Task Oriented Mirror Therapy for Upper Limb Motor Function in Stroke Patient

NCT ID: NCT06945211

Last Updated: 2025-04-25

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-10
• Study Completion Date: 2025-05-30

Brief Summary

Stroke remains a major public health disease worldwide ,it usually associating with damage to the motor function and other functional disabilities. Persistent upper extremity dysfunction affects many post strokepatients and is strongly associated with decreased activities of daily living . Mirror therapy one of the rehabilitation that is beneficial for neuroplasticity .This therapy is used to improve motor function after stroke .

Detailed Description

OBJECTIVES:

The objectives of this study are :

1. To imorove upper limb motor function and

2. To improve activities of daily lving .

3. To enhance motor skills.

HYPOTHESIS:

Alternate Hypothesis:

There will be statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p<0.05)

Null Hypothesis:

There will be no statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function

,activities of daily living and enhancing motor skills in stroke patients (p>0.05)

RESEARCH DESIGN : Experimental study .Randomized control trail.

Conditions

Stroke Patients

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

INTERVENTION GROUP A LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Subjects will recieve Low Intensity Task Oriented Mirror Therapy:

Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen.

The subject will be instructed to perform movement with unaffected arm. Task oriented activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.

Group Type: EXPERIMENTAL

LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Intervention Type: PROCEDURE

Group A Low Intensity Task Oriented Mirror Therapy will be administered for 2 and half hour per week for 30 min a day, 10 rep five times a week for 8 weeks.

Task-oriented Activities for Group A:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 30 min with 10 reps per day for 8 consecutive weeks.

INTERVENTION GROUP B HIGH INTENSITY TASK ORIENTED MIRROR THERAP

Subjects will receive High Intensity Task Oriented Mirror Therapy :

Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen.

The subjects will be instructed to perform movement with unaffected arm. Task Oriented Activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.

Group Type: EXPERIMENTAL

High Intensity Task Oriented Mirror Therapy

Intervention Type: PROCEDURE

Group B High Intensity Task Oriented Mirror Therapy will be administered for 5 hours per week for 60 min a day, 20 rep five times a week for 8 weeeks. The mode of mirror therapy will be unilateral as subjects will perform movement only on unaffected arm.

Task-oriented Activities for Group B:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 60 min with 20 reps per day for 8 consecutive weeks

Interventions

LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Group A Low Intensity Task Oriented Mirror Therapy will be administered for 2 and half hour per week for 30 min a day, 10 rep five times a week for 8 weeks.

Task-oriented Activities for Group A:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 30 min with 10 reps per day for 8 consecutive weeks.

Intervention Type: PROCEDURE

High Intensity Task Oriented Mirror Therapy

Group B High Intensity Task Oriented Mirror Therapy will be administered for 5 hours per week for 60 min a day, 20 rep five times a week for 8 weeeks. The mode of mirror therapy will be unilateral as subjects will perform movement only on unaffected arm.

Task-oriented Activities for Group B:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 60 min with 20 reps per day for 8 consecutive weeks

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Both genders.
• Age of patient 45 years and above
• Both ischemic and hemorrhagic stroke ( subacute and chronic stroke). Cognitive function relatively intact score > 24 MoCA
• The patient can sit with / without support for more than 30 min

Exclusion Criteria

• Subjects with visual impairments or unilateral neglect.
• having global aphasia.
• unstable medical conditions or comorbidities.
• score 3 and above on modified ashworth scale.
• patient with orthopedic condition or any fractures.

• Minimum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Thrapy

Islamabad, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

HIRA NAWAZ, DPT

Role: CONTACT

hiranawaz1414@gmail.com

+92 337-0401414

Facility Contacts

Sana Khalid, MS-NMPT

Role: primary

sana.khalid@fui.edu.pk

+923444218174

Other Identifiers

FUI/CTR/2024/65

Identifier Type: -

Identifier Source: org_study_id