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Stroke remains a major public health disease worldwide ,it usually associating with damage to the motor function and other functional disabilities. Persistent upper extremity dysfunction affects many post strokepatients and is strongly associated with decreased activities of daily living . Mirror therapy one of the rehabilitation that is beneficial for neuroplasticity .This therapy is used to improve motor function after stroke .
OBJECTIVES:
The objectives of this study are :
HYPOTHESIS:
Alternate Hypothesis:
There will be statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function ,activities of daily living and enhancing motor skills in stroke patients (p<0.05)
Null Hypothesis:
There will be no statisticallly significant difference in high intensity task oriented mirror therapy and low intensity task oriented mirror therapy on upper limb motor function
,activities of daily living and enhancing motor skills in stroke patients (p>0.05)
RESEARCH DESIGN : Experimental study .Randomized control trail.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| INTERVENTION GROUP A LOW INTENSITY TASK ORIENTED MIRROR THERAPY | Experimental | Subjects will recieve Low Intensity Task Oriented Mirror Therapy: Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen. The subject will be instructed to perform movement with unaffected arm. Task oriented activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks. |
|
| INTERVENTION GROUP B HIGH INTENSITY TASK ORIENTED MIRROR THERAP | Experimental | Subjects will receive High Intensity Task Oriented Mirror Therapy : Mirror will be placed on table perpendicular to patient in such a way that the reflection of unaffected arm to be seen. The subjects will be instructed to perform movement with unaffected arm. Task Oriented Activities: grasping objects, handling water cups, folding towels, spoon feeding, stacking wooden blocks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LOW INTENSITY TASK ORIENTED MIRROR THERAPY | Procedure | Group A Low Intensity Task Oriented Mirror Therapy will be administered for 2 and half hour per week for 30 min a day, 10 rep five times a week for 8 weeks. Task-oriented Activities for Group A: Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 30 min with 10 reps per day for 8 consecutive weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| UPPER LIMB MOTOR FUNCTION | MOTOR FUNCTION WILL BE ASSESSED USING FUGL MEYER ASSESSMENT OF UPPER LIMB AS THE MAIN OUTCOME MEASURE . | 10 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| HIRA NAWAZ, DPT | Contact | +92 337-0401414 | hiranawaz1414@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Thrapy | Recruiting | Islamabad | 44000 | Pakistan |
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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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| High Intensity Task Oriented Mirror Therapy | Procedure | Group B High Intensity Task Oriented Mirror Therapy will be administered for 5 hours per week for 60 min a day, 20 rep five times a week for 8 weeeks. The mode of mirror therapy will be unilateral as subjects will perform movement only on unaffected arm. Task-oriented Activities for Group B: Using Sponge Balls Reaching and Grasping Objects. Handling Water Cups(pouring water ) Wiping with Rags (cleaning a table ). Using a Spray Bottle Writing and Drawing Folding Towels Turning Pages Brushing Hair keyboard typing Grabbing and releasing a cup. Spoon Feeding Practice Drinking from a Cup Card flip activity Stacking Wooden Blocks Total number of sessions 40 , 5 days a week for 60 min with 20 reps per day for 8 consecutive weeks |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |