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Home Mirror Therapy: A Randomized Control Study Comparing Unimanual and Bimanual Mirror Therapy for Improved Hand Function Post-stroke (NCT02780440)

The purpose of this randomized controlled study is to 1. Examine the feasibility of a home Mirror therapy (MT) program in the NYC metropolitan area; 2. Evaluate the effectiveness of home MT versus traditional home exercise program; and 3. Evaluate the superiority of unimanual or bimanual MT intervention protocols for chronic stroke subjects with moderate hand deficits. Subjects from occupational therapy at the Ambulatory Care Center of NYU Langone Center with a diagnosis of cerebral vascular accident (CVA) or stroke will be divided into three (3) groups: - Control Group subjects will participate in standard occupational therapy rehabilitation protocol plus a traditional home based exercise program. - Experimental group 1 subjects will participate in standard rehabilitation protocol plus unimanual home based mirror therapy program - Experimental group 2 subjects will participate in standard rehabilitation protocol plus bimanual home based mirror therapy program.
  • Behavioral: Traditional Home Based Exercise Program
    Subjects in the control group will receive a traditional home Occupational Training exercise program as per conventional OT guidelines with the same home program duration.
    • Behavioral: Unimanual Home Based Mirror Therapy Program
      The affected hand will remain still in the mirror box, the unaffected hand will perform the exercises while the subject watches the mirror reflection.
      • Behavioral: Bimanual Home Based Mirror Therapy Program
        The affected hand in the mirror box will best mimic the unaffected hand, while also watching the mirror reflection.
        Ages eligible for Study
        19 Years to 85 Years
        Genders eligible for Study
        All
        Accepts Healthy Volunteers
        No
        Inclusion Criteria:
        • First time unilateral stroke > 3 months post stroke.
        • Cognitively be able to follow direction
        • Cognitively be able to consent to participation in research study
        • Moderate/severe deficits as per the Fugl-Meyer assessment score from 10-50 and the ability to grasp and release a small towel or washcloth.
        Exclusion Criteria:
        • Complex medical problems, that would render the subject unable to participate in an extensive home program
        • History of pre-existing neurological or psychiatric diseases, orthopedic conditions of the upper limbs, or peripheral nerve injuries that render the subject unable to sit or to move either upper limb
        • Hearing and vision impairments which may impede subjects participation in the home program
        • Perceptual deficits such as apraxia, neglect, or agnosias as per clinical evaluation which may impede subjects participation in the home program
        • Botox injection in affected arm/hand within 3 months
        • Global aphasia that may interfere with understanding instruction for testing or home exercise program.

        1 locations

        United States (1)
        • New York University School of Medicine
          Not specified
          New York, New York, United States, 10016
        Status:
        active not recruiting
        Type:
        Observational
        Phase:
        -
        Start:
        31 October, 2014
        Updated:
        31 October, 2017
        Participants:
        22
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