Cardiovascular Diseases, Cerebrovascular Disorders, Stroke
Conditions
Keywords
Rehabilitation, Mirror Therapy
Brief summary
The goal of this clinical trial is to examine the effects of mirror therapy combined with task- vs. Impairment-oriented rehabilitation programs as novel hybrid approaches in individuals with stroke. Participants will receive mirror therapy combined with the task-oriented rehabilitation program (MTT), mirror therapy combined with the impairment-oriented rehabilitation program (MTI), or task-oriented rehabilitation program combined with the impairment-oriented rehabilitation program (TI) 90 minutes per day, three days per week, for six weeks.
Interventions
BEHAVIORALMirror therapy
In mirror therapy, a wooden mirror (41×50×33 cm3) will be positioned in the participant's sagittal midplane, blocking the participant's view of the affected arm performance. We will also provide a foldable bed tray table to ensure that the participants focus on the mirror reflection of the less affected arm. The mirror therapy will consist of movement and functional practices.
BEHAVIORALTask-oriented approach
The task-oriented approach will provide both bimanual common-goal and dual-goal tasks for the participants.
BEHAVIORALImpairment-oriented approach
The impairment-oriented approach will focus on the movement components. Arm BASIS or Arm Ability training will be provided based on the severity of the participant's impairment.
Sponsors
I-Shou University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. A first-ever unilateral stroke ≥3 months 2. Age between 20 and 80 years 3. Baseline Fugl-Meyer Assessment Upper Extremity (FMA-UE) score \>10 4. No severe spasticity in any joints of the affected arm 5. Ability to follow the instructions 6. No participation in other studies during the study period 7. Willingness to provide informed written consent.
Exclusion criteria
1\. Serious medical problems or poor physical conditions that might be detrimental to study participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment | Baseline, six weeks, and 3 months after completing the intervention | A standardized tool for evaluating motor impairment for stroke |
| Revised Nottingham Sensory Assessment | Baseline, six weeks, and 3 months after completing the intervention | A standardized tool for evaluating sensory impairment for stroke |
| Chedoke Arm and Hand Activity Inventory | Baseline, six weeks, and 3 months after completing the intervention | An assessment for bilateral functional abilities |
| Wolf Motor Function Test | Baseline, six weeks, and 3 months after completing the intervention | An assessment for both unilateral and bilateral functional abilities |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motor Activity Log | Baseline, six weeks, and 3 months after completing the intervention | A self-report tool used to assess the amount and quality of use of an affected limb during daily activities |
| ABILHAND Questionnaire | Baseline, six weeks, and 3 months after completing the intervention | A self-reported assessment tool used to measure manual ability by evaluating their perceived difficulty in performing bimanual tasks |
| Functional independent measure | Baseline, six weeks, and 3 months after completing the intervention | An assessment tool that evaluates a person's level of disability and functional independence in performing daily activities, covering areas such as self-care, mobility, communication, and social cognition |
| Box and block test | Baseline, six weeks, and 3 months after completing the intervention | A measurement for evaluating functional hand use by measuring the number of blocks moved within a set time |
| Stoke Impact Scale | Baseline, six weeks, and 3 months after completing the intervention | A comprehensive self-reported questionnaire that assesses the impact of a stroke on life |
| Stroke Self-Efficacy Questionnaire | Baseline, six weeks, and 3 months after completing the intervention | A tool used to evaluate a stroke survivor's confidence to perform daily activities |
| Stroke-Specific Measure of Adherence to Home-based Exercises | Six weeks | A questionnaire designed to assess how consistently stroke participations follow prescribed home programs |
| Nottingham Extended Activities of Daily Living Scale | Baseline, six weeks, and 3 months after completing the intervention | An assessment tool designed to measure a person's ability to perform daily activities |
| Grip and pinch power | Baseline, six weeks, and 3 months after completing the intervention | The measurements of the strength of hand movements |
| Ten-meter walk test | Baseline, six weeks, and 3 months after completing the intervention | A test for measuring walking speed and stride length over a fixed distance to assess mobility and functional status |
| Berg Balance Scale | Baseline, six weeks, and 3 months after completing the intervention | A measurement for evaluating balance abilities through a series of functional tasks |
Contacts
Primary ContactYi-chun Li, Doctor
Outcome results
None listed