Efficacy and Safety of a Learning Program of Self- Rehabilitation Exercises by Mirror Therapy
NCT ID: NCT02667717
Last Updated: 2021-01-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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TERMINATED
NA
34 participants
INTERVENTIONAL
2017-06-06
2019-06-06
Brief Summary
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Researchers have chosen to select patients with re-education of the upper extremity to benefit from rehabilitation sessions either from physiotherapists present in their city, or of functional rehabilitation hospital units.
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Detailed Description
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Recently, mirror therapy has been proposed to correct dysfunctions : patients have to realize a movement with their two hands, observing the reflect of their healthy hand in a mirror, while their painful hand is hidden behind the mirror. After a learning phase, patients have to continue this kind of therapy independently.
AlgoMIR project born thanks to a meeting between pain professionals and re-education staff. The goal of this project is to develop and evaluate a program of learning with exercises by mirror therapy, that could be easily shared with paramedic teams and easily adapted to different handicaps.
Researchers have chosen to select patients with re-education of the upper extremity to benefit from rehabilitation sessions either from physiotherapists present in their city, or of functional rehabilitation hospital units.
The primary outcome of this project is to compare analgesic effect at 8 and 16 weeks of a therapy mirror re-education program associated to a usual care (M+R), and of a usual care program (R).
A second goal is to understand eventual difficulties met by the patients and improve efficacy of the autonomous becoming of patients using mirror therapy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Experimental group : Mirror Therapy
Experimental group will perform mirror therapies during 16 weeks, added to the usual care. Therapy mirror sessions will take place at hospital units but also at home.
Mirror therapy
The intervention is a mirror therapy. The mirror therapy consists in performing some movements with a mirror, the hand that is painful is hidden and the image of the healthy hand is reflected in the mirror. Patients looking at this image seems to see their painful hand moving.
Usual care
Patients will have the usual care as an intervention.
Control group : Usual care
The control group will benefit from the usual care during 16 weeks. No mirror therapies will be performed to this group.
Usual care
Patients will have the usual care as an intervention.
Interventions
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Mirror therapy
The intervention is a mirror therapy. The mirror therapy consists in performing some movements with a mirror, the hand that is painful is hidden and the image of the healthy hand is reflected in the mirror. Patients looking at this image seems to see their painful hand moving.
Usual care
Patients will have the usual care as an intervention.
Eligibility Criteria
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Inclusion Criteria
* CRPS (complex regional pain syndrome) type I or II defined by the criteria of Bruehl (Table 1)
* CRPS of the upper limb including the wrist and / or hand
* CRPS post-surgical or post-traumatic
* Average pain in the last 24 hours of intensity \> = 30/100 on EVA (0 no pain, 100: worst pain imaginable )
* Evolution for over 3 months and less than 2 years
* Patients taking a stable background therapy for 15 days and not having received the following treatments in the previous months : bisphosphonate cure, infiltration, Qutenza, ketamine infusions
* Patients accepting a rehabilitation (physiotherapists or hospital units for patients included on Saint-Etienne and hospital units for patients included in Lyon and Saint- Vallier)
Exclusion Criteria
* Adhesive capsulitis isolated
* Cognitive or language difficulties preventing understanding instructions and / or a correct clinical evaluation
* Patient who already received a rehabilitation program with the use of mirror therapy or other virtual reality technology
* CRPS in connection with an accident caused by a third party for which a legal procedure is underway
* Major Depressive Episode
* Dissociative Disorders
* Visually impaired patients
18 Years
ALL
No
Sponsors
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Centre Hospitalier Universitaire de Saint Etienne
OTHER
Responsible Party
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Principal Investigators
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CREAC'H Christelle, MD
Role: PRINCIPAL_INVESTIGATOR
CHU SAINT-ETIENNE
Locations
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MPR des Massues
Lyon, , France
Centre médical de l'Argentière
Saint-Etienne, , France
Chu Saint Etienne
Saint-Etienne, , France
Consultation Douleur de la Mutualité de la Loire
Saint-Etienne, , France
MPR de l'Hôpital Drôme Nord
Saint-Vallier, , France
Countries
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Other Identifiers
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2016-A00088-43
Identifier Type: OTHER
Identifier Source: secondary_id
1508193
Identifier Type: -
Identifier Source: org_study_id
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