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Comparison of the Acute Effects of Mirror Therapy and Virtual Reality Therapy on Upper Extremity Function and Performance in Hemiplegic Patients

Status: Recruiting
Location: See location...
Intervention Type: Device, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Upper extremity impairment in hemiplegic patients significantly impacts daily activities and reduces quality of life. Although traditional rehabilitation methods can help, some patients experience limited progress. Recently, modern techniques such as mirror therapy and virtual reality (VR) have emerged, demonstrating promising results in motor skill improvement. This study aims to directly compare the acute effects of mirror therapy and VR therapy on upper limb motor function in hemiplegic patients. Forty-two participants aged 18-75 with hemiplegia due to stroke (6-12 months post-stroke) will be randomly assigned to either mirror therapy or VR therapy. The evaluation includes motor function (Fugl-Meyer Assessment), spasticity (Modified Ashworth Scale), activities of daily living (Barthel Index), fine motor skills (Box and Block Test), proprioception, and reaction time. The goal is to identify the effectiveness of the mirror therapy and VR therapy on motor function, spasticity control, proprioception, daily activity performance, and reaction times, contributing valuable insights to clinical rehabilitation practices.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:

• Hemiplegic patients in need of upper extremity rehabilitation.

• Having had a stroke 6 to 12 months prior to the study.

• Being at least Stage 3 for the upper extremity according to the Brunnstrom motor recovery stages.

• Age range: between 18 and 75 years.

• Individuals who volunteer to participate in the study.

• Individuals who are cognitively suitable for mirror therapy and virtual reality applications (a score of at least 24 on the Mini Mental State Examination)

Locations
Other Locations
Turkey
İstinye Üniversite Hastanesi Medical Park Gaziosmanpaşa
RECRUITING
Istanbul
Contact Information
Primary
Çiçek Günday, Asst. Prof.
cicek.gunday@istinye.edu.tr
+90 850 283 60 00
Backup
Maysaa Hamdy Othman Ibrahim, Physiotherapist
maysaahamdyothman.ibrahim@stu.istinye.edu.tr
+90552709409
Time Frame
Start Date: 2025-05-30
Estimated Completion Date: 2026-07
Participants
Target number of participants: 42
Treatments
Experimental: Mirror Therapy
Participants will receive a single 30-minute session of mirror therapy applied to the affected upper extremity. The therapy will involve performing functional upper limb movements while viewing the mirror reflection of the unaffected limb to create the visual illusion of symmetrical bilateral movement.
Experimental: Virtual Reality (VR) Therapy
Participants in this group will receive a single 30-minute session of virtual reality-based upper extremity rehabilitation using a Meta Quest 2 head-mounted display. The intervention will consist of task-oriented, interactive exercises targeting shoulder, elbow, wrist, and hand movements. The session will be conducted under supervision to ensure safety and proper task performance.
Sponsors
Leads: Istinye University

This content was sourced from clinicaltrials.gov