Stroke Nervous System Diseases Stroke
Conditions
Interventions
Participants are randomly allocated to one of two groups:
Mirror Therapy intervention group: Participants will be positioned in long-sitting on a plinth with back support and a mirror
Sponsors
Toronto Rehabilitation Institute
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. First time occurrence of stroke 2. Normal or corrected to normal vision 3. Chedoke McMaster Stroke Assessment (CMSA) leg and foot score of 2 or greater 4. Passive ankle dorsiflexion to neutral, passive knee flexion to 60 degrees and passive hip flexion to 100 degrees 5. Have been admitted to the stroke rehabilitation program at the Toronto Rehabilitation Institute
Exclusion criteria
Exclusion criteria: 1. Visual neglect or inadequate vision that would impede the viewing of the mirror’s surface 2. Bilateral stroke or bilateral sensorimotor impairments 3. Inability to comprehend and/or follow multiple step instructions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Degree of motor impairment is measured using the Chedoke McMaster Stroke Assessment before and after the participant completes the mirror therapy sessions 2. Over-ground gait performance is measured using spatiotemporal gait parameters before and after the participant completes the mirror therapy sessions. Parameters of interest are gait velocity and temporal gait symmetry. Gait symmetry will be calculated using a ratio of left and right limb values for swing time as outlined in previous work. 3. EMG gait profile is measured by recording EMG activity bilaterally from the tibialis anterior, medial gastrocnemius, vastus lateralis and biceps femoris before and after the participant completes the mirror therapy sessions. Footfall events are recorded using insole foot switches. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Standing balance is measured using the Berg Balance Scale before and after the participant completes the mirror therapy sessions 2. Motor coordination is measured before and after the participant completes the mirror therapy sessions using the finger to nose test and the heel to shin test. These tests are video recorded with a digital camera to later analyse for performance and quality of movement 3. Electrodermal activity is measured during the first and last mirror therapy session completed by the participant 4. Electroencephlogram activity (EEG) and EMG activity coherence is measured during the first and last mirror therapy session completed by the participant | — |
Countries
Canada
Contacts
Public ContactAnthony Aqui
Outcome results
None listed