Effect of Motor Relearning Programme and Mirror Therapy Along for Improving Hand Function In Patients With Stroke.

January 9, 2015 updated by: DIVYA MIDHA, Maharishi Markendeswar University (Deemed to be University)

Effectiveness of Motor Relearning Programme and Mirror Therapy Along With Conventional Physiotherapy Treatment for Improving Hand Function In Patients With Stroke.

Study was conducted Effectiveness of Motor Relearning Programme and Mirror Therapy along with Conventional Physiotherapy treatment for improving Hand Function In Patients with stroke. study was an experimental study conducted on 12 stroke patients using convenient sampling method .Subjects were divided into two equal groups (n=6). Group A was given conventional physiotherapy and Motor Relearning Programme exercises for the affected hand and Group B received conventional physiotherapy for the affected hand and mirror therapy for the unaffected hand. Chedoke arm and hand inventory (CAHAI) was used as primary outcome measure for evaluation of hand function before and after application of therapeutic Intervention

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Title: Effectiveness of Motor Relearning Programme and Mirror Therapy along with Conventional Physiotherapy treatment for improving Hand Function In Patients with stroke.

Background Upper extremity complications are common following stroke. Individuals who have sustained stroke are often left with residual motor deficits of the upper limb. These deficits restrict functional use of the limb in everyday activities and can result in increased dependen cy upon others to engage in some tasks.

Objectives Present study aims to see effectiveness of mirror therapy and Motor Relearning Programme for improving hand functions in stroke.

Materials and Methods Present study was an experimental study conducted on 12 stroke patients using convenient sampling method .Subjects were divided into two equal groups (n=6). Group A was given conventional physiotherapy and Motor Relearning Programme exercises for the affected hand and Group B received conventional physiotherapy for the affected hand and mirror therapy for the unaffected hand. Chedoke arm and hand inventory (CAHAI) was used as primary outcome measure for evaluation of hand function before and after application of therapeutic Intervention

Study Type

Interventional

Enrollment (Actual)

12

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

43 years to 63 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • experienced one episode of stroke only,
  • Both ischemic & hemorrhagic stroke individuals
  • Duration of stroke between 1 to 6 months,
  • Mini mental status examination (MMSE) (score > 23),
  • Brunstrom Stage 4 & 5.

Exclusion Criteria:

  • any musculoskeletal Disorders,
  • neurological disorder other than stroke,
  • visual impairment, systemic disease,
  • Non co-operative patients
  • psychological problems.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: GROUP A
Subjects in Group A received MRP exercises for training of Wrist Extensors, Extension of wrist and holding objects, training of supination of forearm, opposition of thumb, cupping of hand and training of manipulation of the objects.
Device: motor relearning programme
MRP exercises for training of Wrist Extensors, Extension of wrist and holding objects, training of supination of forearm, opposition of thumb, cupping of hand and training of manipulation of the objects
Other Names:
  • MRP
Active Comparator: GROUP B
Group B received Mirror therapy in which patient was seated close to the table in front of mirror (35x35 cm). The involved hand was placed behind the mirror. : the practice consisted of intransitive exercises as Hand opening, Wrist extension and flexion, Forearm pronation and supination, Hand sliding on a flat surface. During the session patient were asked to try to do the same movement with the paretic hand while they were moving the non-paretic hand.In both the groups total treatment was given for 1 hour/day for 6 days/week
Device: MIRROR THERAPY
Mirror therapy in which patient was seated close to the table in front of mirror (35x35 cm). The involved hand was placed behind the mirror. : the practice consisted of intransitive exercises as Hand opening, Wrist extension and flexion, Forearm pronation and supination, Hand sliding on a flat surface. During the session patient were asked to try to do the same movement with the paretic hand while they were moving the non-paretic hand.In both the groups total treatment was given for 1 hour/day for 6 days/week

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Chedoke arm and hand activity inventory (CAHAI)
Time Frame: 4 WEEKS
CAHAI scale is designed to encourage the bilateral hand to complete the task. Patient was made to seat in chair without arm rest and encouraging erect posture with elbows at the edge of the table and hands resting on the table. Each task was demonstrated once before performance, and then the Score was evaluated of the affected upper extremity using the 7 point activity scale from total assistance (1) to complete independence.
4 WEEKS

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
MODIFIED ASHWSORTH SCALE
Time Frame: 4 WEEKS
to assess the level of spasticity
4 WEEKS

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Maharishi Markendeswar University (Deemed to be University)

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2010

Primary Completion (Actual)

May 1, 2011

Study Completion (Actual)

July 1, 2011

Study Registration Dates

First Submitted

January 7, 2015

First Submitted That Met QC Criteria

January 9, 2015

First Posted (Estimate)

January 14, 2015

Study Record Updates

Last Update Posted (Estimate)

January 14, 2015

Last Update Submitted That Met QC Criteria

January 9, 2015

Last Verified

January 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • D789

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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