Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.

Not Applicable

Completed

• Conditions: Stroke, Ischemic; Acute Pain; Weakness, Muscle
• Interventions: Other: fine motor activities; Other: conventional therapy and mirror therapy

• Registration Number: NCT05506826
• Lead Sponsor: Riphah International University

Brief Summary

to compare the effects of the Mirror therapy and fine motor activities on hand function in chronic stroke patients

Detailed Description

This study will be conducted to compare the effects of mirror therapy and fine motor activities in chronic stroke patients. Total Twenty eight hemiplegic patients will be recruited according to inclusion criteria and data will be collected from Riphah rehabilitation centre Lahore and Mian Munshi Hospital Lahore (DHQ). The patients will randomly assigned to a mirror therapy group (n=14) and Fine motor activities group (n=14). The patients in both groups will undergo conventional therapy for 4 weeks (60minutes/day, 5 days/week). The patients will be evaluated at the beginning and end of the treatment by Fugl- Meyer Aassessment (FMA) wolf motor assessment scale and the Functional Independence Measure (FIM). After approval from ethical committee, data collection will be started and informed consent will be taken from all patients.

Study Timeline

• Study Start: 2022-01-01
• Study First Submitted: 2022-08-17
• Study First Submitted QC: 2022-08-17
• Study First Posted: 2022-08-18
• Primary Completion: 2022-08-20
• Study Completion: 2022-08-20
• Status Verified: 2022-11
• Last Update Submitted: 2022-11-08
• Last Update Posted: 2022-11-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• A score greater than 24 on the Mini-Mental State examination test
• Chronic stroke patients whose episode of stroke onset was 6 months to 2 years.
• Patients who are able to communicate well and grasp the therapist's spoken instructions

Exclusion Criteria

• Patients who have restricted joint movement in their healthy upper extremities.
• Neglect syndrome or a visual field deficiency
• Patients with recurrent stroke.
• Spine surgery.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
fine motor activities group	fine motor activities	Patients in this group will receive conventional therapy for 1 month sixty minutes/day, 5 days/week in addition to performing fine motor exercises like therapy ball exercises, therapy putty exercises, table top exercises, moving beans, stacking pennies and rubber band resistances exercises etc. for 30 minutes
control group	conventional therapy and mirror therapy	Patients in this group will receive conventional therapy for four weeks sixty minutes per day, five days per week. In addition, receive thirty minutes of mirror therapy, which included periodic wrist flexion-extension, flexion and extension exercises of fingers on non paralyzed limb

Primary Outcome Measures

Name	Time	Method
The Wolf Motor Function Test (WMFT)	9 months	The Wolf Motor Function Test (WMFT) uses timed and functional tasks to assess upper limb motor skills
fugl mayer assessment FMA upper limb	9 months	For stroke patients, the Fugal-Meyer Assessment (FMA) is a performance-based impairment measure. It is used to assess balance, motor function, sensation, and joint function in persons who suffer hemiplegia after a stroke. In both clinical and research settings, it is used to identify sickness severity, define motor recovery, and plan and assess treatment
The Functional Independence Measure (FIM)	9 months	The Functional Independence Measure (FIM) is a non-diagnostic disability assessment instrument that was developed for a wide range of groups

Trial Locations

Locations (1)

Riphah International University; 🇵🇰 Islamabad, Fedral, Pakistan