Comparison of 4-weeks of Motor Relearning Program and Mirror Therapy in Improving Upper Limb Motor Function in Stroke Patients.

Sponsor

Yusra Medical and Dental College (Other)

Overall Status

Enrolling by invitation

CT.gov ID

NCT06074081

Collaborator

(none)

Enrollment

Location

Arms

5.8

Anticipated Duration (Months)

4.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Cerebrovascular accident(CVA) or stroke is one of common condition affecting people in developed and underdeveloped countries.

MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior.

Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required.

Condition or Disease	Intervention/Treatment	Phase
Acute Stroke	Other: motor relearning program Other: mirror therapy	N/A

Detailed Description

Cerebrovascular accident(CVA) or stroke is one of common condition affecting people in developed and underdeveloped countries. Mostly patient with stroke face many disabilities and the most important one is upper limb motor impairment. For the optimization of upper extremity and prevention of patient from permanent disability it is essential to promotes Neuro-rehabilitation interventions. Physiotherapy techniques need to be monotonous, thorough and task oriented for neuroplasticity to generate better recovery. There is notable enhancement in ADLS when the rehabilitation program starts within 16 hours to 6 months after stroke In improving upper extremity motor functions there are tremendous types of techniques used i.e. Proprioceptive neuromuscular facilitation(PNF),Brunnstorm, Bobath therapy, Motor relearning program(MRP),Constraint induced movement therapy(CIMT) and Mirror therapy(MT).Out of which we are using two basic techniques i.e. motor relearning program(MRP) and mirror therapy(MT).Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required. Mirror therapy enhance functional activities in patient with hemiplegic stroke. MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

28 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Participants are divided into 2 groups Patients in experimental group will receive treatment through Motor-relearning program. Patient in controlled group will receive treatment through mirror therapy .Participants are divided into 2 groups Patients in experimental group will receive treatment through Motor-relearning program. Patient in controlled group will receive treatment through mirror therapy .

Masking:

Single (Participant)

Masking Description:

It is a single blinded study in which participants will be allocated into 2 groups by using coin flip method.

Primary Purpose:

Treatment

Official Title:

Comparison of 4-weeks of Motor Relearning Program and Mirror Therapy in Improving Upper Limb Motor Function in Stroke Patients.

Actual Study Start Date :

Sep 4, 2023

Anticipated Primary Completion Date :

Dec 26, 2023

Anticipated Study Completion Date :

Feb 27, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: motor relearning program Patients in this group will receive treatment through Motor-relearning programme. Patients will be instructed to perform multiple task like holding object, elbow extension/flexion and multiple movements of shoulder joint. This group will receive MRP for about time duration of 4 weeks,3 days per week,2 hours session per day.	Other: motor relearning program MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .
Other: mirror therapy Patient in this group will receive treatment through mirror therapy. Patient will sit in such a way that the mirror will be placed in perpendicular direction on a table. Sound limb will place in front of mirror and affected limb will place behind the mirror. Patient will receive visual feedback from sound limb. This group will receive MT for about 4 weeks, 3 days per week, 2 hours session per day.	Other: mirror therapy Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required.

Arm

Intervention/Treatment

Experimental: motor relearning program

Patients in this group will receive treatment through Motor-relearning programme. Patients will be instructed to perform multiple task like holding object, elbow extension/flexion and multiple movements of shoulder joint. This group will receive MRP for about time duration of 4 weeks,3 days per week,2 hours session per day.

Other: motor relearning program

MRP is a therapy to regain particular motor function and neglecting accessory movements by engaging cognitive behavior .

Other: mirror therapy

Patient in this group will receive treatment through mirror therapy. Patient will sit in such a way that the mirror will be placed in perpendicular direction on a table. Sound limb will place in front of mirror and affected limb will place behind the mirror. Patient will receive visual feedback from sound limb. This group will receive MT for about 4 weeks, 3 days per week, 2 hours session per day.

Other: mirror therapy

Mirror therapy enhance functional activities in patient with hemiplegic stroke. For betterment of result high quality methodological studies and larger sample size is required.

Outcome Measures

Primary Outcome Measures

fugl meyer assessment scale (FMA) [upto 4 weeks]
This test is recommended for checking functional return of patient having impairments with stroke.Test consists on the base of assessing patient with moving limb in low tone movements or synergistic pattern and then move actively back to normal function. Total scoring for upper limb is 18.

Eligibility Criteria

Criteria

Ages Eligible for Study:

20 Years to 80 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria

Acute(hemiplegic attack within 1-2 weeks) and sub-acute stroke(hemiplegic attack within 3- 11 weeks).
20 to 80 years.
No physical deformity prior to stroke
No history of serious underlying pathology and structural deformities.

Exclusion Criteria:

Patient with chronic hemiplegic stroke.
Patient with congenital deformity.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Maham Nasir	Islamabad	Federal	Pakistan	04403

Sponsors and Collaborators

Yusra Medical and Dental College

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:

Maham Nasir, Head of Physical Therapy Department, Yusra Medical and Dental College

ClinicalTrials.gov Identifier:

NCT06074081

Other Study ID Numbers:

Motor Relearning Program

First Posted:

Oct 10, 2023

Last Update Posted:

Oct 10, 2023

Last Verified:

Oct 1, 2023

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Maham Nasir, Head of Physical Therapy Department, Yusra Medical and Dental College

Motor Relearning Program

Mirror therapy

Additional relevant MeSH terms:

Stroke

Study Results

No Results Posted as of Oct 10, 2023