Comparing Unimanual and Bimanual Mirror Therapy for Upper Limb Recovery Post Stroke

Recruiting

Phase N/A Results N/A

Trial Description

The purpose of this randomized controlled study is to
1. Examine the feasibility of a home Mirror therapy (MT) program in the NYC metropolitan area;
2. Evaluate the effectiveness of home MT versus traditional home exercise program; and
3. Evaluate the superiority of unimanual or bimanual MT intervention protocols for chronic stroke subjects with moderate hand deficits. Subjects from occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke will be divided into three (3) groups:
- Control Group subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
- Experimental group 1 subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
- Experimental group 2 subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.

Conditions

Interventions

  • Traditional Home Based Exercise Program Behavioral
    Intervention Desc: Subjects in the control group will receive a traditional home Occupational Training exercise program as per conventional OT guidelines with the same home program duration.
    ARM 1: Kind: Experimental
    Label: Control Group
    Description: Subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program.
  • Unimanual Home Based Mirror Therapy Program Behavioral
    Intervention Desc: The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
    ARM 1: Kind: Experimental
    Label: Experimental Group 1
    Description: Subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program
  • Bimanual Home Based Mirror Therapy Program Behavioral
    Intervention Desc: The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.
    ARM 1: Kind: Experimental
    Label: Experimental Group 2
    Description: Subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.

Trial Design

  • Observation: Cohort
  • Perspective: Prospective
  • Sampling: Non-Probability Sample

Trial Population

Participants included in the study will be those referred to outpatient occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke.

Outcomes

Type Measure Time Frame Safety Issue
Primary Fugl-Meyer Assessment (FMA) Baseline to Six (6) Weeks No
Primary Grip strength Baseline to Six (6) Weeks No
Primary Action Research Arm Test (ARAT) Baseline to Six (6) Weeks No
Primary Stroke Impact Scale Version 3.0 Baseline to Six (6) Weeks No

Sponsors