Brunnstrom Movement Therapy Versus Mirror Therapy on Hand Function in Stroke
- Conditions
- Stroke
- Interventions
- Other: Brunnstrom movement therapy.Other: Mirror Therapy
- Registration Number
- NCT05392543
- Lead Sponsor
- Riphah International University
- Brief Summary
This study will be randomized clinical trial. Non Probability consecutive sampling technique will be used. Data will be collected from patients having stroke by using tools i.e Fugl-Meyer assessment: wrist and hand (FMA- WH) and Brunnstrom Hand Manipulation (BRS-H). Those who will meet inclusion criteria will be recruited. An informed consent will be taken from all patients. The recruited subjects will be assessed according to outcome measures. Patients will be divided into 2 groups. Group A will be treated with Brunnstrom Movement Therapy plus Conventional therapy for 1 hour, 3 sessions per week (4 weeks) and Group B will be treated with Mirror Therapy plus Conventional therapy for 45 min, 3 sessions per week ( 4 weeks) 5 movements, 10 repetitions. Outcome measures will be measured at baseline, 2 weeks and after 4 weeks. Data analysis will be done by Statistical Package for the Social Sciences version 25.
- Detailed Description
Stroke commonly known as Cerebro-Vascular Accident (CVA), is stated as a sudden commencement of neurological discrepancy which is attributable to a pivotal vascular basis. In modest words, it is a "brain attack", which occurs when the brain fails to get adequate blood circulation, as a result, brain cells do not get a sufficient amount of oxygen, and cells start dying ultimately. Brunnstrom movement therapy uses reflexes to develop movement behavior through sensory stimulation, in order to inhibit spasticity and movement retraining to enhance recovery. Mirror therapy (MT) in stroke patients involves performing unimpaired limb movements while observing there reflection of the mirror overlapping the impaired limb, creating a visual illusion of increased movement capacity in the impaired limb.
In previous researches, various conventional and contemporary approaches such as Brunnstrom, and Mirror therapy have been used to rehabilitate the hand after stroke in clinical settings. Previous literature was focus on digital and other conventional methods. However, despite a revolution in the number of therapeutic protocols, evidence of efficacy remains limited. Both BHM and MT have been studied separately to evaluate their respective effectiveness. However, no study has been found comparing the two protocols exclusively for hand motor recovery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 26
- Both genders
- Patient population of adults 40-70 years old
- Any type of stroke (ischemic or hemorrhage)
- upper extremity, hand impairment
- (include stage here) on brunnstorm scale
-
inability to follow commands
- inability to sit more than 2 h (self-report)
- Botox injection/chemo-denervation within the last 6 months
- presence of cardiac pacemaker
- current participation in other interventions/studies
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A Brunnstrom movement therapy. Brunnstrom movement therapy Group B Mirror Therapy Mirror therapy
- Primary Outcome Measures
Name Time Method Fugl-Meyer assessment 4th week wrist and hand (FMA-WH) subtest (item VII, VIII and IX), used as, item VII measures the wrist control; VIII measures the hand motor recovery (mass finger flexion, extension and grasp) and IX measures coordination of the movements.
Brunnstrom Hand Manipulation (BRS-H) 4th Week Brunnstrom Hand Manipulation (BRS-H) was used to determine motor recovery level of post-stroke patients. It consists of 6 hand stages.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Sargodha Rafiqa Medical Center
🇵🇰Lahore, Punjab, Pakistan