Comparison between motor imagery and mirror therapy on unilateral negelct in subacute stroke patients with left side hemiparesis - A Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Star cancellation test
研究概览
简要总结
AIM-. To study the effect motor imagery vs mirror therapy on unilateral neglect in subacute stroke patient with left side hemiparesis
.
OBJECTIVE-
1.To find of the effect of motor imagery on unilateral neglect in subacute stroke patient with left side hemiparesis.
2.To find of the effect of mirror therapy on unilateral neglect in subacute stroke patient left side hemiparesis.
3.To compare the effect of motor imagery and mirror therapy on unilateral neglect in subacute stroke patient left side hemiparesis.
PROCEDURE-
Ethical clearance will be obtained from the institutional ethical committee. The purpose & procedure of the study will be explained to participant. A written consent will be obtained. Subjects will be screened according to inclusion & exclusion criteria. pre intervention outcome measures will take on 1stday of intervention. Group A will receive motor imagery and group B will receive mirror therapy and post intervention outcome measures will take after 4 weeks on last day of intervention.
INTERVENTION PROTOCOL: -
Group A- MOTOR IMAGERY
• Among the basic daily life activities tasks, five purposeful and meaningful activities are selected.
• These 5 tasks are as follows: (1) using spoon, (2) using a pencil, (3) hand washing, (4) using a mobile phone (5) drinking with a water bottle
• The 5 selected tasks will carry out for a total of 25 min and 1 will perform for 4 min with a rest time of 1 min.
• These tasks videos will perform by the therapist and it will upload in laptop.
• Patient will perform using a 15-inch laptop placed on a 70 cm high table in an independent space in a quiet environment.
• The Patient will ask to watch the video and imagine that they are doing task with affected hand without doing any movement.
• the sessions are 5 days/week for 4 week.
Group B- MIRROR THERAPY
• Regarding the mirror therapy, patients will sit near a table on which a mirror box (35 *35 cm) will placed vertically. patient who will confirmed that the hand on the unaffected side is reflected in the mirror and affected hand is in the mirror box.
• Therapist will instruct to patient to move the hand on the unaffected side (grasp/release the hand and supinate/pronate the forearm and wrist flexion and extension).
• Then therapist will instruct to patient to Try visualize illusion provides normal motion in the affected hand and try to emulate that movement with the affected hand.
• All 3 tasks will repeat 3 times, with 1 min rest period. A, session is for 25 min and 5 days / week for 4 week.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 45.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •age above 45 years and below 60 years, both male and female subjects, 2) more than 1 month and less than 6 months after stroke onset with left side hemiparesis.
- •patient with an MMSE score of 24 or higher 4) test for neglect in a clinical setting was the line bisection test (LBT).
- •The LBT was based on patients who deviated 6mm to the right from the center.
排除标准
- •A patient with a severely impaired sitting posture, unable to sit on a chair with a back and armrests 2) Patients with limited neck range of motion due to orthopedic disorders 3) patients who experienced problems such as headache and dizziness while using the screen 4) Patients with severely impaired vision, unable to recognize object.
结局指标
主要结局
Star cancellation test
时间窗: At baseline and after 4 weeks
次要结局
- Not Applicable(not applicable)
研究者
DrPrathmesh Pradeep Joshi
Dr.Ulhas Patil college of Physiotherapy,Jalgaon