Comparing Unimanual and Bimanual Mirror Therapy for Upper Limb Recovery Post Stroke

May 8, 2019 updated by: NYU Langone Health

Home Mirror Therapy: A Randomized Control Study Comparing Unimanual and Bimanual Mirror Therapy for Improved Hand Function Post-stroke

The purpose of this randomized controlled study is to

  1. Examine the feasibility of a home Mirror therapy (MT) program in the NYC metropolitan area;
  2. Evaluate the effectiveness of home MT versus traditional home exercise program; and

  3. Evaluate the superiority of unimanual or bimanual MT intervention protocols for chronic stroke subjects with moderate hand deficits. Subjects from occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke will be divided into three (3) groups:

    • Control Group subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
    • Experimental group 1 subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
    • Experimental group 2 subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Actual)

22

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10016
        • New York University School of Medicine

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

19 years to 85 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Participants included in the study will be those referred to outpatient occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke.

Description

Inclusion Criteria:

  • First time unilateral stroke > 3 months post stroke.
  • Cognitively be able to follow direction
  • Cognitively be able to consent to participation in research study
  • Moderate/severe deficits as per the Fugl-Meyer assessment score from 10-50 and the ability to grasp and release a small towel or washcloth.

Exclusion Criteria:

  • Complex medical problems, that would render the subject unable to participate in an extensive home program
  • History of pre-existing neurological or psychiatric diseases, orthopedic conditions of the upper limbs, or peripheral nerve injuries that render the subject unable to sit or to move either upper limb
  • Hearing and vision impairments which may impede subjects participation in the home program
  • Perceptual deficits such as apraxia, neglect, or agnosias as per clinical evaluation which may impede subjects participation in the home program
  • Botox injection in affected arm/hand within 3 months
  • Global aphasia that may interfere with understanding instruction for testing or home exercise program.

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

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Control Group
Subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
Behavioral: Traditional Home Based Exercise Program
Subjects in the control group will receive a traditional home Occupational Training exercise program as per conventional OT guidelines with the same home program duration.
Experimental Group 1
Subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
Behavioral: Unimanual Home Based Mirror Therapy Program
The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
Experimental Group 2
Subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.
Behavioral: Bimanual Home Based Mirror Therapy Program
The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Fugl-Meyer Assessment (FMA)
Time Frame: Baseline to Six (6) Weeks
Gold Standard to evaluate and measure recovery in patients with hemiplegia post stroke.
Baseline to Six (6) Weeks
Grip strength
Time Frame: Baseline to Six (6) Weeks
Grip strength is important to measure as it is correlated with stroke recovery.
Baseline to Six (6) Weeks
Action Research Arm Test (ARAT)
Time Frame: Baseline to Six (6) Weeks
An interview based tool that measures a subject's perceived difficulty with the use of their arm/hands with activities of daily living post-stroke.
Baseline to Six (6) Weeks
Stroke Impact Scale Version 3.0
Time Frame: Baseline to Six (6) Weeks
A subjective standardized 59-items 8 domain questionnaire assessing health status post-stroke.
Baseline to Six (6) Weeks

Collaborators and Investigators

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

Sponsor

NYU Langone Health

Investigators

  • Principal Investigator: Steve Vanlew, MD, New York University Medical School

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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

November 1, 2014

Primary Completion (Actual)

March 1, 2018

Study Completion (Actual)

March 1, 2018

Study Registration Dates

First Submitted

May 19, 2016

First Submitted That Met QC Criteria

May 20, 2016

First Posted (Estimate)

May 23, 2016

Study Record Updates

Last Update Posted (Actual)

May 10, 2019

Last Update Submitted That Met QC Criteria

May 8, 2019

Last Verified

May 1, 2019

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 14-01859

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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