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This study aimed to compare the effects of these three interventions on upper limb motor recovery in stroke survivors.
A three-arm randomized controlled trial was conducted in which eligible participants (N=90) with post-stroke upper limb hemiparesis were randomly allocated into three groups of 30 each: MT group, PNF group, and CIMT group. All groups received their respective interventions alongside conventional physiotherapy, five sessions per week for six weeks.
Stroke remains a leading cause of long-term disability worldwide, with upper limb motor impairment being one of the most prevalent and debilitating consequences. While several neurorehabilitation approaches have demonstrated efficacy individually, limited evidence existed comparing the relative effectiveness of mirror therapy (MT), proprioceptive neuromuscular facilitation (PNF), and constraint-induced movement therapy (CIMT) within a single trial framework. This study aimed to compare the effects of these three interventions on upper limb motor recovery in stroke survivors.
A three-arm randomized controlled trial was conducted in which eligible participants (N=90) with post-stroke upper limb hemiparesis were randomly allocated into three groups of 30 each: MT group, PNF group, and CIMT group. All groups received their respective interventions alongside conventional physiotherapy, five sessions per week for six weeks. The outcome measure were the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), Modified Ashworth Scale (MAS) and grip strength via hand-held dynamometry. Assessments were performed at baseline and at after 12 weeks post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mirror Therapy | Active Comparator |
| |
| Proprioceptive Neuromuscular Facilitation | Active Comparator |
| |
| Constraint-Induced Movement Therapy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mirror therapy | Other | Mirror Therapy: Participant in the group were provided mirror therapy for a duration of 12 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Action Research Arm Test | The assessment were taken at baseline and after 12 weeks of intervention | 12 weeks |
| Fugl-Meyer Assessment for Upper Extremity | The assessment were taken at baseline and after 12 weeks of intervention | 12 weeks |
| Modified Ashworth Scale | The assessment were taken at baseline and after 12 weeks of intervention | 12 weeks |
| grip strength via hand-held dynamometry | The assessment were taken at baseline and after 12 weeks of intervention | 12 weeks |
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Inclusion Criteria:
Stroke Patients Both male and female Age: 25-65 years -
Exclusion Criteria:
unable to perform exercises Do not provide consent Cognitive Impairment
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ikram Hospital, Gujrat | Gujrat | Punjab Province | Pakistan |
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| PNF | Other | PNF Group: Participant were given PNF therapy for a total duration of 12 weeks |
|
| Constraint-induced movement therapy | Other | Constraint-induced movement therapy: Participant were given Constraint-induced movement therapy for a total duration of 12 weeks |
|
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| D000098483 | Constraint Induced Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
| D005081 | Exercise Therapy |
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