Comparison of Graded Motor Imagery and Mirror Therapy in Chronic Stroke Rehabilitation

NCT ID: NCT06980181

Last Updated: 2025-07-10

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

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-15

Study Completion Date

2025-07-01

Brief Summary

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The study is conducted to assess whether the GMI or MT reduce the level of spasticity. Also to compare the level of independence in GMI and MT in the chronic stroke patients.

Detailed Description

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A stroke is a medical condition that occurs when inadequate blood flow to a part of the brain leads to cell death. There are two primary types of strokes: ischemic, caused by reduced blood flow, and hemorrhagic, caused by bleeding. Both types result in impaired brain function in the affected areas.

A systemic review was conducted on the effectiveness of mirror therapy on lower extremities, stal and walk in early stage and long term stroke. Results shown better results with using mirror the than control group.

Non-randomized controlled trial study was conducted on stroke patients treated by graded n imagery. It consisted of 28 subjects and the experimental group included 14 and other 14 included in the control group. Graded motor imagery showed better results than the convent therapy as 10 patients showed better outcomes in the intervention group and only 4 patients sho improvement in the control group.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Model Description
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Masking Description

Study Groups

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Graded Motor Imagery

GMI uses visual cues and mental exercises to retain the brain in steps.

Group Type EXPERIMENTAL

Graded Motor Imagery

Intervention Type OTHER

Graded Motor Imagery typically 1 to 3 times per day for 5 to 10 minutes for each phase. No physical movement at first only cognitive task, mental rehearsal and visual motor.

Mirror Therapy

Mirror Therapy uses a mirror to make the brain think the weak side is moving

Group Type ACTIVE_COMPARATOR

Mirror Therapy

Intervention Type OTHER

Mirror Therapy typically involves 1 to 3 sessions per day for 10 to 15 minutes gradually increases as tolerated.Visual and motor training using a mirror placed at the midline.

Interventions

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Graded Motor Imagery

Graded Motor Imagery typically 1 to 3 times per day for 5 to 10 minutes for each phase. No physical movement at first only cognitive task, mental rehearsal and visual motor.

Intervention Type OTHER

Mirror Therapy

Mirror Therapy typically involves 1 to 3 sessions per day for 10 to 15 minutes gradually increases as tolerated.Visual and motor training using a mirror placed at the midline.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age:45 to 65 years
* First ever unilateral stroke and over 3 months since onset.
* Both ischemic and hemorrhagic stroke individuals were included.

Exclusion Criteria

* Patients suffering from psychological problems.
* Visual Impairments.
* Fractures.
* Any other Neurological disorder
* Inflammatory joint diseases
* Medical instability e.g Uncontrolled HTN
* Any systemic disease
Minimum Eligible Age

45 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Elite College of Management Sciences, Gujranwala, Pakistan

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Usman Iqbal Janjua, Phd

Role: PRINCIPAL_INVESTIGATOR

Elite College of Management Sciences

Locations

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Paraplegic Center

Peshawar, Khyber Pakhtunkhwa, Pakistan

Site Status

Countries

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Pakistan

References

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Gandhi DB, Sterba A, Khatter H, Pandian JD. Mirror Therapy in Stroke Rehabilitation: Current Perspectives. Ther Clin Risk Manag. 2020 Feb 7;16:75-85. doi: 10.2147/TCRM.S206883. eCollection 2020.

Reference Type BACKGROUND
PMID: 32103968 (View on PubMed)

Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical activity in the prevention and treatment of stroke. ISRN Neurol. 2011;2011:953818. doi: 10.5402/2011/953818. Epub 2011 Oct 1.

Reference Type BACKGROUND
PMID: 22389836 (View on PubMed)

Other Identifiers

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2020-GCUF-079262

Identifier Type: -

Identifier Source: org_study_id

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