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Effect of Mirror Therapy on Lower Extremity Motor Control and Gait in Patients With Stroke

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Lisa J Barnes, University of Mississippi Medical Center
ClinicalTrials.gov Identifier:
NCT01574079
First received: January 30, 2012
Last updated: September 4, 2014
Last verified: September 2014
  Purpose

Mirror therapy may be an effective intervention in increasing motor control and gait performance in patients with stroke.


Condition Intervention
Stroke
Other: Traditional Physical Therapy
Other: Physical Therapy plus Mirror Therapy

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
Official Title: Effect of Mirror Therapy on Lower Extremity Motor Control and Gait in Patients With Stroke

Resource links provided by NLM:


Further study details as provided by University of Mississippi Medical Center:

Primary Outcome Measures:
  • Functional Independence Measure - Locomotor Score [ Time Frame: measured at admission and discharge from rehab estimated length of stay 14 days ] [ Designated as safety issue: Yes ]
    The Functional Independence Measure (FIM)assesses level of disability and measures progress toward independence with rehabilitational intervention. The tool consists of 18 items. Only the the locomotor score was used to assess gait ability in this study. The locomotor score ranges from 1 - 7 with a higher score indicating a higher level of functional independence.


Secondary Outcome Measures:
  • Timed Up and Go [ Time Frame: Measured at admission and discharge with estimated length of stay 14 days ] [ Designated as safety issue: Yes ]
    The Timed Up and Go (TUG) is used to assess balance and gait, and to estimate fall risks in patients with deficits. The participant rises from a seated position in a chair, walks 3 meters, turns around, returns to the chair, and sits down. The test is measured in seconds, with a lower number indicating a higher level of independence and the least risk for falls.

  • Stroke Rehabilitation Assessment of Movement [ Time Frame: measured at admission and discharge with estimated length of stay 14 days ] [ Designated as safety issue: No ]
    The Stroke Rehabilitation Assessment of Movement (STREAM)is designed to measure mobility and motor ability after stroke. There are three subscales with 10 items each assessing the upper extremity, lower extremity, and basic mobility. Only the lower extremity and basic mobility items were used in this study. The lower extremity scores ranged from 0 - 18 with higher scores indicating a higher level of motor control. The basic mobility scores ranged from 0 - 30 with high numbers indicating a higher level of functional mobility.


Enrollment: 33
Study Start Date: November 2010
Study Completion Date: November 2012
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Traditional Physical Therapy
The control group will receive traditional physical therapy interventions directed at neuromuscular rehabilitation.
Other: Traditional Physical Therapy
Traditional physical therapy includes, but is not limited to, therapeutic exercise, functional mobility training, pre-gait and gait activities, electrotherapeutic modalities, and education.
Experimental: Physical Therapy plus Mirror Therapy
The mirror therapy will entail 15 minutes of exercises for the lower extremities focusing on ankle dorsiflexion, knee flexion, and hip flexion.
Other: Physical Therapy plus Mirror Therapy
The treatment group will receive traditional physical therapy intervention as described in the control group with the addition of mirror therapy. The participant will attempt to perform the flexion exercises with both lower extremities. The patient will be blinded to the affected lower extremity with a mirror, and will be looking at the image of the unaffected lower extremity superimposed on the affected lower extremity as he or she performs the activities.

Detailed Description:

Using a mirrored image of the uninvolved extremity superimposed upon the involved extremity during exercise may facilitate improved motor control in patients after stroke.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • lower extremity Brunnstrom stage 2,
  • lower extremity modified ashworth < 3,
  • has the ability to follow 3-step command in English,
  • has only unilateral involvement.

Exclusion Criteria:

  • lower extremity Brunnstrom stage 1,
  • lower extremity modified ashworth 3 or higher,
  • history of prior stroke,
  • Passive Range of Motion limitation of hip and or knee flexion < 90,
  • has visual deficits which prevent participation.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01574079

Locations
United States, Mississippi
University of Mississippi Medical Center - University Rehabilitation
Jackson, Mississippi, United States, 39216
Sponsors and Collaborators
University of Mississippi Medical Center
Investigators
Principal Investigator: Lisa J Barnes, PT DPT University of Mississippi Medical Center
Study Director: Keri H McCullough, DPT University of Mississippi Medical Center - University Rehabilitation
Study Director: Kim C Wilcox, PT MsPT PhD University of Mississippi Medical Center - Director of Neurologic Residency Program
  More Information

No publications provided

Responsible Party: Lisa J Barnes, Associate Professor, University of Mississippi Medical Center
ClinicalTrials.gov Identifier: NCT01574079     History of Changes
Other Study ID Numbers: 2010-0244
Study First Received: January 30, 2012
Results First Received: June 25, 2013
Last Updated: September 4, 2014
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Cerebral Infarction
Stroke
Brain Diseases
Brain Infarction
Brain Ischemia
Cardiovascular Diseases
Central Nervous System Diseases
Cerebrovascular Disorders
Nervous System Diseases
Vascular Diseases

ClinicalTrials.gov processed this record on November 23, 2014