Comparison of Mirror Therapy and Modified Constrain Induced Movement Therapy on Risk of Fall, Balance and Gait in Stroke

NCT ID: NCT05985603

Last Updated: 2025-11-21

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-01

Study Completion Date

2024-02-15

Brief Summary

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There will be a difference between modified constraint induced movement therapy and Mirror Therapy on lower limb for risk of fall, balance and gait in stroke patients.

Detailed Description

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Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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CIMT Group

In this group of patients CIMT technique will be used for treatment

Group Type EXPERIMENTAL

CIMT Group

Intervention Type OTHER

In this group of patients CIMT technique will be used for treatment

Mirror Therapy Group

patient will perform movements in semi-reclined and sitting positions with the mirror placed between the two lower extremities.

Group Type EXPERIMENTAL

Mirror Therapy group

Intervention Type OTHER

patient will perform movements in semi-reclined and sitting positions with the mirror placed between the two lower extremities.

Interventions

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CIMT Group

In this group of patients CIMT technique will be used for treatment

Intervention Type OTHER

Mirror Therapy group

patient will perform movements in semi-reclined and sitting positions with the mirror placed between the two lower extremities.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A Hemiplegia due to unilateral stroke
* Sub-acute and chronic stroke
* Stroke survivors between 21 and 70 years old will be recruited
* Both genders
* NIH Stroke scale below 20
* Mini-Mental State Examination above 24
* Function in Sitting Test (FIST) above 42/56

Exclusion Criteria

* Patients with depression who will be unable to cooperate during treatment
* Patients who cannot perform the active movement of limb due to prestroke muscoskeletal problems
* Cardiopulmonary diseases which could hinder their ability to participate in rehabilitation
* Spasticity of Modified Ashworth Scale (MAS) II or higher
* Patients with Any neuron disease and Patients with lower-limb impairment caused by other neurological diseases or inability to comply with study protocol will be excluded.
* Visual and auditory abnormalities
Minimum Eligible Age

21 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ayesha Bashir, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Helping Hand Institute Of rehabilitation sciences

Mansehra, KPK, Pakistan

Site Status

Countries

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Pakistan

References

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Li J, Zhong D, Ye J, He M, Liu X, Zheng H, Jin R, Zhang SL. Rehabilitation for balance impairment in patients after stroke: a protocol of a systematic review and network meta-analysis. BMJ Open. 2019 Jul 19;9(7):e026844. doi: 10.1136/bmjopen-2018-026844.

Reference Type BACKGROUND
PMID: 31326927 (View on PubMed)

Arienti C, Lazzarini SG, Pollock A, Negrini S. Rehabilitation interventions for improving balance following stroke: An overview of systematic reviews. PLoS One. 2019 Jul 19;14(7):e0219781. doi: 10.1371/journal.pone.0219781. eCollection 2019.

Reference Type BACKGROUND
PMID: 31323068 (View on PubMed)

Oh K, Im N, Lee Y, Lim N, Cho T, Ryu S, Yoon S. Effect of Antigravity Treadmill Gait Training on Gait Function and Fall Risk in Stroke Patients. Ann Rehabil Med. 2022 Jun;46(3):114-121. doi: 10.5535/arm.22034. Epub 2022 Jun 30.

Reference Type BACKGROUND
PMID: 35793900 (View on PubMed)

Okonkwo UP, Agbo CF, Ibeneme SC, Igwe ES, Akosile CO, Onwuakagba IU, Emmanuel OC, Maduagwu SM, Ezenwankwo EF, Ekechukwu EN. The Burden and Quality of life of Caregivers of Stroke Survivors with Cognitive Impairment in Selected Healthcare Facilities in Anambra State, Nigeria. Gerontol Geriatr Med. 2022 Sep 27;8:23337214221126329. doi: 10.1177/23337214221126329. eCollection 2022 Jan-Dec.

