EFFECT OF MIRROR THERAPY IN RECOVERING UPPER LIMB STRENGTH AND FUNCTION IN CHRONIC STROKE PATIENTS

• Register: TCTR
• Last refreshed on: 29 April 2024
• Main ID: TCTR20140903002
• Date of registration: 03/09/2014
• Prospective Registration: No
• Primary sponsor: ARC
• Public title: EFFECT OF MIRROR THERAPY IN RECOVERING UPPER LIMB STRENGTH AND FUNCTION IN CHRONIC STROKE PATIENTS
• Scientific title: Effect of mirror therapy in recoverying upper limb strength and function in chronic stroke patients:randomised controlled trial
• Date of first enrolment: 03/08/2009
• Recruitment status: Completed
• URL: https://www.thaiclinicaltrials.org/show/TCTR20140903002
• Study type: Interventional
• Study design: Randomized
• Phase: N/A

Countries of recruitment

Thailand

Contacts

• Name: Krisna Piravej
• Affiliation: Rehabilitation Center

• Name: Krisna Piravej
• Affiliation: Rehabilitation Center

Key inclusion & exclusion criteria

Inclusion criteria: - A first episode stroke patient with hemiplegia / hemiparesis more than 12 weeks whom was diagnosed by a neurologist and confirmed by computed tomography or magnetic resonance imaging
- Age more than 18 year
- Are able to understand and follow two steps command
- Have a Brunnstrom score between stages I and IV for the arm and hand
- Are able to sit with / without support more than 30 minutes
- Have no severe cognitive disorders (TMSE score > 24)
- Have no other disorder on paretic limb
- Consent for study participation by patient / relatives


Exclusion criteria: - Patients who has medical problem(s) that cannot tolerate with the rehabilitation program
- Has sensory / global aphasia
- Has severe spasticity of arm / hand (MAS ≥ 3)
- Has severe neglect
- Non-cooperative patients


Age minimum: 18 Years
Age maximum: 0 Years
Gender: Both

Health Condition(s) or Problem(s) studied

Mirror therapy, upper limb function, chronic stroke

Upper Limb Function in Chronic Stroke Patients
Mirror therapy, upper limb function, chronic stroke

Intervention(s)

Mirror,Control

Experimental Device,Sham Comparator Device

the mirror group participated in a standard stroke rehabilitation program, 5 days a week, 6 hours a day, for 8-12 weeks. The standard program is patient-specific and consists of neurodevelopmental facilitation techniques, physiotherapy, occupational therapy, and speech therapy (if needed). For the same period, the mirror group received an additional 30 minutes of mirror therapy program by an occupational therapist. During the mirror practices, patient is seated close to a table on which a mirror sized 406030 cm. is placed vertically. The paretic hand is placed behind the mirror and the non paretic hand in front of the mirror. The practice consists of non paretic side movement: wrist and finger flexion and extension, pick up the tennis ball and put in the basket, pick up various size of pins, hold the glass and release while patient looks into the mirror, watching the image of his / her non paretic hand, thus seeing the reflection of the hand movement projected over the paretic hand. Patients can see only the non paretic hand in the mirror. During the session patients are ask to try to do the same movements with the paretic hand.,the control group participated in a standard stroke rehabilitation program, 5 days a week, 6 hours a day, for 8-12 weeks. The standard program is patient-specific and consists of neurodevelopmental facilitation techniques, physiotherapy, occupational therapy, and speech therapy (if needed). The control group performs the same exercises for the same duration but use the nonreflecting side of the mirror in such a way that the paretic hand was hidden from sight.

Primary Outcome(s)

Motor recovery at 2nd, 4th, 8th, 12th week after the intervention Brunnstrom stage of recovery,Motor recovery at 2nd, 4th, 8th, 12th week after the intervention lateral pinch strength,Motor recovery at 2nd, 4th, 8th, 12th week after the intervention Motor Assessment Scale (Thai version),Motor recovery at 2nd, 4th, 8th, 12th week after the intervention tip pinch strength

Secondary Outcome(s)

ADL at 2nd, 4th, 8th, 12th week after the intervention Barthel ADL Index,spasticity at 2nd, 4th, 8th, 12th week after the intervention Modified Ashworth Scale

Source(s) of Monetary Support

Asia Research Center, Chulalongkorn University and The Korea Foundation for Advanced Studies

Results

• Date Completed: 10/05/2012