Comparative Effects of Mirror Therapy and Cognitive Orientation to Daily Occupational Performance in Stroke: A Randomized Controlled Trial

ConditionsStroke Stroke Rehabilitaion

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18+

SponsorHacettepe University

About this trial

This study aims to compare the effectiveness of three rehabilitation approaches in individuals with stroke: mirror therapy (MT), cognitive orientation to daily occupational performance (CO-OP), and conventional occupational therapy (COT), all combined with robotic balance training.

A total of 45 individuals with subacute and chronic stroke will be randomly assigned to one of three groups. Each group will receive 4 weeks of intervention (5 sessions per week), followed by a 3-month follow-up period.

Outcomes related to motor function, somatosensory function, activities of daily living, participation, and quality of life will be assessed at baseline, after intervention, and at follow-up.

The study aims to determine which intervention approach is more effective in improving functional outcomes in individuals with stroke.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

- Individuals diagnosed with ischemic or hemorrhagic stroke

Age 18 years and older

Subacute (3-6 months post-stroke) or chronic stage (6-12 months post-stroke)

Brunnstrom Motor Recovery Stage ≥3 for upper extremity, ≥4 for hand, and ≥4 for lower extremity

Disqualifiers

- Poor motor coordination or major medical problems that would prevent participation

Presence of Wernicke's aphasia

Botulinum toxin injection within the last 3 months

Psychiatric conditions that may interfere with participation (e.g., depression, ongoing psychiatric treatment, low motivation)

Trial design

Design model

Parallel

Treatments tested in this trial

Mirror Therapy
Behavioral
Mirror therapy involves the use of a mirror to create a visual illusion of movement of the affected limb by observing the reflection of the unaffected limb. Task-oriented activities are performed to improve motor function and sensory integration in individuals with stroke.
Cognitive Orientation to Daily Occupational Performance (CO-OP)
Behavioral
CO-OP is a client-centered, performance-based approach that uses cognitive strategies to enable skill acquisition. Participants identify meaningful goals and use guided discovery and problem-solving strategies to improve task performance.
Conventional Occupational Therapy
Behavioral
Conventional occupational therapy includes task-oriented interventions such as reaching, grasping, coordination training, strengthening exercises, and activities aimed at improving functional independence in daily living.
Robotic Balance Training
Other intervention
Robotic balance training is used as a priming intervention before therapy sessions. It includes repetitive, task-specific movements involving weight shifting, postural control, and balance training to enhance motor responses.

Treatment groups

45 Participants

are divided into 3 treatment groups

Group A: Mirror Therapy GroupExperimental treatment 2 interventions

Group B: CO-OP GroupExperimental treatment 2 interventions

Group C: Conventional Occupational Therapy GroupActive comparator 2 interventions

Trial outcomes

Primary outcomes

Fugl-Meyer Motor Assessment (FMA)

The Fugl-Meyer Assessment will be used to evaluate motor function in individuals with stroke. Higher scores indicate better motor function.

Time frame