Effects of Task-based Mirror Therapy on Edema, Pain and Upper Limb Motor Function for Post-stroke Shoulder-hand Syndrome
The study aims to determine the effects of task-based mirror therapy on edema, pain and upper limb motor function with shoulder-hand syndrome in post stroke patients. This randomized clinical trial will take place at Ittefaq Hospital and Trust Lahore and Alara healthcare clinic, Lahore involving 34 participants aged 45-75 years. Using a non-probability convenience sampling method, participants will be randomly assigned by online randomizing tool into two groups: experimental group (17 participants) and control group (17 participants). Both groups will undergo treatment for 30 minutes a day, five days a week, over four weeks. Each task will be performed by repeating each movement 20 times per set for three sets, with a 2-minute break between sets. There will also be 2-minute intervals between each completed task Outcome measures will include pain intensity assessed by the Numeric Pain Rating Scale (NPRS), edema measured by the figure-of-eight method, and upper limb motor function evaluated using the Functional Independence measure (FIM). Assessments will occur at baseline and post-intervention.
• Both male and female patients are included in the study.
• Subacute stroke patients having stroke less than 6 months are included in this study.
• Stable participants having a stroke severity score \> 6 on National Institute of Health Stroke Scale (NIHSS).
• Modified Ashworth scale score ≤ 2 of the affected upper extremity.
• Montreal Cognitive Assessment (MoCA) score ≥ 24.
• Patients who can sit with or without support.
• No contractures of the affected shoulder, elbow, wrist and fingers.
• Participants who have no history of peripheral nerve injury or musculoskeletal disease