Upper Limb Function in Chronic Stroke Patients Mirror therapy,
Conditions
Interventions
the mirror group participated in a standard stroke rehabilitation program,
6 hours a day,
for 8-
12 weeks. The standard program is patient-
specific and consists of neurodevelopmental facilitation techniques,
physiotherapy,
occupational therapy,
and speech therapy (if needed). For the same period,
the mirror group received an additional 30 minutes of mirror therapy program by an occupational therapist. During the mirror practices,
patient is seated close to a table on which a mirror sized 40
60
30 cm. is placed vertically. The paretic hand is placed behind the mirror and the non paretic hand in front of the mirror. The practice consists of non paretic side movement: wrist and finger flexion
pick up the tennis ball and put in the basket,
pick up various size of pins,
hold the glass and release while patient looks into the mirror,
watching the image of his / her non paretic hand,
thus seeing the reflection of the hand movement projected over the paretic hand. Patients can see only the non paretic hand in the mirror. During the session patients are ask to try to do the same mov
Sponsors
ARC
Eligibility
Sex/Gender
All
Age
18 Years to 0 Years
Inclusion criteria
Inclusion criteria: - A first episode stroke patient with hemiplegia / hemiparesis more than 12 weeks whom was diagnosed by a neurologist and confirmed by computed tomography or magnetic resonance imaging - Age more than 18 year - Are able to understand and follow two steps command - Have a Brunnstrom score between stages I and IV for the arm and hand - Are able to sit with / without support more than 30 minutes - Have no severe cognitive disorders (TMSE score > 24) - Have no other disorder on paretic limb - Consent for study participation by patient / relatives
Exclusion criteria
Exclusion criteria: - Patients who has medical problem(s) that cannot tolerate with the rehabilitation program - Has sensory / global aphasia - Has severe spasticity of arm / hand (MAS ≥ 3) - Has severe neglect - Non-cooperative patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor recovery at 2nd, 4th, 8th, 12th week after the intervention Brunnstrom stage of recovery,Motor recovery at 2nd, 4th, 8th, 12th week after the intervention lateral pinch strength,Motor recovery at 2nd, 4th, 8th, 12th week after the intervention Motor Assessment Scale (Thai version),Motor recovery at 2nd, 4th, 8th, 12th week after the intervention tip pinch strength | — |
Secondary
| Measure | Time frame |
|---|---|
| ADL at 2nd, 4th, 8th, 12th week after the intervention Barthel ADL Index,spasticity at 2nd, 4th, 8th, 12th week after the intervention Modified Ashworth Scale | — |
Countries
Thailand
Contacts
Public ContactKrisna Piravej
Rehabilitation Center
Outcome results
None listed