Effects of Mirror Therapy and Cognitive Therapeutic Exercise in Stroke Patients
- Conditions
- HemiparesisStroke
- Interventions
- Behavioral: Cognitive therapeutic exerciseBehavioral: Mirror therapy
- Registration Number
- NCT04163666
- Lead Sponsor
- Universidad de Burgos
- Brief Summary
This is a randomized clinical trial aimed at patients with a diagnosis of residual hemiparesis due to ischemic or hemorrhagic stroke. Its objective is to evaluate the effects of the mirror therapy and cognitive therapeutic exercise, both in combination with task-oriented motor learning, to achieve maximum functionality of the affected upper member,
- Detailed Description
Objective: To assess the effect at 3 months of the of the mirror therapy and cognitive therapeutic exercise, both in combination with task-oriented motor learning, applied for 30 days in the functionality of the affected upper member, cognitive performance, emotional state, performance of daily living activities and quality of life in stroke patients.
Design and setting: A randomized clinical trial of three parallel groups.
Population: 152 patients with residual hemiparesis due to ischemic or hemorrhagic stroke will be included, selected by consecutive sampling at the Neurological Service and Stroke Unit of the University Hospital of Burgos (HUBU).
Measurements and intervention: Functionality of the affected upper member, cognitive performance, emotional state, performance of daily living activities and health-related quality of life will be evaluated. The intervention groups will receive a treatment based either on mirror therapy or on congnitive therapeutic exercise, both combined with task-oriented motor learning for 30 days. No additional intervention with the participants of the control group will be completed.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 152
- Diagnosis of residual hemiparesis due to ischemic or hemorrhagic stroke,
- Movements of the affected upper members classified between stages II and IV on the Brunnstrom Scale
- Score on the Montreal Cognitive Assessment (MOCA) scale equal to or over 26
- Heminegligence
- Wernicke's aphasia
- Visual deficits (homonymous hemianopsia)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Cognitive therapeutic exercise group Cognitive therapeutic exercise The cognitive therapeutic exercise group will receive a treatment based on this therapy, combined with task-oriented motor learning. Mirror therapy group Mirror therapy The mirror therapy group will receive a treatment based on this therapy, combined with task-oriented motor learning.
- Primary Outcome Measures
Name Time Method Functionality of the affected upper member. 3 months Measurement by Fugl-Meyer Scale: Score between 0 (worst functionality) and 126 (best functionality)
- Secondary Outcome Measures
Name Time Method Spasticity of the upper member 3 months Measurement by Ashworth Scale: Score between 0 (best situation) and 5 (worst situation)
Cognitive performance. 3 months Measurement by Montreal Cognitive Assessment Scale: Score between 0 (worst cognitive situation ) and 30 (best cognitive situation)
Emotional state and quality of life. 3 months Measurement by Post-Stroke Quality of Life Scale: Score between 30 (best state) and 155 (worst state)
Basic Daily Living Activities 3 months Measurement by Functional Independence Measure - Functional Assessment Measure: Score between 30 (worst situation) and 210 (best situation)
Instrumental activities of daily living 3 months Measurement by Lawton-Brody Index: Score between 0 (worst state) and 6 (best state)
Trial Locations
- Locations (1)
Universitary Hospital of Burgos
🇪🇸Burgos, Spain