Comparing Unimanual and Bimanual Mirror Therapy for Upper Limb Recovery Post Stroke
Status: | Active, not recruiting |
---|---|
Conditions: | Neurology |
Therapuetic Areas: | Neurology |
Healthy: | No |
Age Range: | 19 - 85 |
Updated: | 5/11/2018 |
Start Date: | November 2014 |
End Date: | March 2019 |
Home Mirror Therapy: A Randomized Control Study Comparing Unimanual and Bimanual Mirror Therapy for Improved Hand Function Post-stroke
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.
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.
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.
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: Steve Vanlew, MD
New York University School of Medicine NYU School of Medicine has a proud history that...
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