Cerebral Vascular Accident (CVA), Stroke
Conditions
Keywords
Post Stroke Recovery, Mirror Therapy, Unimanual mirror therapy, Bimanual mirror therapy, Stroke
Brief summary
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.
Interventions
BEHAVIORALTraditional Home Based Exercise Program
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.
BEHAVIORALUnimanual Home Based Mirror Therapy Program
The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
BEHAVIORALBimanual Home Based Mirror Therapy Program
The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.
Sponsors
NYU Langone Health
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* First time unilateral stroke \> 3 months post stroke. * Cognitively be able to follow direction * Cognitively be able to consent to participation in research study * Moderate/severe deficits as per the Fugl-Meyer assessment score from 10-50 and the ability to grasp and release a small towel or washcloth.
Exclusion criteria
* Complex medical problems, that would render the subject unable to participate in an extensive home program * History of pre-existing neurological or psychiatric diseases, orthopedic conditions of the upper limbs, or peripheral nerve injuries that render the subject unable to sit or to move either upper limb * Hearing and vision impairments which may impede subjects participation in the home program * Perceptual deficits such as apraxia, neglect, or agnosias as per clinical evaluation which may impede subjects participation in the home program * Botox injection in affected arm/hand within 3 months * Global aphasia that may interfere with understanding instruction for testing or home exercise program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment (FMA) | Baseline to Six (6) Weeks | Gold Standard to evaluate and measure recovery in patients with hemiplegia post stroke. |
| Grip strength | Baseline to Six (6) Weeks | Grip strength is important to measure as it is correlated with stroke recovery. |
| Action Research Arm Test (ARAT) | Baseline to Six (6) Weeks | 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. |
| Stroke Impact Scale Version 3.0 | Baseline to Six (6) Weeks | A subjective standardized 59-items 8 domain questionnaire assessing health status post-stroke. |
Countries
United States
Outcome results
None listed