Mirror Therapy on Motor Recovery and Pain of Hemiparetic Arm

N/AActive Not RecruitingNCT07358169

Mansoura University72 enrolled

Overview

evaluate the effect of mirror therapy on motor recovery and pain of hemiparetic arm post stroke

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Stroke (CVA) or TIA Hemiparesis

Interventions

techniqueOTHER

the participant performs arm exercise behind mirror

ControlOTHER

the control group receive usual hospital care

Eligibility

Sex: ALLMin age: 20 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * First stroke attack (ischemic and haemorrhagic ) * Unilateral stroke with hemiparesis * Able to understand simple verbal language Exclusion Criteria: * Severe cognitive impairments. * Orthopedic or rheumatologic problems restricting upper extremity motor function. * Contraindications to mirror therapy

Locations (1)

Faculty of Nursing

Al Mansurah, Mansoura, Egypt

Outcomes

Primary Outcomes

Motor Function Assessment

measured by Fugl-Meyer Assessment for upper limb motor function. to describe impairment severity, quantify motor recovery, guide treatment planning, and evaluate outcomes. The scale comprises five domains with a maximum total score of 226 points (Motor 100; Sensation 24; Balance 14; Joint ROM 44; Joint Pain 44). Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226. Points are divided among the domains as follows: Motor score: ranges from 0 (hemiplegia) to 100 points (normal motor performance). Divided into 66 points for upper extremity and 34 points for the lower extremity. Sensation: ranges from 0 to 24 points. Divided into 8 points for light touch and 16 points for position sense. Balance: ranges from 0 to 14 points. Divided into 6 points for sitting and 8 points for standing.

Time frame: 3 weeks

Secondary Outcomes

Functional independence

Functional independence (measured by Modified Rankin Scale). it is a 7-point scale (0-6) that measures disability after a stroke or neurological event, assessing the ability to perform daily activities, from no disability (0) to death (6). The Modified Rankin Scale Grade mRS 0 No symptoms at all 1. No significant disability: despite symptoms, able to carry out all usual duties and activities 2. Slight disability: unable to perform all previous activities but able to look after own affairs without assistance 3. Moderate disability: requiring some help but able to walk without assistance 4. Moderately severe disability: unable to walk without assistance and attend to own bodily needs without assistance 5. Severe disability: bedridden, incontinence, and requiring constant nursing care and attention 6. Death

Time frame: 3 weeks

Pain assessment

Pain assessment (measured by Numeric Pain Rating Scale.) it is a 11-point scale (0-10) where patients rate their pain intensity, with 0 meaning no pain and 10 representing the worst imaginable pain. scoring system 0: No Pain 1-3: Mild Pain 4-6: Moderate Pain 7-10: Severe Pain

Data from ClinicalTrials.gov

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