Mirror Therapy Education for Acute Stroke Patients

Stroke, Acute Clinical Trial

Official title:

Effectiveness of Patient Education on Mirror Therapy to Improve Upper Extremity Function in Acute Stroke Patients

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04542772
• Other study ID #: C-20-15
• Status: Not yet recruiting
• Phase: N/A
• Start date: May 2021
• Est. completion date: September 2021

Study information

• Verified date: February 2021
• Source: Health Sciences North Research Institute
• Contact: Venkadesan Rajendran, PhD
• Phone: 1-866-469-0822
• Email: vrajendran[@]hsnsudbury.ca
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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?

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 36
• Est. completion date: September 2021
• Est. primary completion date: September 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Stroke
• Stroke, Acute

Intervention

Other:
• Mirror Therapy
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.
• Regular Rehabilitation
Participants will receive the standard-of-care, multidisciplinary rehabilitation intervention based on their needs and tolerance.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Health Sciences North Research Institute	NORTHERN ONTARIO ACADEMIC MEDICINE ASSOCIATION (NOAMA)

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.
Primary	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	Modified Barthel Index	Assess Activity of Daily Living, Scores of <15 usually represents moderate disability and <10 usually represents severe disability.	: 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