Reference Type BACKGROUND
PMID: 36189374 (View on PubMed)

Wagatsuma M, Kim T, Sitagata P, Lee E, Vrongistinos K, Jung T. The biomechanical investigation of the relationship between balance and muscular strength in people with chronic stroke: a pilot cross-sectional study. Top Stroke Rehabil. 2019 Apr;26(3):173-179. doi: 10.1080/10749357.2019.1574417. Epub 2019 Feb 11.

Reference Type BACKGROUND
PMID: 30741610 (View on PubMed)

Khan F, Abusharha S, Alfuraidy A, Nimatallah K, Almalki R, Basaffar R, Mirdad M, Chevidikunnan MF, Basuodan R. Prediction of Factors Affecting Mobility in Patients with Stroke and Finding the Mediation Effect of Balance on Mobility: A Cross-Sectional Study. Int J Environ Res Public Health. 2022 Dec 10;19(24):16612. doi: 10.3390/ijerph192416612.

Reference Type BACKGROUND
PMID: 36554493 (View on PubMed)

Herrador Colmenero L, Perez Marmol JM, Marti-Garcia C, Querol Zaldivar MLA, Tapia Haro RM, Castro Sanchez AM, Aguilar-Ferrandiz ME. Effectiveness of mirror therapy, motor imagery, and virtual feedback on phantom limb pain following amputation: A systematic review. Prosthet Orthot Int. 2018 Jun;42(3):288-298. doi: 10.1177/0309364617740230. Epub 2017 Nov 20.

Reference Type BACKGROUND
PMID: 29153043 (View on PubMed)

Ju Y, Yoon IJ. The effects of modified constraint-induced movement therapy and mirror therapy on upper extremity function and its influence on activities of daily living. J Phys Ther Sci. 2018 Jan;30(1):77-81. doi: 10.1589/jpts.30.77. Epub 2018 Jan 27.

Reference Type BACKGROUND
PMID: 29410571 (View on PubMed)

Garrido M M, Alvarez E E, Acevedo P F, Moyano V A, Castillo N N, Cavada Ch G. Early transcranial direct current stimulation with modified constraint-induced movement therapy for motor and functional upper limb recovery in hospitalized patients with stroke: A randomized, multicentre, double-blind, clinical trial. Brain Stimul. 2023 Jan-Feb;16(1):40-47. doi: 10.1016/j.brs.2022.12.008. Epub 2022 Dec 28.

Reference Type BACKGROUND
PMID: 36584748 (View on PubMed)

E Silva EMGS, Ribeiro TS, da Silva TCC, Costa MFP, Cavalcanti FADC, Lindquist ARR. Effects of constraint-induced movement therapy for lower limbs on measurements of functional mobility and postural balance in subjects with stroke: a randomized controlled trial. Top Stroke Rehabil. 2017 Dec;24(8):555-561. doi: 10.1080/10749357.2017.1366011. Epub 2017 Aug 31.

Reference Type BACKGROUND
PMID: 28859603 (View on PubMed)

Wang D, Xiang J, He Y, Yuan M, Dong L, Ye Z, Mao W. The Mechanism and Clinical Application of Constraint-Induced Movement Therapy in Stroke Rehabilitation. Front Behav Neurosci. 2022 Jun 21;16:828599. doi: 10.3389/fnbeh.2022.828599. eCollection 2022.

Reference Type BACKGROUND
PMID: 35801093 (View on PubMed)

Yoon JA, Koo BI, Shin MJ, Shin YB, Ko HY, Shin YI. Effect of constraint-induced movement therapy and mirror therapy for patients with subacute stroke. Ann Rehabil Med. 2014 Aug;38(4):458-66. doi: 10.5535/arm.2014.38.4.458. Epub 2014 Aug 28.

Reference Type BACKGROUND
PMID: 25229024 (View on PubMed)

Kim K, Lee S, Kim D, Lee K, Kim Y. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients. J Phys Ther Sci. 2016 Jan;28(2):483-7. doi: 10.1589/jpts.28.483. Epub 2016 Feb 29.

Reference Type BACKGROUND
PMID: 27065534 (View on PubMed)

Other Identifiers

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REC/01665 Bakhtawar Tariq

Identifier Type: -

Identifier Source: org_study_id

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