Task Oriented Mirror Therapy for Upper Limb Motor Function in Stroke Patient

April 18, 2025 updated by: Foundation University Islamabad
Stroke remains a major public health disease worldwide ,it usually associating with damage to the motor function and other functional disabilities. Persistent upper extremity dysfunction affects many post strokepatients and is strongly associated with decreased activities of daily living . Mirror therapy one of the rehabilitation that is beneficial for neuroplasticity .This therapy is used to improve motor function after stroke .

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

OBJECTIVES:

The objectives of this study are :

  1. To imorove upper limb motor function and
  2. To improve activities of daily lving .
  3. To enhance motor skills.

HYPOTHESIS:

Alternate Hypothesis:

There will be statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p<0.05)

Null Hypothesis:

There will be no statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function

,activities of daily living and enhancing motor skills in stroke patients (p>0.05)

RESEARCH DESIGN : Experimental study .Randomized control trail.

Study Type

Interventional

Enrollment (Estimated)

36

Phase

  • Not Applicable

Contacts and Locations

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

Study Contact

Study Locations

  • Pakistan
      • Islamabad, Pakistan, 44000
        • Recruiting
        • Foundation University College of Physical Thrapy
        • Contact:

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Both genders.
  • Age of patient 45 years and above
  • Both ischemic and hemorrhagic stroke ( subacute and chronic stroke). Cognitive function relatively intact score > 24 MoCA
  • The patient can sit with / without support for more than 30 min

Exclusion Criteria:

  • Subjects with visual impairments or unilateral neglect.
  • having global aphasia.
  • unstable medical conditions or comorbidities.
  • score 3 and above on modified ashworth scale.
  • patient with orthopedic condition or any fractures.

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: INTERVENTION GROUP A LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Subjects will recieve Low Intensity Task Oriented Mirror Therapy:

Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen.

The subject will be instructed to perform movement with unaffected arm. Task oriented activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.
Procedure: LOW INTENSITY TASK ORIENTED MIRROR THERAPY

Group A Low Intensity Task Oriented Mirror Therapy will be administered for 2 and half hour per week for 30 min a day, 10 rep five times a week for 8 weeks.

Task-oriented Activities for Group A:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 30 min with 10 reps per day for 8 consecutive weeks.
Experimental: INTERVENTION GROUP B HIGH INTENSITY TASK ORIENTED MIRROR THERAP

Subjects will receive High Intensity Task Oriented Mirror Therapy :

Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen.

The subjects will be instructed to perform movement with unaffected arm. Task Oriented Activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks.
Procedure: High Intensity Task Oriented Mirror Therapy

Group B High Intensity Task Oriented Mirror Therapy will be administered for 5 hours per week for 60 min a day, 20 rep five times a week for 8 weeeks. The mode of mirror therapy will be unilateral as subjects will perform movement only on unaffected arm.

Task-oriented Activities for Group B:

Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 60 min with 20 reps per day for 8 consecutive weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
UPPER LIMB MOTOR FUNCTION
Time Frame: 10 weeks
MOTOR FUNCTION WILL BE ASSESSED USING FUGL MEYER ASSESSMENT OF UPPER LIMB AS THE MAIN OUTCOME MEASURE .
10 weeks

Collaborators and Investigators

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

Sponsor

Foundation University Islamabad

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 (Actual)

September 10, 2024

Primary Completion (Estimated)

May 15, 2025

Study Completion (Estimated)

May 30, 2025

Study Registration Dates

First Submitted

April 18, 2025

First Submitted That Met QC Criteria

April 18, 2025

First Posted (Actual)

April 25, 2025

Study Record Updates

Last Update Posted (Actual)

April 25, 2025

Last Update Submitted That Met QC Criteria

April 18, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • FUI/CTR/2024/65

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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