) is a performance-based impairment measure. It is used to assess balance, motor function, sensation, and joint function in persons who suffer hemiplegia after a stroke. In both clinical and research settings, it is used to identify sickness severity, define motor recovery, and plan and assess treatment

  9 months

• The Functional Independence Measure (FIM)

  The Functional Independence Measure (FIM) is a non-diagnostic disability assessment instrument that was developed for a wide range of groups

  9 months

• The Wolf Motor Function Test (WMFT)

  The Wolf Motor Function Test (WMFT) uses timed and functional tasks to assess upper limb motor skills

  9 months

Study Arms (2)

fine motor activities group

EXPERIMENTAL

Patients in this group will receive conventional therapy for 1 month sixty minutes/day, 5 days/week in addition to performing 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

Other: fine motor activities

control group

ACTIVE COMPARATOR

Patients in this group will receive conventional therapy for four weeks sixty minutes per day, five days per week. In addition, receive thirty minutes of mirror therapy, which included periodic wrist flexion-extension, flexion and extension exercises of fingers on non paralyzed limb

Other: conventional therapy and mirror therapy

Interventions

fine motor activities OTHER

patient 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

fine motor activities group

conventional therapy and mirror therapy OTHER

Patients in this group will receive conventional therapy for four weeks sixty minutes per day, five days per week. In addition, receive thirty minutes of mirror therapy, which included periodic wrist flexion-extension, flexion and extension exercises of fingers on non paralyzed limb

control group

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• Patients who have restricted joint movement in their healthy upper extremities.
• Neglect syndrome or a visual field deficiency
• Patients with recurrent stroke.
• Spine surgery.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral, 44000, Pakistan

Location

Related Publications (4)

• 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.

  PMID: 32363957 BACKGROUND

• 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.

  PMID: 32103968 BACKGROUND

• 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.

  PMID: 31777474 BACKGROUND

• 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.

  PMID: 30792371 BACKGROUND

MeSH Terms

Conditions

Ischemic Stroke; Acute Pain; Muscle Weakness

Interventions

Mirror Movement Therapy

Condition Hierarchy (Ancestors)

Stroke; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Muscular Diseases; Musculoskeletal Diseases; Neuromuscular Manifestations; Pathologic Processes

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics

Study Officials

• zeest hashmi, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 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

Study Record Dates

• First Submitted: August 17, 2022
• First Posted: August 18, 2022
• Study Start: January 1, 2022
• Primary Completion: August 20, 2022
• Study Completion: August 20, 2022
• Last Updated: November 9, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)