The purpose of this randomized controlled study is to 1. Examine the feasibility of a home Mirror therapy (MT) program in the NYC metropolitan area; 2. Evaluate the effectiveness of home MT versus traditional home exercise program; and 3. Evaluate the superiority of unimanual or bimanual MT intervention protocols for chronic stroke subjects with moderate hand deficits. Subjects from occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke will be divided into three (3) groups: * Control Group subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program. * Experimental group 1 subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program * Experimental group 2 subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.
Study Type
OBSERVATIONAL
Enrollment
22
Subjects in the control group will receive a traditional home Occupational Training exercise program as per conventional OT guidelines with the same home program duration.
The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.
New York University School of Medicine
New York, New York, United States
Fugl-Meyer Assessment (FMA)
Gold Standard to evaluate and measure recovery in patients with hemiplegia post stroke.
Time frame: Baseline to Six (6) Weeks
Grip strength
Grip strength is important to measure as it is correlated with stroke recovery.
Time frame: Baseline to Six (6) Weeks
Action Research Arm Test (ARAT)
An interview based tool that measures a subject's perceived difficulty with the use of their arm/hands with activities of daily living post-stroke.
Time frame: Baseline to Six (6) Weeks
Stroke Impact Scale Version 3.0
A subjective standardized 59-items 8 domain questionnaire assessing health status post-stroke.
Time frame: Baseline to Six (6) Weeks
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