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This randomized controlled trial will be conducted at the Department of Physical Therapy, DHQ Hospital Sheikhupura, over duration of eleven months. A total of 20 stroke patients meeting inclusion criteria will be conveniently sampled and randomly assigned into two groups. Group A will receive somatosensory stimulation, while Group B will undergo task-based mirror therapy. Interventions will be administered five times per week for four weeks. Upper limb function will be assessed at baseline and post-intervention using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), and the Box and Block Test (BBT) to assess upper limb motor function, task based performance and gross motor dexterity. Data analysis will be performed using SPSS version 26.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Task based Mirror Therapy | Experimental | Patients will be administered with Task-Based Mirror Therapy, where they will practice real-life functional movement through a mirror reflection of the movement of the affected upper limb. The mirror will be located with a sagittal angle so that the reflection of the patient only display the image of the non-affected limb, resulting in an optical illusion that both limbs move symmetrically |
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| Somatosensory Stimulation | Experimental | The group will be provided with somatosensory stimulation-induced rehabilitation of the upper limb, which will personalize to patients with both motor and sensory disturbance after stroke. The aim of the therapy will be to improve the functioning of upper limbs that focused directly on tactile, proprioceptive, and sensory discrimination abilities (14). The session will be started with a 5-minute warm-up, and the muscle groups involved active-assisted movement of the shoulder, elbow, and wrist to achieve better circulation and excite the limb to receive the sensations. Patients will be advised to direct their attention to the kinaesthetics of motion. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Somatosensory Stimulation | Other | The group will be provided with somatosensory stimulation-induced rehabilitation of the upper limb, which will personalize to patients with both motor and sensory disturbance after stroke. The aim of the therapy will be to improve the functioning of upper limbs that focused directly on tactile, proprioceptive, and sensory discrimination abilities (14). The session will be started with a 5-minute warm-up, and the muscle groups involved active-assisted movement of the shoulder, elbow, and wrist to achieve better circulation and excite the limb to receive the sensations. Patients will be advised to direct their attention to the kinaesthetics of motion. |
| Measure | Description | Time Frame |
|---|---|---|
| BOX & BLOCK TEST | The Box and Block Test (BBT) is a performance-based measure of gross manual dexterity that allows clinicians to infer about levels of activity | 4th Week |
| ACTION RESEARCH ARM TEST | Action research arm test has been used widely clinically for the assessment of upper extremity function post stroke and in various other conditions. Measurement of recovery after stroke is becoming increasingly important with the advent of new treatment options under investigation in stroke rehabilitation research. | 4th Week |
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| Measure | Description | Time Frame |
|---|---|---|
| Fugl-Meyer Assessment for Upper Extremity (FMA-UE) | The Fugl-Meyer Assessment of Upper Extremity (FMA-UE) is recommended for evaluation of sensorimotor impairment post stroke, but the item-level reliability of the scale is unknown. The FMA-UE is reliable both within and between raters in patients with stroke in the early subacute phase. A wider international use of FMA-UE will allow comparison of stroke recovery between regions and countries and thereby potentially improve the quality of care and rehabilitation in persons with stroke worldwide. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zain Ul Abbas, Ms | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Physical Therapy, DHQ Hospital Sheikhupura | Sheikhupura | 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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| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
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An independent therapist who has not taken part in the intervention will do all outcome assessments that will help in reducing chances of biasness.
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| Mirror Therapy: | Other | Patients will be administered with Task-Based Mirror Therapy, where they will practice real-life functional movement through a mirror reflection of the movement of the affected upper limb. The mirror will be located with a sagittal angle so that the reflection of the patient only display the image of the non-affected limb, resulting in an optical illusion that both limbs move symmetrically |
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| 4th week |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |