Effect of Mirror Therapy on Lower Extremity Motor Control and Gait in Patients With Stroke

Stroke Clinical Trial

Official title:

Effect of Mirror Therapy on Lower Extremity Motor Control and Gait in Patients With Stroke

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01574079
• Other study ID #: 2010-0244
• Status: Completed
• Phase: N/A
• First received: January 30, 2012
• Last updated: September 4, 2014
• Start date: November 2010
• Est. completion date: November 2012

Study information

• Verified date: September 2014
• Source: University of Mississippi Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Mirror therapy may be an effective intervention in increasing motor control and gait performance in patients with stroke.

Description:

Using a mirrored image of the uninvolved extremity superimposed upon the involved extremity during exercise may facilitate improved motor control in patients after stroke.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 33
• Est. completion date: November 2012
• Est. primary completion date: November 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• lower extremity Brunnstrom stage 2,

• lower extremity modified ashworth < 3,

• has the ability to follow 3-step command in English,

• has only unilateral involvement.

Exclusion Criteria:

• lower extremity Brunnstrom stage 1,

• lower extremity modified ashworth 3 or higher,

• history of prior stroke,

• Passive Range of Motion limitation of hip and or knee flexion < 90,

• has visual deficits which prevent participation.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• Traditional Physical Therapy
Traditional physical therapy includes, but is not limited to, therapeutic exercise, functional mobility training, pre-gait and gait activities, electrotherapeutic modalities, and education.
• Physical Therapy plus Mirror Therapy
The treatment group will receive traditional physical therapy intervention as described in the control group with the addition of mirror therapy. The participant will attempt to perform the flexion exercises with both lower extremities. The patient will be blinded to the affected lower extremity with a mirror, and will be looking at the image of the unaffected lower extremity superimposed on the affected lower extremity as he or she performs the activities.

Locations

Country	Name	City	State
United States	University of Mississippi Medical Center - University Rehabilitation	Jackson	Mississippi

Sponsors (1)

Lead Sponsor	Collaborator
University of Mississippi Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Functional Independence Measure - Locomotor Score	The Functional Independence Measure (FIM)assesses level of disability and measures progress toward independence with rehabilitational intervention. The tool consists of 18 items. Only the the locomotor score was used to assess gait ability in this study. The locomotor score ranges from 1 - 7 with a higher score indicating a higher level of functional independence.	measured at admission and discharge from rehab estimated length of stay 14 days	Yes
Secondary	Timed Up and Go	The Timed Up and Go (TUG) is used to assess balance and gait, and to estimate fall risks in patients with deficits. The participant rises from a seated position in a chair, walks 3 meters, turns around, returns to the chair, and sits down. The test is measured in seconds, with a lower number indicating a higher level of independence and the least risk for falls.	Measured at admission and discharge with estimated length of stay 14 days	Yes
Secondary	Stroke Rehabilitation Assessment of Movement	The Stroke Rehabilitation Assessment of Movement (STREAM)is designed to measure mobility and motor ability after stroke. There are three subscales with 10 items each assessing the upper extremity, lower extremity, and basic mobility. Only the lower extremity and basic mobility items were used in this study. The lower extremity scores ranged from 0 - 18 with higher scores indicating a higher level of motor control. The basic mobility scores ranged from 0 - 30 with high numbers indicating a higher level of functional mobility.	measured at admission and discharge with estimated length of stay 14 days	No