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IRCT20150721023277N5 IRCT 2018-02-25 Vice chancellor for research, Iran University of Medical Sciences effectiveness of Mirror Visual Feedback on sensory relearning outcomes Clinical trial effectiveness of Mirror Visual feedback on sensory relearning outcomes in patients following Median/Ulnar nerve repair in the upper limbs. 2014-06-22 anticipated 20 Complete https://irct.ir/trial/19878 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Sealed Envelope. 2 Condition 1: Injury of median nerve at wrist of upper extrimity. Condition 2: Injury of ulnar nerve at wrist of upper extrimity. Intervention 1: Treatment group: A therapist will be performed a traditional rehabilitation program of 40 minutes, three days per week, for eight weeks. In addition to the traditional rehabilitation program, the treatment group also will receive mirror therapy sessions 15 minutes per day, five days per week, for eight weeks; three of the mirror therapy sessions are done in a clinic under the supervision by a therapist every week, and the other two sessions will perform by the patients themselves at home using a mirror therapy box with the help of a booklet with instructions. The mirror box contain a 35×45cm mirror set at an 80-degree angle that will construct by the researchers and will distribute among the patients. During their mirror therapy sessions, the patients sit in front of a table that had a mirror box placed at its center and hold their intact hand in front and their injured hand at the back of the mirror with an equal distance from the mirror. The mirror therapy sessions consist of three stages. Stage one involves performing of movements such as pronation, supination, opposition, etc. for five minutes. Stage two include the patient touching objects with various degrees of coarseness in front of the mirror for five minutes. Stage three involve the performance of activities with the intact hand in front of the mirror; in this stage, the patient will be asked to perform actions such as wiping the table with a cloth, grabbing a book, plate, cell phone, pen, spoon, glass and coin or keys with the intact hand and focus on the image of the intact hand in the mirror throughout the entire activity. Intervention 2: control group: traditional rehabilitation program of 40 minutes, three days per week, for eight weeks, which included rehabilitation techniques such as proprioceptive neuromuscular facilitation, individual blocking exercise, gliding exercise, sensory precaution training, the use of different splints, functional activities and daily life activities. No - There is not a plan to make this available Justification or reason for not sharing IPD is no more information
public Dr Laleh Lajevardi
Iran University of Medical Sciences, Faculty of Rehabilitation Sciences, Nezam Street, Shahid Shah Nazari Street, Mother Square, Mirdamad Boulevard, Tehran.
Tehran Iran (Islamic Republic of) rehab@iums.ac.ir +98 212222205 www.laleh23275@yahoo.com Faculty of Rehabilitation Sciences, Iran University of Medical Sciences scientific Dr laleh Lajevardi
Iran University of Medical Sciences, Faculty of Rehabilitation Sciences, Nezam Street, Shahid Shah Nazari Street, Mother Square, Mirdamad Boulevard, Tehran.
Tehran Iran (Islamic Republic of) 154591348 +98 21 2222 7124 rehab@iums.ac.ir Faculty of Rehabilitation, Iran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) having median or ulnar nerve surgery or both age 18 to 60 years a minimum score of 21 in the Mini-Mental State Examination Four to six weeks interval after surgery (i.e. epineural repair) 18 years 60 years Both Diabetes or other peripheral neuropathy The presence of other orthopedic or neurological damage other than tendon and arterial injury G56.1 G56.2 other lesions of median nerve lesions of ulnar nerve Rehabilitation Rehabilitation Treatment group: A therapist will be performed a traditional rehabilitation program of 40 minutes, three days per week, for eight weeks. In addition to the traditional rehabilitation program, the treatment group also will receive mirror therapy sessions 15 minutes per day, five days per week, for eight weeks; three of the mirror therapy sessions are done in a clinic under the supervision by a therapist every week, and the other two sessions will perform by the patients themselves at home using a mirror therapy box with the help of a booklet with instructions. The mirror box contain a 35×45cm mirror set at an 80-degree angle that will construct by the researchers and will distribute among the patients. During their mirror therapy sessions, the patients sit in front of a table that had a mirror box placed at its center and hold their intact hand in front and their injured hand at the back of the mirror with an equal distance from the mirror. The mirror therapy sessions consist of three stages. Stage one involves performing of movements such as pronation, supination, opposition, etc. for five minutes. Stage two include the patient touching objects with various degrees of coarseness in front of the mirror for five minutes. Stage three involve the performance of activities with the intact hand in front of the mirror; in this stage, the patient will be asked to perform actions such as wiping the table with a cloth, grabbing a book, plate, cell phone, pen, spoon, glass and coin or keys with the intact hand and focus on the image of the intact hand in the mirror throughout the entire activity control group: traditional rehabilitation program of 40 minutes, three days per week, for eight weeks, which included rehabilitation techniques such as proprioceptive neuromuscular facilitation, individual blocking exercise, gliding exercise, sensory precaution training, the use of different splints, functional activities and daily life activities The threshold of cutaneous touch/pressure. Timepoint: before the intervention and After the end of the intervention ( two months). Method of measurement: pocket version of Semmes Weinstein Monofilaments (SWMs). Two points discrimination. Timepoint: before the intervention and After the end of the intervention ( two months). Method of measurement: ( two points discrimination with using a caliper. Tactile gnosis. Timepoint: before the intervention and After the end of the intervention ( two months). Method of measurement: Stereognosis. Vice chancellor for research, Iran University of Medical Sciences Approved 2015-02-14 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences, Between the intersection of Sheikh Fazlollah Noori and Shahid Chamran, Shahid Hemmat Highway, Tehran. Tehran Tehran Iran (Islamic Republic of)