Stroke (CVA) or TIA, Hemiparesis
Conditions
Brief summary
evaluate the effect of mirror therapy on motor recovery and pain of hemiparetic arm post stroke
Interventions
OTHERtechnique
the participant performs arm exercise behind mirror
OTHERControl
the control group receive usual hospital care
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor Function Assessment | 3 weeks | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional independence | 3 weeks | 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 |
| Pain assessment | 3 weeks | 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 |
Countries
Egypt
Outcome results
None listed