Mirror Therapy in Stroke

Not Applicable

Completed

• Conditions: Telerehabilitation; Stroke; Cognitive Therapy
• Interventions: Other: Mirror Therapy + Cognitive Therapy; Other: Mirror Therapy

• Registration Number: NCT05312905
• Lead Sponsor: Istanbul Medipol University Hospital

Brief Summary

Little is known about mirror therapy and cognitive exercises applied together in patients with stroke by means of telerehabilitation. The aim of this study is to investigate the effects of home-based mirror therapy combined with cognitive exercises on upper extremity functions and cognition in adults with stroke and to compare these effects with mirror therapy alone.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-06-10
• Primary Completion: 2021-12-20
• Study Completion: 2022-01-07
• Study First Submitted: 2022-03-14
• Study First Submitted QC: 2022-03-28
• Status Verified: 2022-04
• Study First Posted: 2022-04-06
• Last Update Submitted: 2022-04-07
• Last Update Posted: 2022-04-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

Age 40 years old and over having had a stroke having unilateral involvement having sufficient communication skills to answer oral and written questions and following instructions 20< points in MMSE

Exclusion Criteria

a stroke history under the age of 40 not having a verbal or written communication level that cannot fulfill the study conditions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mirror+Cognitive Therapy	Mirror Therapy + Cognitive Therapy	The participants in the Mirror+Cognitive Therapy will be given a cognitive task with the application of mirror therapy. Cognitive tasks with mirror therapy will be applied in sessions lasting 60 minutes, 3 days a week, over 8 weeks.
Mirror Therapy	Mirror Therapy	Exercises including mirror therapy will be applied to the participants in the Mirror Therapy group. The mirror will be placed in such a way that the affected extremity of the patient could not be seen behind the mirror and the healthy extremity would be in front of his eyes, the patient will perform the exercises indicated by the physiotherapist with his intact extremity, looking into the mirror. The exercises will be performed in sessions lasting 60 minutes, 3 days a week, over 8 weeks.

Primary Outcome Measures

Name	Time	Method
Mini-Mental State Examination	changes after 8 weeks	The Mini-Mental State Examination (MMSE) is a 30-point test. Higher values mean better performance.
Fugl-Meyer Upper Extremity Motor Assessment	changes after 8 weeks	The Fugl-Meyer Assessment scale is an ordinal scale that has 3 points for each item. A zero score is given for the item if the subject cannot do the task. A score of 1 is given when the task is performed partially and a score of 2 is given when the task is performed fully. The total possible scale score is 226. Higher scores mean better performance.

Secondary Outcome Measures

Name	Time	Method
Stroke-Specific Quality of Life Scale	changes after 8 weeks	Specific Quality Of Life scale (SSQOL) is a patient-centered outcome measure intended to provide an assessment of health-related quality of life specific to patients with stroke. The original test consists of 49 items encompassing 12 domains. Each item is ranked on a 5-point scale, with higher scores indicating better function.
Beck Depression Scale	changes after 8 weeks	The Beck Depression Scale is a 21-item self-report inventory designed to assess the presence and severity in depressive symptoms. Each item is rated on a 4-point Likert-type scale ranging from 0 to 3, based on the severity in the last two weeks. Higher scores indicating worse level of depression.
Barthel Activity of Daily Living Scale	changes after 8 weeks	The Barthel Index (BI) measures the extent to which somebody can function independently and has mobility in their activities of daily living (ADL) i.e. feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Eight factors are rated to produce an overall score on a point scale of 0 to 100. Then, an assignment is given as "excellent" for 95 to 100 points; "good" for 84 to 94 points, "fair" for 65 to 83 points, or "poor" for less than 65 points, higher scores indicating better function.
Modified Ashworth Scale	changes after 8 weeks	The modified Ashworth scale is a muscle tone assessment scale used to assess the resistance experienced during passive range of motion, which does not require any instrumentation and is quick to perform.This scale grades the muscle tone from 0 (normal) to 4 (severe spasticity). The usage of this scale is easy; however, the results depend on the evaluator. Higher scores indicating sever spasticity.

Trial Locations

Locations (1)

Istanbul Medipol University; 🇹🇷 Istanbul, Turkey