Stroke Patients
Conditions
Keywords
Mirror Therapy, Stroke, Neurorehabilitation
Brief summary
Stroke remains a major public health disease worldwide ,it usually associating with damage to the motor function and other functional disabilities. Persistent upper extremity dysfunction affects many post strokepatients and is strongly associated with decreased activities of daily living . Mirror therapy one of the rehabilitation that is beneficial for neuroplasticity .This therapy is used to improve motor function after stroke .
Detailed description
OBJECTIVES: The objectives of this study are : 1. To imorove upper limb motor function and 2. To improve activities of daily lving . 3. To enhance motor skills. HYPOTHESIS: Alternate Hypothesis: There will be statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p\<0.05) Null Hypothesis: There will be no statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p\>0.05) RESEARCH DESIGN : Experimental study .Randomized control trail.
Interventions
PROCEDURELOW INTENSITY TASK ORIENTED MIRROR THERAPY
Group A Low Intensity Task Oriented Mirror Therapy will be administered for 2 and half hour per week for 30 min a day, 10 rep five times a week for 8 weeks. Task-oriented Activities for Group A: Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 30 min with 10 reps per day for 8 consecutive weeks.
PROCEDUREHigh Intensity Task Oriented Mirror Therapy
Group B High Intensity Task Oriented Mirror Therapy will be administered for 5 hours per week for 60 min a day, 20 rep five times a week for 8 weeeks. The mode of mirror therapy will be unilateral as subjects will perform movement only on unaffected arm. Task-oriented Activities for Group B: Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 60 min with 20 reps per day for 8 consecutive weeks
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Both genders. * Age of patient 45 years and above * Both ischemic and hemorrhagic stroke ( subacute and chronic stroke). Cognitive function relatively intact score \> 24 MoCA * The patient can sit with / without support for more than 30 min
Exclusion criteria
* Subjects with visual impairments or unilateral neglect. * having global aphasia. * unstable medical conditions or comorbidities. * score 3 and above on modified ashworth scale. * patient with orthopedic condition or any fractures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| UPPER LIMB MOTOR FUNCTION | 10 weeks | MOTOR FUNCTION WILL BE ASSESSED USING FUGL MEYER ASSESSMENT OF UPPER LIMB AS THE MAIN OUTCOME MEASURE . |
Countries
Pakistan
Contacts
Primary ContactHIRA NAWAZ, DPT
Outcome results
None listed