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

NCT06074081 | Unknown

• 1 other identifier: Motor Relearning Program
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Acute Stroke

Keywords

Motor Relearning Program; Mirror therapy

Outcome Measures

Primary Outcomes (1)

• 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

Study Arms (2)

motor relearning program

EXPERIMENTAL

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

mirror therapy

OTHER

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

Interventions

motor relearning program OTHER

MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .

motor relearning program

mirror therapy OTHER

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

Eligibility Criteria

• Age: 20 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Acute(hemiplegic attack within 1-2 weeks) and sub-acute stroke(hemiplegic attack within 3- 11 weeks).
• to 80 years.
• No physical deformity prior to stroke
• No history of serious underlying pathology and structural deformities.

You may not qualify if:

• Patient with chronic hemiplegic stroke.
• Patient with congenital deformity.

Sponsors & Collaborators

• Yusra Medical and Dental College: lead

Study Sites (1)

Maham Nasir

Islamabad, Federal, 04403, Pakistan

Location

Related Publications (16)

• Jan S, Arsh A, Darain H, Gul S. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. J Pak Med Assoc. 2019 Sep;69(9):1242-1245.

  PMID: 31511706 BACKGROUND

• Ng JC, Churojana A, Pongpech S, Vu LD, Sadikin C, Mahadevan J, Subramaniam J, Jocson VE, Lee W. Current state of acute stroke care in Southeast Asian countries. Interv Neuroradiol. 2019 Jun;25(3):291-296. doi: 10.1177/1591019918811804. Epub 2018 Nov 21.

  PMID: 30463501 BACKGROUND

• Zhang Y, Xing Y, Li C, Hua Y, Hu J, Wang Y, Ya R, Meng Q, Bai Y. Mirror therapy for unilateral neglect after stroke: A systematic review. Eur J Neurol. 2022 Jan;29(1):358-371. doi: 10.1111/ene.15122. Epub 2021 Oct 5.

  PMID: 34558762 BACKGROUND

• Ullah I, Arsh A, Zahir A, Jan S. Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study. Pak J Med Sci. 2020 Nov-Dec;36(7):1613-1617. doi: 10.12669/pjms.36.7.2351.

  PMID: 33235584 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

• improved upper limb motor recovery and level of independence after stroke: a randomized controlled trial. CadernosBrasileiros de TerapiaOcupacional. 2022 Sep 2;30.

  BACKGROUND

• Zeng W, Guo Y, Wu G, Liu X, Fang Q. Mirror therapy for motor function of the upper extremity in patients with stroke: A meta-analysis. J Rehabil Med. 2018 Jan 10;50(1):8-15. doi: 10.2340/16501977-2287.

  PMID: 29077129 BACKGROUND

• Hsieh YW, Lin YH, Zhu JD, Wu CY, Lin YP, Chen CC. Treatment Effects of Upper Limb Action Observation Therapy and Mirror Therapy on Rehabilitation Outcomes after Subacute Stroke: A Pilot Study. Behav Neurol. 2020 Jan 2;2020:6250524. doi: 10.1155/2020/6250524. eCollection 2020.

  PMID: 32377266 BACKGROUND

• Maratis J, Wahidin A, Ivanali K. COMPARE THE EFFECTIVENESS OF CONSTRAINT INDUCED MOVEMENT THERAPY AND MOTOR RELEARNING PROGRAMME IN POST STROKE PATIENTS. In Academic Physiotherapy Conference Proceeding 2021 (pp. 179-190).

  BACKGROUND

• Rehme AK, Eickhoff SB, Rottschy C, Fink GR, Grefkes C. Activation likelihood estimation meta-analysis of motor-related neural activity after stroke. Neuroimage. 2012 Feb 1;59(3):2771-82. doi: 10.1016/j.neuroimage.2011.10.023. Epub 2011 Oct 17.

  PMID: 22023742 BACKGROUND

• Hassani Z, Mokhtarinia HR, Kahlaee AH, Gabel CP. Translation, Validity, and Reliability of the Upper Extremity Fugl-Meyer Assessment (FMA-UE) in Persian Speaking Stroke Patients. Iranian Rehabilitation Journal. 2022 Mar 10;20:37-46.

  BACKGROUND

• Malouin F, Pichard L, Bonneau C, Durand A, Corriveau D. Evaluating motor recovery early after stroke: comparison of the Fugl-Meyer Assessment and the Motor Assessment Scale. Arch Phys Med Rehabil. 1994 Nov;75(11):1206-12. doi: 10.1016/0003-9993(94)90006-x.

  PMID: 7979930 BACKGROUND

• Platz T, Pinkowski C, van Wijck F, Kim IH, di Bella P, Johnson G. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study. Clin Rehabil. 2005 Jun;19(4):404-11. doi: 10.1191/0269215505cr832oa.

  PMID: 15929509 BACKGROUND

• Arfianti L, Rochman F, Hidayati HB, Subadi I. The addition of mirror therapy

  BACKGROUND

• Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6.

  PMID: 32837228 BACKGROUND

• Fagundes NCF, Almeida APCPSC, Vilhena KFB, Magno MB, Maia LC, Lima RR. Periodontitis As A Risk Factor For Stroke: A Systematic Review And Meta-Analysis. Vasc Health Risk Manag. 2019 Nov 6;15:519-532. doi: 10.2147/VHRM.S204097. eCollection 2019.

  PMID: 31806984 BACKGROUND

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: It is a single blinded study in which participants will be allocated into 2 groups by using coin flip method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Physical Therapy Department

Model Details: 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 .

Study Record Dates

• First Submitted: September 18, 2023
• First Posted: October 10, 2023
• Study Start: September 4, 2023
• Primary Completion: December 26, 2023
• Study Completion: February 27, 2024
• Last Updated: October 10, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)