Neurodevelopmental Technique Versus Mirror Therapy in Sub-acute Stroke Patients
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-65
SponsorUniversity of Lahore
About this trial
As neurodevelopmental technique and mirror therapy had different effects on lower limb coordination, functions and ambulation. Both had proven to be helpful in the stroke patients to gain functional independency. Therefore, there was need to find out the best treatment approach either NDT, mirror therapy or both are equally effective to improve motor functions, coordination and ambulation of lower limb. This study would provide the health professionals the evidence to use best technique among these according to improvement in patients' coordination, function and ambulation.The study will be randomized clinical trial. This study will be conducted at the University of Lahore. A sample size of 40 will be randomly allocated by into two experimentals groups, (20 participants in each group), by the lottery method. All the screened and willing participants will be randomly allocated to two groups (Group A: Experimental group Neurodevelopmental technique, Group B: Experimental Group mirror therapy exercise) by lottery method. This study will be a single blinded study in which assessor will be blinded.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Both genders
Sub-acute stroke hemiplegic cases; clinically stable, fully oriented and conscious.
Both ischemic and hemorrhagic patients were be included.
Patients with mini mental status examination (MMSE) (score > 23)
Disqualifiers
Patients had recurrent stroke.
Any systemic conditions that limit functions such as; cardiac diseases (exertional dyspnea, angina, Myocardial Infarction, Pacemaker) Pulmonary diseases (Asthma, Pulmonary Fibrosis etc.), Diabatic neuropathy, Diabetic foot, Varicose veins etc
Other neurological conditions, such as; foot drop, muscular dystrophy, Myasthenia Gravis, Parkinsonism
Any visual and hearing problem
Trial design
Design model
Parallel
Treatments tested in this trial
Neurodevelopmental Technique (NDT)
BehavioralParticipants will perform Neurodevelopmental Technique (NDT) exercises in supine, prone, sitting, and standing positions. Activities include bridging, trunk rotation, hip/knee flexion-extension, ankle mobilization, bilateral weight bearing, stepping, toe rise, and single leg standing. Each exercise is performed 20 times per set with 2-minute rest intervals. Sessions last 65 minutes, three times per week, for 12 weeks (36 sessions), combined with routine physiotherapy.
Mirror Therapy (MT)
BehavioralPatient sits with mirror (60×90 cm) reflecting unaffected leg. Performs bilateral symmetrical movements: heel raises, side stepping, single leg standing, hip/knee flexion-extension with ankle dorsiflexion, ankle eversion. Each exercise 20× per set, 2 min rest between sets. 60-65 min/session, 3×/week, for 12 weeks (36 sessions).
Treatment groups
40 Participants
are divided into 2 treatment groupsGroup A: Experimental: Neurodevelopmental Technique + Routine PTExperimental treatment 1 intervention
Group B: Active Comparator: Mirror Therapy + Routine PTActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Ambulation
Ambulation will be assessed using the Six-Minute Walk Test (6MWT), which measures the distance a participant walks on a flat surface in six minutes. Unit of Measure:- Meters
Time frame
Baseline and Week 122
Lower Extremity Motor Function
Lower extremity motor function will be assessed using the Fugl-Meyer Assessment-Lower Extremity (FMA-LE). Unit of Measure:- Total score (0-34)
Time frame
Baseline and Week 123
Lower Limb Coordination
Lower limb coordination will be assessed using the Lower Extremity Motor Coordination Test (LEMOCOT). Unit of Measure:- Number of target touches completed in 20 seconds
Time frame
Baseline and Week 12Sponsors and contacts
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Source ClinicalTrials.gov