About this trial
The goal of this clinical trial is to examine the effects of mirror therapy combined with task- vs. Impairment-oriented rehabilitation programs as novel hybrid approaches in individuals with stroke. Participants will receive mirror therapy combined with the task-oriented rehabilitation program (MTT), mirror therapy combined with the impairment-oriented rehabilitation program (MTI), or task-oriented rehabilitation program combined with the impairment-oriented rehabilitation program (TI) 90 minutes per day, three days per week, for six weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
A first-ever unilateral stroke ≥3 months
Age between 20 and 80 years
Baseline Fugl-Meyer Assessment Upper Extremity (FMA-UE) score >10
No severe spasticity in any joints of the affected arm
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Mirror therapy
BehavioralIn mirror therapy, a wooden mirror (41×50×33 cm3) will be positioned in the participant's sagittal midplane, blocking the participant's view of the affected arm performance. We will also provide a foldable bed tray table to ensure that the participants focus on the mirror reflection of the less affected arm. The mirror therapy will consist of movement and functional practices.
Task-oriented approach
BehavioralThe task-oriented approach will provide both bimanual common-goal and dual-goal tasks for the participants.
Impairment-oriented approach
BehavioralThe impairment-oriented approach will focus on the movement components. Arm BASIS or Arm Ability training will be provided based on the severity of the participant's impairment.
Treatment groups
Trial outcomes
Primary outcomes
Fugl-Meyer Assessment
A standardized tool for evaluating motor impairment for stroke
Revised Nottingham Sensory Assessment
A standardized tool for evaluating sensory impairment for stroke
Chedoke Arm and Hand Activity Inventory
An assessment for bilateral functional abilities
Wolf Motor Function Test
An assessment for both unilateral and bilateral functional abilities
Secondary outcomes
Grip and pinch power
The measurements of the strength of hand movements
Box and block test
A measurement for evaluating functional hand use by measuring the number of blocks moved within a set time
Ten-meter walk test
A test for measuring walking speed and stride length over a fixed distance to assess mobility and functional status
Berg Balance Scale
A measurement for evaluating balance abilities through a series of functional tasks
Locations
Sponsors and contacts
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