RecruitingNot ApplicableNCT07428811

Effects of Task-Based Mirror Therapy for Post-stroke Shoulder-Hand Syndrome

Effects of Task-based Mirror Therapy on Edema, Pain and Upper Limb Motor Function for Post-stroke Shoulder-hand Syndrome

Sponsor

Riphah International University

Enrollment

34 participants

Start Date

Nov 5, 2025

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

The study aims to determine the effects of task-based mirror therapy on edema, pain and upper limb motor function with shoulder-hand syndrome in post stroke patients. This randomized clinical trial will take place at Ittefaq Hospital and Trust Lahore and Alara healthcare clinic, Lahore involving 34 participants aged 45-75 years. Using a non-probability convenience sampling method, participants will be randomly assigned by online randomizing tool into two groups: experimental group (17 participants) and control group (17 participants). Both groups will undergo treatment for 30 minutes a day, five days a week, over four weeks. Each task will be performed by repeating each movement 20 times per set for three sets, with a 2-minute break between sets. There will also be 2-minute intervals between each completed task Outcome measures will include pain intensity assessed by the Numeric Pain Rating Scale (NPRS), edema measured by the figure-of-eight method, and upper limb motor function evaluated using the Functional Independence measure (FIM). Assessments will occur at baseline and post-intervention.

Eligibility

Min Age: 45 YearsMax Age: 75 Years

Inclusion Criteria8

Both male and female patients are included in the study.
Subacute stroke patients having stroke less than 6 months are included in this study.
Stable participants having a stroke severity score \> 6 on National Institute of Health Stroke Scale (NIHSS).
Modified Ashworth scale score ≤ 2 of the affected upper extremity.
Montreal Cognitive Assessment (MoCA) score ≥ 24.
Patients who can sit with or without support.
No contractures of the affected shoulder, elbow, wrist and fingers.
Participants who have no history of peripheral nerve injury or musculoskeletal disease

Exclusion Criteria5

• Participants who have medical problems or co-morbidities that interdict their participation in the study.
Patients with severe apraxia, somatosensory problems.
Unilateral neglect
Severe contractures of the affected shoulder, elbow, wrist and finger.
Participants who show the symptoms of global or receptive aphasia.

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Interventions

OTHERTask based mirror therapy

Group A will undergo treatment for 30 minutes a day, five days a week, over four weeks. Each task will be performed by repeating each movement 20 times per set for three sets, with a 2-minute break between sets. There will also be 2-minute intervals between each completed task

OTHERConventional exercises

Group B will undergo treatment for 30 minutes a day, five days a week, over four weeks. Each task will be performed by repeating each movement 20 times per set for three sets, with a 2-minute break between sets. There will also be 2-minute intervals between each completed task