Mirror Therapy vs Motor Imagery to boost arm function after MCA stroke

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, single-blind study will assign 36 adults with a recent MCA stroke to receive either mirror therapy or motor imagery in addition to routine Bobath-based physical therapy, three supervised sessions per week for six weeks followed by a home program. Outcomes will include the Fugl-Meyer Upper Extremity score, ARAT, Box and Block Test, and Modified Barthel Index, measured at baseline, after treatment, and at 12 weeks. The goal is to determine which adjunct yields greater and longer-lasting motor improvements for the affected arm. The trial is conducted at Alfalah Medical Center in Lahore, Pakistan, with participants selected based on specific upper-limb impairment criteria and stable medical status.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients of both genders aged 45-60 years
* First-ever middle cerebral artery (MCA) stroke (ischemic or hemorrhagic) confirmed by CT/MRI
* Stroke duration of 1-6 months
* Presence of unilateral upper limb motor impairment
* Brunnstrom stage II and above
* Fugl-Meyer Assessment Upper Extremity (FMA-UE) score \< 47
* Montreal Cognitive Assessment (MoCA) \> 24
* Medically stable
* Willing and able to provide written informed consent

Exclusion Criteria:

* Pre-existing upper limb dysfunction
* Visual impairment or unilateral neglect
* Severe cognitive impairment or depression
* Other neurological disorders
* Severe musculoskeletal disorders of the upper limb
* Severe spasticity (Modified Ashworth Scale \> 3)
* Serious uncontrolled medical conditions
* Participation in another clinical trial
* Refusal or inability to provide

Where it's running

• Alfalah Medical Center
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Prof.Dr. Shoaib Waqas, PHD
• Email: shoaib.waqas@ubas.edu.pk
• Phone: +92 302 4552109

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.