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

May 8, 2026 updated by: Elite College of Management Sciences, Gujranwala, Pakistan
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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

44

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 Locations

  • Pakistan
    • Khyber Pakhtunkhwa
      • Peshawar, Khyber Pakhtunkhwa, Pakistan, 2500
        • Paraplegic Center

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

Yes

Description

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

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: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Graded Motor Imagery
GMI uses visual cues and mental exercises to retain the brain in steps.
Other: 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.
Active Comparator: Mirror Therapy
Mirror Therapy uses a mirror to make the brain think the weak side is moving
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Modified Ashworth Scale
Time Frame: 4 weeks
Changes from baseline Modified Ashworth SCale is a clinical tool used to measure the spasticity.It comprises 4 grades.0 No increase in muscle tone, 1 Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM), 1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM, 2 More marked increase in muscle tone through most of the ROM, but affected parts) easily moved, 3 Considerable increase in muscle tone, passive movement difficult, 4 Affected parts rigid in flexion or extension.
4 weeks

Collaborators and Investigators

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

Sponsor

Elite College of Management Sciences, Gujranwala, Pakistan

Investigators

  • Principal Investigator: Usman Iqbal Janjua, Phd, Elite College of Management Sciences

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 (Actual)

June 15, 2025

Primary Completion (Actual)

June 15, 2025

Study Completion (Actual)

July 1, 2025

Study Registration Dates

First Submitted

May 12, 2025

First Submitted That Met QC Criteria

May 12, 2025

First Posted (Actual)

May 20, 2025

Study Record Updates

Last Update Posted (Actual)

May 11, 2026

Last Update Submitted That Met QC Criteria

May 8, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2020-079262

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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.

Clinical Trials on Stroke

Clinical Trials on Graded Motor Imagery

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Moldova

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe