Effect of Mirror Therapy on Lower Extremity Motor Control and Gait in Patients With Stroke

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Other: Traditional Physical Therapy; Other: Physical Therapy plus Mirror Therapy

• Registration Number: NCT01574079
• Lead Sponsor: University of Mississippi Medical Center

Brief Summary

Mirror therapy may be an effective intervention in increasing motor control and gait performance in patients with stroke.

Detailed Description

Using a mirrored image of the uninvolved extremity superimposed upon the involved extremity during exercise may facilitate improved motor control in patients after stroke.

Study Timeline

• Study Start: 2010-11
• Study First Submitted: 2012-01-30
• Study First Submitted QC: 2012-04-09
• Study First Posted: 2012-04-10
• Primary Completion: 2012-11
• Study Completion: 2012-11
• Results First Submitted: 2013-06-25
• Status Verified: 2014-09
• Results First Submitted QC: 2014-09-04
• Last Update Submitted: 2014-09-04
• Results First Posted: 2014-09-11
• Last Update Posted: 2014-09-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• lower extremity Brunnstrom stage 2,
• lower extremity modified ashworth < 3,
• has the ability to follow 3-step command in English,
• has only unilateral involvement.

Exclusion Criteria

• lower extremity Brunnstrom stage 1,
• lower extremity modified ashworth 3 or higher,
• history of prior stroke,
• Passive Range of Motion limitation of hip and or knee flexion < 90,
• has visual deficits which prevent participation.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Traditional Physical Therapy	Traditional Physical Therapy	The control group will receive traditional physical therapy interventions directed at neuromuscular rehabilitation.
Physical Therapy plus Mirror Therapy	Physical Therapy plus Mirror Therapy	The mirror therapy will entail 15 minutes of exercises for the lower extremities focusing on ankle dorsiflexion, knee flexion, and hip flexion.

Primary Outcome Measures

Name	Time	Method
Functional Independence Measure - Locomotor Score	measured at admission and discharge from rehab estimated length of stay 14 days	The Functional Independence Measure (FIM)assesses level of disability and measures progress toward independence with rehabilitational intervention. The tool consists of 18 items. Only the the locomotor score was used to assess gait ability in this study. The locomotor score ranges from 1 - 7 with a higher score indicating a higher level of functional independence.

Secondary Outcome Measures

Name	Time	Method
Timed Up and Go	Measured at admission and discharge with estimated length of stay 14 days	The Timed Up and Go (TUG) is used to assess balance and gait, and to estimate fall risks in patients with deficits. The participant rises from a seated position in a chair, walks 3 meters, turns around, returns to the chair, and sits down. The test is measured in seconds, with a lower number indicating a higher level of independence and the least risk for falls.
Stroke Rehabilitation Assessment of Movement	measured at admission and discharge with estimated length of stay 14 days	The Stroke Rehabilitation Assessment of Movement (STREAM)is designed to measure mobility and motor ability after stroke. There are three subscales with 10 items each assessing the upper extremity, lower extremity, and basic mobility. Only the lower extremity and basic mobility items were used in this study. The lower extremity scores ranged from 0 - 18 with higher scores indicating a higher level of motor control. The basic mobility scores ranged from 0 - 30 with high numbers indicating a higher level of functional mobility.

Trial Locations

Locations (1)

University of Mississippi Medical Center - University Rehabilitation; 🇺🇸 Jackson, Mississippi, United States