Effects of Mirror Therapy Versus Fine Motor Activities on Hand Function in Chronic Stroke Patients.

Riphah International University28 enrolled

Overview

to compare the effects of the Mirror therapy and fine motor activities on hand function in chronic stroke patients

This study will be conducted to compare the effects of mirror therapy and fine motor activities in chronic stroke patients. Total Twenty eight hemiplegic patients will be recruited according to inclusion criteria and data will be collected from Riphah rehabilitation centre Lahore and Mian Munshi Hospital Lahore (DHQ). The patients will randomly assigned to a mirror therapy group (n=14) and Fine motor activities group (n=14). The patients in both groups will undergo conventional therapy for 4 weeks (60minutes/day, 5 days/week). The patients will be evaluated at the beginning and end of the treatment by Fugl- Meyer Aassessment (FMA) wolf motor assessment scale and the Functional Independence Measure (FIM). After approval from ethical committee, data collection will be started and informed consent will be taken from all patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Stroke, Ischemic Acute Pain Weakness, Muscle

Interventions

fine motor activitiesOTHER

patient will perform fine motor exercises like therapy ball exercises, therapy putty exercises, table top exercises, moving beans, stacking pennies and rubber band resistances exercises etc. for 30 minutes along with conventional therapy

conventional therapy and mirror therapyOTHER

Patients in this group will receive conventional therapy for four weeks sixty minutes per day, five days per week. In addition, receive thirty minutes of mirror therapy, which included periodic wrist flexion-extension, flexion and extension exercises of fingers on non paralyzed limb

Eligibility

Sex: ALLMin age: 35 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * A score greater than 24 on the Mini-Mental State examination test * Chronic stroke patients whose episode of stroke onset was 6 months to 2 years. * Patients who are able to communicate well and grasp the therapist's spoken instructions Exclusion Criteria: * Patients who have restricted joint movement in their healthy upper extremities. * Neglect syndrome or a visual field deficiency * Patients with recurrent stroke. * Spine surgery.

Locations (1)

Riphah International University

Islamabad, Fedral, Pakistan

Outcomes

Primary Outcomes

fugl mayer assessment FMA upper limb

For stroke patients, the Fugal-Meyer Assessment (FMA) is a performance-based impairment measure. It is used to assess balance, motor function, sensation, and joint function in persons who suffer hemiplegia after a stroke. In both clinical and research settings, it is used to identify sickness severity, define motor recovery, and plan and assess treatment

Time frame: 9 months

The Functional Independence Measure (FIM)

The Functional Independence Measure (FIM) is a non-diagnostic disability assessment instrument that was developed for a wide range of groups

Time frame: 9 months

The Wolf Motor Function Test (WMFT)

The Wolf Motor Function Test (WMFT) uses timed and functional tasks to assess upper limb motor skills

Time frame: 9 months

Data from ClinicalTrials.gov

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