Mirror Therapy for Hand Function Recovery in Acute Stroke
NCT ID: NCT07204067
Last Updated: 2025-10-02
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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RECRUITING
NA
44 participants
INTERVENTIONAL
2025-08-15
2027-09-17
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Mirror Therapy + Conventional Physiotherapy
Experimental: Mirror Therapy + Conventional Physiotherapy
Device/Procedure: Mirror Therapy (20 min/session) + immediate Conventional Physiotherapy (20 min/session)
Schedule: 2 sessions/week for 1 week (total: 2 sessions)
MT Procedure: Mirror (box or plain) placed along mid-sagittal plane reflecting the non-paretic limb while hiding the paretic limb. Participants perform bilateral symmetrical movements focusing on the mirror image (e.g., wrist flex/ext, finger flex/ext, elbow flex/ext, reaching \& grasping).
Conventional Content (immediately after MT): strengthening \& functional task practice (e.g., reaching/transfers), plus targeted hand training: theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, reaching overhead/side-to-side with weight, weighted ball toss/catch.
Mirror Therapy Conventional Physiotherapy
Experimental: Mirror Therapy + Conventional Physiotherapy Mirror therapy performed 20 min/session, 2 sessions/week for 1 week. A mirror is placed midsagittal, reflecting the non-paretic limb while hiding the paretic limb. Patients perform bilateral movements (wrist, finger, elbow flex/extension; reaching/grasping) while focusing on the mirror image. This is followed by 20 min of conventional physiotherapy, including strengthening, functional tasks, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Active Comparator: Conventional Physiotherapy Only Conventional physiotherapy 20 min/session, 2 sessions/week for 1 week. Exercises include upper limb strengthening, functional task practice, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Conventional Physiotherapy Only
Procedure: Conventional Physiotherapy (20 min/session), no mirror. Same schedule and exercise menu as above without visual mirror feedback.
Notes: The proposal specifies 1 week duration with 2 sessions/week, 20 min each; centers may extend to clinically standard dosage via protocol amendment if needed.
Mirror Therapy Conventional Physiotherapy
Experimental: Mirror Therapy + Conventional Physiotherapy Mirror therapy performed 20 min/session, 2 sessions/week for 1 week. A mirror is placed midsagittal, reflecting the non-paretic limb while hiding the paretic limb. Patients perform bilateral movements (wrist, finger, elbow flex/extension; reaching/grasping) while focusing on the mirror image. This is followed by 20 min of conventional physiotherapy, including strengthening, functional tasks, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Active Comparator: Conventional Physiotherapy Only Conventional physiotherapy 20 min/session, 2 sessions/week for 1 week. Exercises include upper limb strengthening, functional task practice, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Interventions
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Mirror Therapy Conventional Physiotherapy
Experimental: Mirror Therapy + Conventional Physiotherapy Mirror therapy performed 20 min/session, 2 sessions/week for 1 week. A mirror is placed midsagittal, reflecting the non-paretic limb while hiding the paretic limb. Patients perform bilateral movements (wrist, finger, elbow flex/extension; reaching/grasping) while focusing on the mirror image. This is followed by 20 min of conventional physiotherapy, including strengthening, functional tasks, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Active Comparator: Conventional Physiotherapy Only Conventional physiotherapy 20 min/session, 2 sessions/week for 1 week. Exercises include upper limb strengthening, functional task practice, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Acute ischemic or hemorrhagic stroke within the last 1 month
* Unilateral hemiparesis/hemiplegia
* Medically stable and cleared for rehabilitation
* Able to follow verbal instructions; MMSE ≥ 24
* Provides written informed consent
Exclusion Criteria
* Severe cognitive impairment (MMSE \< 24)
* Visual field deficits, unilateral neglect, or severe aphasia interfering with MT
* Other neurological disorders (e.g., Parkinson's, MS)
* Orthopedic conditions affecting upper limb/trunk
* Uncontrolled cardio-respiratory disease limiting exercise
* Severe spasticity (MAS ≥ 3) in affected limb
* Concurrent enrollment in other interventional trials
* Inability/refusal to consent
40 Years
55 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Dr.Nadeem Ahmad, MS
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Riphah international University Malakand Campus
Malakand, KPK, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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RIPHAH-REC Sapna Kursheed
Identifier Type: -
Identifier Source: org_study_id
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