Mirror Therapy for Hand Function Recovery in Acute Stroke
Effectiveness of Mirror Therapy in Improving Motor Recovery and Hand Function in Patients With Acute Stroke A Randomized Controlled Trial
Riphah International University
44 participants
Aug 15, 2025
INTERVENTIONAL
Conditions
Summary
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
Inclusion Criteria6
- Age 40-55 years
- Acute ischemic or hemorrhagic stroke within the last 1 month
- Unilateral hemiparesis/hemiplegia
- Medically stable and cleared for rehabilitation
- Able to follow verbal instructions; MMSE ≥ 24
- Provides written informed consent
Exclusion Criteria9
- 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)
- Orthopedic conditions affecting upper limb/trunk
- Uncontrolled cardio-respiratory disease limiting exercise
- Severe spasticity (MAS ≥ 3) in affected limb
- Concurrent enrollment in other interventional trials
- Inability/refusal to consent
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Interventions
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.
Locations(1)
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NCT07204067