Mirror Therapy Combined With Task- vs. Impairment-oriented Rehabilitation Program
- Conditions
- StrokeCerebrovascular DisordersCardiovascular Diseases
- Interventions
- Behavioral: Mirror therapyBehavioral: Task-oriented approachBehavioral: Impairment-oriented approach
- Registration Number
- NCT06489938
- Lead Sponsor
- I-Shou University
- Brief Summary
The goal of this clinical trial is to examine the effects of mirror therapy combined with task- vs. Impairment-oriented rehabilitation programs as novel hybrid approaches in individuals with stroke. Participants will receive mirror therapy combined with the task-oriented rehabilitation program (MTT), mirror therapy combined with the impairment-oriented rehabilitation program (MTI), or task-oriented rehabilitation program combined with the impairment-oriented rehabilitation program (TI) 90 minutes per day, three days per week, for six weeks.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 123
- A first-ever unilateral stroke ≥3 months
- Age between 20 and 80 years
- Baseline Fugl-Meyer Assessment Upper Extremity (FMA-UE) score >10
- No severe spasticity in any joints of the affected arm
- Ability to follow the instructions
- No participation in other studies during the study period
- Willingness to provide informed written consent.
- Serious medical problems or poor physical conditions that might be detrimental to study participation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Mirror therapy combined with the task-oriented approach (MTT) Task-oriented approach Each participant will receive the mirror therapy combined with the task-oriented approach 90 minutes daily, three days per week for six weeks. Task-oriented rehabilitation program combined with impairment-oriented rehabilitation program (TI) Task-oriented approach Each participant will receive the task-oriented rehabilitation program combined with the impairment-oriented rehabilitation program 90 minutes daily, three days per week for six weeks. Mirror therapy combined with the impairment-oriented approach (MTI) Mirror therapy Each participant will receive the mirror therapy combined with the impairment-oriented approach 90 minutes daily, three days per week for six weeks. Mirror therapy combined with the impairment-oriented approach (MTI) Impairment-oriented approach Each participant will receive the mirror therapy combined with the impairment-oriented approach 90 minutes daily, three days per week for six weeks. Mirror therapy combined with the task-oriented approach (MTT) Mirror therapy Each participant will receive the mirror therapy combined with the task-oriented approach 90 minutes daily, three days per week for six weeks. Task-oriented rehabilitation program combined with impairment-oriented rehabilitation program (TI) Impairment-oriented approach Each participant will receive the task-oriented rehabilitation program combined with the impairment-oriented rehabilitation program 90 minutes daily, three days per week for six weeks.
- Primary Outcome Measures
Name Time Method Fugl-Meyer Assessment Baseline, six weeks, and 3 months after completing the intervention A standardized tool for evaluating motor impairment for stroke
Chedoke Arm and Hand Activity Inventory Baseline, six weeks, and 3 months after completing the intervention An assessment for bilateral functional abilities
Wolf Motor Function Test Baseline, six weeks, and 3 months after completing the intervention An assessment for both unilateral and bilateral functional abilities
Revised Nottingham Sensory Assessment Baseline, six weeks, and 3 months after completing the intervention A standardized tool for evaluating sensory impairment for stroke
- Secondary Outcome Measures
Name Time Method Grip and pinch power Baseline, six weeks, and 3 months after completing the intervention The measurements of the strength of hand movements
Ten-meter walk test Baseline, six weeks, and 3 months after completing the intervention A test for measuring walking speed and stride length over a fixed distance to assess mobility and functional status
Nottingham Extended Activities of Daily Living Scale Baseline, six weeks, and 3 months after completing the intervention An assessment tool designed to measure a person's ability to perform daily activities
Stroke Self-Efficacy Questionnaire Baseline, six weeks, and 3 months after completing the intervention A tool used to evaluate a stroke survivor's confidence to perform daily activities
Berg Balance Scale Baseline, six weeks, and 3 months after completing the intervention A measurement for evaluating balance abilities through a series of functional tasks
Motor Activity Log Baseline, six weeks, and 3 months after completing the intervention A self-report tool used to assess the amount and quality of use of an affected limb during daily activities
Stroke-Specific Measure of Adherence to Home-based Exercises Six weeks A questionnaire designed to assess how consistently stroke participations follow prescribed home programs
Box and block test Baseline, six weeks, and 3 months after completing the intervention A measurement for evaluating functional hand use by measuring the number of blocks moved within a set time
ABILHAND Questionnaire Baseline, six weeks, and 3 months after completing the intervention A self-reported assessment tool used to measure manual ability by evaluating their perceived difficulty in performing bimanual tasks
Functional independent measure Baseline, six weeks, and 3 months after completing the intervention An assessment tool that evaluates a person's level of disability and functional independence in performing daily activities, covering areas such as self-care, mobility, communication, and social cognition
Stoke Impact Scale Baseline, six weeks, and 3 months after completing the intervention A comprehensive self-reported questionnaire that assesses the impact of a stroke on life