Effects of Motor Imagery Technique With and Without Virtual Reality on Pain Intensity ,Functional Disability and Quality of Life in Patient With Post Stroke Shoulder Hand Syndrome

NCT07610889 | Completed

• 1 other identifier: GIU/REC/26-33
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

the current study is a randomized controlled trial comparing the effectiveness of motor imagery techanique with and without virtual reality on pain intensity , functional disability and quality of life for individual with post stroke shoulder hand syndrome . this trial aims to evaluate pain , functional disability and overall quality of life . the primary outcome is pain reduction . while seconday outcome reduce disability and improve quality of life .the hypothesis is that the combination of motor imagery and virtual reality will result in significant greater clinical improvement compared to motor imagery alone .

Conditions

Complex Regional Pain Syndrome (CRPS); Shoulder Hand Syndrome

Keywords

motor imagery; virtual reality; shoulder hand syndrome; post stroke; physiotherapy

Outcome Measures

Primary Outcomes (1)

• PAIN INTENSITY

  numeric pain rating scale is used to measure pain by rating one to ten according to the severity of the pain . scale level from 0 to 10 o means no pain 10 means higher level of pain

  three session per week for sic weeks

Other Outcomes (1)

• disability

  three times a week for six week

Study Arms (2)

Motor imagery with virtual reality

EXPERIMENTAL

participants of shoulder hand syndrome received a combination treatment of motor imagery with virtual reality .both treatment options provided to improve motor function , reduce pain and improve quality of life . provide treatment of both motor imagery and virtual reality

Other: motor imagery with virtual reality

motor imagery alone

ACTIVE COMPARATOR

participant in this arm will receive only motor imagery treatment protocol . the therapy will target shoulder and hand region to increse ROM , decrease stiffness and pain .

Other: motor imagery alone

Interventions

motor imagery with virtual reality OTHER

participants will receive 30 minute intervention session .the integrated components consist of motor imagery and virtual reality followed by the application of affected arease

Motor imagery with virtual reality

motor imagery alone OTHER

participant will receive same 30 minutes session of specializes motor imagery techniques . no virtual reality sessions are included

motor imagery alone

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Post-stroke patients diagnosed with Shoulder-Hand Syndrome
• Age 40-70 years
• Both males and females
• Ability to understand motor imagery tasks
• Duration of stroke ≥ 3 months

You may not qualify if:

• Cognitive impairment
• Severe visual deficits
• Psychiatric illness
• Pain medication changes during study
• Uncontrolled medical conditions

Sponsors & Collaborators

• Green International University: lead

Study Sites (1)

Green International Univeristy

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Complex Regional Pain Syndromes; Reflex Sympathetic Dystrophy

Condition Hierarchy (Ancestors)

Autonomic Nervous System Diseases; Nervous System Diseases; Peripheral Nervous System Diseases; Neuromuscular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: the study uses single masking in which the outcome accessor is blinded to group allocation .participants will be assigned to either motor imagery treatment with and without virtual reality by an independent researcher who is not involved in assessment . the assessor responsible for recording baseline and post intervention outcomes will not be informed of the participants intervention group .to maintain blinding participants will be instructed not to disclose their group assignment during assessment
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: the study uses a randomized , parallel group design in which participant diagnosed with post stroke shoulder hand syndrome are assigned into one of two intervention arms . partricipants were randomly allocated into two groups . (1) group one received only motory imagery treatment and second group received both technique motor imagery and virtual reality . the outcome accessor will be blinded to group assignment to minimize measurement bias .

Study Record Dates

• First Submitted: May 15, 2026
• First Posted: May 28, 2026
• Study Start: November 2, 2025
• Primary Completion: April 29, 2026
• Study Completion: May 6, 2026
• Last Updated: May 28, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: it will be available after the completion of study
• Access Criteria: through the corresponding author

Locations

PA (1)