Effectiveness of Mirror Therapy in Improving Motor Recovery and Hand Function in Patients With Acute Stroke A Randomized Controlled Trial
Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
Randomized controlled trial to determine whether mirror therapy (MT), added to conventional physiotherapy, improves upper-limb motor recovery, hand function, spasticity, and range of motion (ROM) in acute stroke compared with conventional physiotherapy alone. Outcomes include ARAT, Motor Assessment Scale, Modified Ashworth Scale, and goniometric ROM.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 40
Maximum Age: 55
Healthy Volunteers: f
View:
• Age 40-55 years
• Acute ischemic or hemorrhagic stroke within the last 1 month
• Unilateral hemiparesis/hemiplegia
• Medically stable and cleared for rehabilitation
• Able to follow verbal instructions; MMSE ≥ 24
• Provides written informed consent
Locations
Other Locations
Pakistan
Riphah international University Malakand Campus
RECRUITING
Malakand
Contact Information
Primary
Dr.Nadeem Ahmad, MS
n.ahmad@riphah.edu.pk
03451915105
Backup
Dr.Nadeem Ahmad, MS
drnadeem765@gmail.com
03028367237
Time Frame
Start Date: 2025-08-15
Estimated Completion Date: 2027-09-17
Participants
Target number of participants: 44
Treatments
Experimental: Mirror Therapy + Conventional Physiotherapy
Experimental: Mirror Therapy + Conventional Physiotherapy~Device/Procedure: Mirror Therapy (20 min/session) + immediate Conventional Physiotherapy (20 min/session)~Schedule: 2 sessions/week for 1 week (total: 2 sessions)~MT Procedure: Mirror (box or plain) placed along mid-sagittal plane reflecting the non-paretic limb while hiding the paretic limb. Participants perform bilateral symmetrical movements focusing on the mirror image (e.g., wrist flex/ext, finger flex/ext, elbow flex/ext, reaching \& grasping).~Conventional Content (immediately after MT): strengthening \& functional task practice (e.g., reaching/transfers), plus targeted hand training: theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, reaching overhead/side-to-side with weight, weighted ball toss/catch.
Active_comparator: Conventional Physiotherapy Only
Procedure: Conventional Physiotherapy (20 min/session), no mirror. Same schedule and exercise menu as above without visual mirror feedback.~Notes: The proposal specifies 1 week duration with 2 sessions/week, 20 min each; centers may extend to clinically standard dosage via protocol amendment if needed.
Related Therapeutic Areas
Sponsors
Leads: Riphah International University