Additional Effects of Mirror Therapy on Shoulder Mobility and Function in Post-stroke Adhesive Capsulitis Patients
NCT ID: NCT06947239
Last Updated: 2025-04-27
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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COMPLETED
NA
22 participants
INTERVENTIONAL
2024-06-20
2025-01-20
Brief Summary
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The aim of the current study will benefit the clinicians and physiotherapists as it provide an insight to treat post stroke adhesive capsulitis. Effects of mirror therapy have been established but the literature does not provide best treatment approaches or modalities for different types of Hemiplegic shoulder pain. This study will address the limitations in treatment approaches concerning the shoulder joint and its mobility in post-stroke adhesive capsulitis.
The study will be non-blinded randomized control trial, consisting of two groups. Study will be conducted over a period of 1 year. Subjects will be selected via non-probability purposive sampling technique using coin toss method followed by randomization into two groups (A and B).Ethical approval will be obtained from ERC FUMC.
One group will receive mirror therapy while other will receive conventional exercises treatment for period of 6 weeks. Baseline tests will be performed before and after the intervention of mirror therapy \& outcome measure assessments will be done after every 3 weeks for a total period of 6 weeks intervention period. Data will be entered and analyzed on SPSS version 22.
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Detailed Description
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1. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint range of motion in post-stroke adhesive capsulitis patients.
2. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint function in post-stroke adhesive capsulitis patients.
3. To compare the difference between the effects of mirror therapy with conventional therapy alone for improving shoulder mobility and function in post stroke adhesive capsulitis patients.
HYPOTHESIS ALTERNATE HYPOTHESIS
1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p \> 0.05).
2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p \> 0.05).
NULL HYPOTHESIS
1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p \> 0.05).
2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p \> 0.05).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Mirror therapy along with conventional therapy
It includes participants receiving mirror therapy session in adhesive capsulitis of post stroke patients for a period of 6 weeks.
The experimental group will receive 20 minutes of conventional therapy followed by 20 minutes of mirror therapy training including 3 minutes of rest period between the interventions.
Mirror therapy along with conventional therapy
The experimental group will receive 20 minutes of conventional therapy followed by 20 minutes of mirror therapy training including 3 minutes of rest period between the interventions.
WEEK OF INTERVENTION:
TASK PERFORM IN FRONT OF MIRROR:
WEEK :1-2
ACTIVE SHOULDER ROM:
flexion, abduction, external-internal rotation movements of the intact extremity
Increase the number of repetition according to the patient progression
WEEK:3-4
ACTIVITIES TARGETING SHOULDER ROM:
Cleaning the mirror with a towel(internal rotation+ abduction)
Lifting a glass to drink ( flexion + abduction)
Holding a brush to comb hair (external rotation
WEEK:5-6
Overhead reaching
(pasting stickers on the
mirror)(internal rotation
/ abduction)
Lifting a bottle overhead.
( flexion/abduction)
Throwing a ball (external
rotation)
PROGRESSION OF TASK SPECIFIC MIRROR THERAPY:
WEEK: 1-2 Increase the number of repetition according to the patient progression WEEK:3-4 Add water in glass Transfer glass
Conventional Therapy
it includes 11 participants receiving conventional physical therapy for a period of 6 weeks. The control group will receive the conventional therapy for 40 minutes including:
1. Heat pack \& TENS to alleviate pain for 15 minutes
2. Shoulder isometric exercises 10 reps
Control Group
Details: Weeks wise:
The control group will receive 20 mints of conventional therapy .
1. Heat pack \& TENS to alleviate pain for 15 minutes
2. Shoulder isometric exercises 10 reps
3. Active and passive Range of Motion exercises 10 reps each
4. Codman exercises 10 reps each
5. Wand exercises 10 reps each
Interventions
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Mirror therapy along with conventional therapy
The experimental group will receive 20 minutes of conventional therapy followed by 20 minutes of mirror therapy training including 3 minutes of rest period between the interventions.
WEEK OF INTERVENTION:
TASK PERFORM IN FRONT OF MIRROR:
WEEK :1-2
ACTIVE SHOULDER ROM:
flexion, abduction, external-internal rotation movements of the intact extremity
Increase the number of repetition according to the patient progression
WEEK:3-4
ACTIVITIES TARGETING SHOULDER ROM:
Cleaning the mirror with a towel(internal rotation+ abduction)
Lifting a glass to drink ( flexion + abduction)
Holding a brush to comb hair (external rotation
WEEK:5-6
Overhead reaching
(pasting stickers on the
mirror)(internal rotation
/ abduction)
Lifting a bottle overhead.
( flexion/abduction)
Throwing a ball (external
rotation)
PROGRESSION OF TASK SPECIFIC MIRROR THERAPY:
WEEK: 1-2 Increase the number of repetition according to the patient progression WEEK:3-4 Add water in glass Transfer glass
Control Group
Details: Weeks wise:
The control group will receive 20 mints of conventional therapy .
1. Heat pack \& TENS to alleviate pain for 15 minutes
2. Shoulder isometric exercises 10 reps
3. Active and passive Range of Motion exercises 10 reps each
4. Codman exercises 10 reps each
5. Wand exercises 10 reps each
Eligibility Criteria
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Inclusion Criteria
* Age 40-70 years
* Ability to understand and follow simple verbal instructions
* Patients able to stand for at least 10-15 mins.
* Ability to participate in a therapy session by coming to hospital.
* Chronic Stroke (ischemic) patients (6 months-1year) with adhesive capsulitis (capsular pattern :external rotation\> abduction \> internal rotation)
* Scores of \>24 on Montreal Cognitive assessment scale.
Exclusion Criteria
* History of upper limb surgery or trauma
* Rotator cuff pathology or prolonged immobilization of upper limb
* Rheumatic disease, fibromyalgia or any other musculoskeletal disorder that is altering upper extremity movement
* Any other neurological condition
40 Years
70 Years
ALL
No
Sponsors
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Foundation University Islamabad
OTHER
Responsible Party
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Locations
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Foundation University College of Physical Therapy
Islamabad, , Pakistan
Countries
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Other Identifiers
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FUI/CTR/2024/67
Identifier Type: -
Identifier Source: org_study_id
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