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IRCT20180526039856N1 IRCT 2018-10-10 University of social welfare and rehabilitation sciences "The mirror therapy and modified constraint-induced movement therapy on treatment of upper limb stroke patients" "Comparison of the effect of mirror therapy and modified constraint-induced movement therapy on upper extremity motor function in stroke patients" 2018-10-27 anticipated 42 Complete https://irct.ir/trial/31578 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomized with use of random number table, Blinding description: Participants do not inform about interventions present to each other. Assessor varies with the person who intervenes. 3 stroke patients. Intervention 1: Intervention group 1: intervention performs 1 hour per day, five days per week, for a total of four weeks. The intervention sessions include performing tasks with upper limb. In addition to occupational therapy sessions the participants in this group will be asked to wear mitts and do functional tasks. Intervention 2: Intervention group 2: intervention performs 1 hour per day, five days per week, for a total of four weeks. After adjusting the mirror, the image reflection of non-affected upper limb will be used in the mirror so that patient is placed in a sitting position and mirror is placed in front of the non-affected upper limb and patient focuses on the image inside the mirror while practicing. Intervention 3: Control group: common occupational therapy upper limb interventions that include Bobath, Rood and PNF Techniques will perform for 1 hour per day, five days per week, for a total of four weeks. Yes - There is a plan to make this available What will be shared: Statistical outcomes include MD, SD When: "From article acceptation" To whom: "Practitioners and students" Conditions: "Use of data with permission" Where to obtain: Dr Nazila Akbarfahimi, Assistant professor of University of Social Welfare and Rehabilitation Sciences Address: Kodakyar Ave, Daneshjo Blvd, Evin Email: na.akbarfahimi@uswr.ac.ir Zip Code: 1985713834 Tel: 00982122180063 How to obtain: Email to: na.akbarfahimi@uswr.ac.ir Comments:
public Shiva Abedi
kodakyar Ave., daneshjo Blvd.,Evin
Tehran Iran (Islamic Republic of) 1985713834 +98 21 2218 0037 sh.abedi@uswr.ac.ir University of social welfare and rehabilitation sciences scientific Nazila Akbarfahimi
kodakyar Ave., daneshjo Blvd.,Evin
Tehran Iran (Islamic Republic of) 1985713834 +98 21 2218 0063 na.akbarfahimi@uswr.ac.ir University of social welfare and rehabilitation sciences Iran (Islamic Republic of) Inclusion is voluntary (completed consent form) Age range 75-18 years Ischemic or hemorrhage stroke diagnosed by neurologist Stage 4, 5 and 6 Brunnstrom in proximal and distal of upper extremities Sufficient cognitive ability to understand and execute verbal and practical commands (obtaining at least 22 score from the Mini-Mental Status Examination) Mild spasticity in all involved upper limb joints (Modified Ashworth Scale less than 3) Existence at least 20 degrees wrist extension and 10 degrees extension of the affected fingers 18 years 75 years Both Use of mirror therapy and modified constraint-induced movement therapy before intervention Refer to other clinics and receive other upper limb rehabilitation services Despite previous dementia, difficulty understanding given explanations and execute commands such as Wernicke aphasia, global aphasia, and any impairment of vision and hearing examinations by specialist Presence of musculoskeletal damage, frozen shoulder joint and any other neurological and orthopedic disease based on examination of specialist who leads to motion impairment. Excessive pain in the upper limb ( in this study the score more than 4 in the Visual Analog Scale to be regarded as pain)) Botox injections at least 3 months before the intervention VI Diseases of the nervous system Rehabilitation Rehabilitation Rehabilitation Intervention group 1: intervention performs 1 hour per day, five days per week, for a total of four weeks. The intervention sessions include performing tasks with upper limb. In addition to occupational therapy sessions the participants in this group will be asked to wear mitts and do functional tasks. Intervention group 2: intervention performs 1 hour per day, five days per week, for a total of four weeks. After adjusting the mirror, the image reflection of non-affected upper limb will be used in the mirror so that patient is placed in a sitting position and mirror is placed in front of the non-affected upper limb and patient focuses on the image inside the mirror while practicing. Control group: common occupational therapy upper limb interventions that include Bobath, Rood and PNF Techniques will perform for 1 hour per day, five days per week, for a total of four weeks. "Upper extremity score based on Fugl-Meyer Assessment ". Timepoint: "Before the intervention, after the intervention, one month after the intervention.". Method of measurement: "Fugl-Meyer Assessment". "functional independence score". Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: "Functional Independence Measure". "Muscle Tone Score". Timepoint: "Before the intervention, after the intervention, one month after the intervention.". Method of measurement: "Modify Ashworth Scale". University of social welfare and rehabilitation sciences Approved 2018-01-13 Ethics committee of University of Social Welfare and Rehabilitation Sciences kodakyar Ave., daneshjo Blvd.,Evin Tehran Tehran Iran (Islamic Republic of)