Mirror Therapy for Hand Function Recovery in Acute Stroke

ConditionAcute Stroke

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age40-55

SponsorRiphah International University

About this trial

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 criteria

This trial does not accept healthy volunteers

Qualifiers

Age 40-55 years

Acute ischemic or hemorrhagic stroke within the last 1 month

Unilateral hemiparesis/hemiplegia

Medically stable and cleared for rehabilitation

Disqualifiers

Recurrent stroke or bilateral involvement

Severe cognitive impairment (MMSE < 24)

Visual field deficits, unilateral neglect, or severe aphasia interfering with MT

Other neurological disorders (e.g., Parkinson's, MS)

Trial design

Design model

Parallel

Treatments tested in this trial

Mirror Therapy Conventional Physiotherapy
Behavioral
Experimental: Mirror Therapy + Conventional Physiotherapy Mirror therapy performed 20 min/session, 2 sessions/week for 1 week. A mirror is placed midsagittal, reflecting the non-paretic limb while hiding the paretic limb. Patients perform bilateral movements (wrist, finger, elbow flex/extension; reaching/grasping) while focusing on the mirror image. This is followed by 20 min of conventional physiotherapy, including strengthening, functional tasks, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss. Active Comparator: Conventional Physiotherapy Only Conventional physiotherapy 20 min/session, 2 sessions/week for 1 week. Exercises include upper limb strengthening, functional task practice, theraputty squeezes, finger extension with rubber band, towel wringing, lifting small objects, overhead reaching, and ball toss.

Treatment groups

44 Participants

are divided into 2 treatment groups

Group A: Mirror Therapy + Conventional PhysiotherapyExperimental treatment 1 intervention

Group B: Conventional Physiotherapy OnlyActive comparator 1 intervention

Trial outcomes

Primary outcomes

Upper-Limb Function (ARAT total score, 0-57)

Change from baseline to end of week 1; higher scores = better function.

Time frame

6 Months

Secondary outcomes

Motor Function (Motor Assessment Scale - relevant upper-limb items, 0-6 per item)

Change baseline→week 1; higher = better.

Time frame

6months

Other outcomes

Spasticity (Modified Ashworth Scale, 0-4)

Change baseline→week 1; lower = less spasticity.

Time frame

6 months

Range of Motion (Goniometric AROM at shoulder, elbow, wrist, finger joints; degrees)

Change baseline→week 1; higher = improved ROM.

Time frame

6 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov

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