Mirror Therapy Education for Acute Stroke Patients

Not Applicable

• Conditions: Stroke, Acute
• Interventions: Other: Regular Rehabilitation; Other: Mirror Therapy

• Registration Number: NCT04542772
• Lead Sponsor: Health Sciences North Research Institute

Brief Summary

In Canada, the number of stroke survivors is equivalent to the size of one of the four Atlantic Provinces. The incident rate of stroke has been increasing steadily since 1995. The majority of the stroke survivors lose upper extremity function, resulting in diminished activities of daily living (ADL). Many therapeutic interventions are recommended to improve upper extremity function or ADLs of stroke survivors, however, Mirror Therapy (MT), inexpensive intervention, can be self-administered by stroke survivors with intact cognition. Thus, the research question is whether a self-administered MT technique improves acute stroke patients' upper extremity motor function and recovery?

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-08-26
• Study First Submitted QC: 2020-09-02
• Study First Posted: 2020-09-09
• Status Verified: 2021-02
• Last Update Submitted: 2021-02-11
• Last Update Posted: 2021-02-15
• Study Start: 2021-05
• Primary Completion: 2021-09
• Study Completion: 2021-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Admitted with diagnosis of stroke with onset within two weeks
• Medically stable
• Able to follow directions
• No severe cognitive impairments that could interfere with patient participation
• Consent to treatment by patient
• Alpha-Functional Independence Measure (Alpha-FIM) score of > 40

Exclusion Criteria

• Medical instability
• Lack of motivation
• Recurrent/ chronic stroke
• Recent upper extremity musculoskeletal injuries with movement restrictions
• Receptive or global aphasia
• Delirium
• Unilateral neglect
• Visual field deficiency.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Standard of Care	Regular Rehabilitation	Participants in this group will receive only standard of care based on their needs.
Mirror Therapy + Standard of Care	Regular Rehabilitation	Participants in this group will receive standard of care based on their needs along with mirror therapy education.
Mirror Therapy + Standard of Care	Mirror Therapy	Participants in this group will receive standard of care based on their needs along with mirror therapy education.

Primary Outcome Measures

Name	Time	Method
Wolf Motor Function Test	: Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks	Assess upper extremity function; maximum Score is 75; lower scores are indicative of lower functional levels.
Fugl-Meyer Assessment scale	Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks.	Scores of \< 31 corresponded with 'no to poor' upper extremity capacity, 32 to 47 represented 'limited capacity', 48 to 52 represented 'notable capacity' and 53 to 66 represented 'full' upper extremity capacity.

Secondary Outcome Measures

Name	Time	Method
Modified Barthel Index	: Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks	Assess Activity of Daily Living, Scores of \<15 usually represents moderate disability and \<10 usually represents severe disability.