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| Name | Class |
|---|---|
| NORTHERN ONTARIO ACADEMIC MEDICINE ASSOCIATION (NOAMA) | UNKNOWN |
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In Canada, the number of stroke survivors is equivalent to the size of one of the four Atlantic Provinces. The incident rate of stroke has been increasing steadily since 1995. The majority of the stroke survivors lose upper extremity function, resulting in diminished activities of daily living (ADL). Many therapeutic interventions are recommended to improve upper extremity function or ADLs of stroke survivors, however, Mirror Therapy (MT), inexpensive intervention, can be self-administered by stroke survivors with intact cognition. Thus, the research question is whether a self-administered MT technique improves acute stroke patients' upper extremity motor function and recovery?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mirror Therapy + Standard of Care | Experimental | Participants in this group will receive standard of care based on their needs along with mirror therapy education. |
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| Standard of Care | Active Comparator | Participants in this group will receive only standard of care based on their needs. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mirror Therapy | Other | Participants will receive the standard-of-care; multidisciplinary rehabilitation intervention based on their needs and tolerance, and will receive an additional 30 min of Mirror Therapy education. During Mirror Therapy education, the patients will be educated or shown how to perform MT and the patients will complete the recommended exercises on their own for 30 minutes/day for 5 days a week/ for 4 weeks. Standard Mirror Therapy Protocol will be followed. |
| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment scale | Scores of < 31 corresponded with 'no to poor' upper extremity capacity, 32 to 47 represented 'limited capacity', 48 to 52 represented 'notable capacity' and 53 to 66 represented 'full' upper extremity capacity. | Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks. |
| Wolf Motor Function Test | Assess upper extremity function; maximum Score is 75; lower scores are indicative of lower functional levels. | : Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Barthel Index | Assess Activity of Daily Living, Scores of <15 usually represents moderate disability and <10 usually represents severe disability. | : Assessment will be completed at 2 points: Pre-test assessment will be done within 48 hours of stroke admission and post-test assessment will be done at 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Venkadesan Rajendran, PhD | Contact | 1-866-469-0822 | vrajendran@hsnsudbury.ca | |
| Padma Puranam, MD | Contact | 1-866-469-0822 | ppuranam@hsnsudbury.ca |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34243808 | Derived | Rajendran V, Jeevanantham D, Lariviere C, Singh RJ, Zeman L, Papuri P. Effectiveness of self-administered mirror therapy on upper extremity impairments and function of acute stroke patients: study protocol. Trials. 2021 Jul 9;22(1):439. doi: 10.1186/s13063-021-05380-9. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
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|
| Regular Rehabilitation | Other | Participants will receive the standard-of-care, multidisciplinary rehabilitation intervention based on their needs and tolerance. |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |