NCT06947239

Additional Effects of Mirror Therapy on Shoulder Mobility and Function in Post-stroke Adhesive Capsulitis Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 22 (actual)
• Sponsor: Foundation University Islamabad · Academic / Other
• Sex: All
• Age: 40 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

The estimated annual incidence of stroke in Pakistan is 250/100, 000. Upper limb impairments and post-stroke musculoskeletal complications such as pain, subluxation and restricted joint range of motion are commonly reported. Among many other shoulder impairments, adhesive capsulitis is a leading cause of limited mobility, reduced range of motion, and pain in stroke patients. The aim of the current study will benefit the clinicians and physiotherapists as it provide an insight to treat post stroke adhesive capsulitis. Effects of mirror therapy have been established but the literature does not provide best treatment approaches or modalities for different types of Hemiplegic shoulder pain. This study will address the limitations in treatment approaches concerning the shoulder joint and its mobility in post-stroke adhesive capsulitis. The study will be non-blinded randomized control trial, consisting of two groups. Study will be conducted over a period of 1 year. Subjects will be selected via non-probability purposive sampling technique using coin toss method followed by randomization into two groups (A and B).Ethical approval will be obtained from ERC FUMC. One group will receive mirror therapy while other will receive conventional exercises treatment for period of 6 weeks. Baseline tests will be performed before and after the intervention of mirror therapy \& outcome measure assessments will be done after every 3 weeks for a total period of 6 weeks intervention period. Data will be entered and analyzed on SPSS version 22.

Detailed description

OBJECTIVES OF STUDY 1. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint range of motion in post-stroke adhesive capsulitis patients. 2. To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint function in post-stroke adhesive capsulitis patients. 3. To compare the difference between the effects of mirror therapy with conventional therapy alone for improving shoulder mobility and function in post stroke adhesive capsulitis patients. HYPOTHESIS ALTERNATE HYPOTHESIS 1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p \> 0.05). 2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p \> 0.05). NULL HYPOTHESIS 1. There is a statistically significant effect of mirror therapy in improving the shoulder joint Range Of Motion in post-stroke adhesive capsulitis patients. (p \> 0.05). 2. There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p \> 0.05).

Conditions

• Range of Motion
• Adhesive Capsulitis
• Mirror Therapy

Interventions

Type	Name	Description
PROCEDURE	Mirror therapy along with conventional therapy	The experimental group will receive 20 minutes of conventional therapy followed by 20 minutes of mirror therapy training including 3 minutes of rest period between the interventions. WEEK OF INTERVENTION: TASK PERFORM IN FRONT OF MIRROR: WEEK :1-2 ACTIVE SHOULDER ROM: flexion, abduction, external-internal rotation movements of the intact extremity Increase the number of repetition according to the patient progression WEEK:3-4 ACTIVITIES TARGETING SHOULDER ROM: Cleaning the mirror with a towel(internal rotation+ abduction) Lifting a glass to drink ( flexion + abduction) Holding a brush to comb hair (external rotation WEEK:5-6 Overhead reaching (pasting stickers on the mirror)(internal rotation / abduction) Lifting a bottle overhead. ( flexion/abduction) Throwing a ball (external rotation) PROGRESSION OF TASK SPECIFIC MIRROR THERAPY: WEEK: 1-2 Increase the number of repetition according to the patient progression WEEK:3-4 Add water in glass Transfer glass
PROCEDURE	Control Group	Details: Weeks wise: The control group will receive 20 mints of conventional therapy . 1. Heat pack \& TENS to alleviate pain for 15 minutes 2. Shoulder isometric exercises 10 reps 3. Active and passive Range of Motion exercises 10 reps each 4. Codman exercises 10 reps each 5. Wand exercises 10 reps each

Timeline

• Start date: 2024-06-20
• Primary completion: 2024-12-20
• Completion: 2025-01-20
• First posted: 2025-04-27
• Last updated: 2025-04-27

Locations

1 site across 1 country: Pakistan