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

Acute Pain Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05506826
• Other study ID #: REC/RCR & AHS/21/0254
• Status: Completed
• Phase: N/A
• Start date: January 1, 2022
• Est. completion date: August 20, 2022

Study information

• Verified date: November 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

Description:

This study will be conducted to compare the effects of mirror therapy and fine motor activities in chronic stroke patients. Total Twenty eight hemiplegic patients will be recruited according to inclusion criteria and data will be collected from Riphah rehabilitation centre Lahore and Mian Munshi Hospital Lahore (DHQ). The patients will randomly assigned to a mirror therapy group (n=14) and Fine motor activities group (n=14). The patients in both groups will undergo conventional therapy for 4 weeks (60minutes/day, 5 days/week). The patients will be evaluated at the beginning and end of the treatment by Fugl- Meyer Aassessment (FMA) wolf motor assessment scale and the Functional Independence Measure (FIM). After approval from ethical committee, data collection will be started and informed consent will be taken from all patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: August 20, 2022
• Est. primary completion date: August 20, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 35 Years to 65 Years

Eligibility

Inclusion Criteria:

• 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

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Acute Pain
• Ischemic Stroke
• Muscle Weakness
• Stroke
• Stroke, Ischemic
• Weakness, Muscle

Intervention

Other:
• fine motor activities
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
• conventional therapy and mirror therapy
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

Locations

Country	Name	City	State
Pakistan	Riphah International University	Islamabad	Fedral

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (4)

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. — View Citation

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. Review. — View Citation

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. Review. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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