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The mirror therapy and modified constraint-induced movement therapy on treatment of upper limb stroke patients

Phase 3
Recruiting
Conditions
Diseases of the nervous system
stroke patients.
Registration Number
IRCT20180526039856N1
Lead Sponsor
niversity of social welfare and rehabilitation sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
42
Inclusion Criteria

Inclusion is voluntary (completed consent form)
Age range 75-18 years
Ischemic or hemorrhage stroke diagnosed by neurologist
Stage 4, 5 and 6 Brunnstrom in proximal and distal of upper extremities
Sufficient cognitive ability to understand and execute verbal and practical commands (obtaining at least 22 score from the Mini-Mental Status Examination)
Mild spasticity in all involved upper limb joints (Modified Ashworth Scale less than 3)
Existence at least 20 degrees wrist extension and 10 degrees extension of the affected fingers

Exclusion Criteria

Use of mirror therapy and modified constraint-induced movement therapy before intervention
Refer to other clinics and receive other upper limb rehabilitation services
Despite previous dementia, difficulty understanding given explanations and execute commands such as Wernicke aphasia, global aphasia, and any impairment of vision and hearing examinations by specialist
Presence of musculoskeletal damage, frozen shoulder joint and any other neurological and orthopedic disease based on examination of specialist who leads to motion impairment.
Excessive pain in the upper limb ( in this study the score more than 4 in the Visual Analog Scale to be regarded as pain))
Botox injections at least 3 months before the intervention

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
pper extremity score based on Fugl-Meyer Assessment . Timepoint: Before the intervention, after the intervention, one month after the intervention.. Method of measurement: Fugl-Meyer Assessment.
Secondary Outcome Measures
NameTimeMethod
functional independence score. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Functional Independence Measure.;Muscle Tone Score. Timepoint: Before the intervention, after the intervention, one month after the intervention.. Method of measurement: Modify Ashworth Scale.
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