| CTRI Number |
CTRI/2025/03/082666 [Registered on: 18/03/2025] Trial Registered Prospectively |
| Last Modified On: |
17/03/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Effectiveness of Mirror Therapy vs HABIT Approach on mobility and function of single arm weakness due to stroke |
|
Scientific Title of Study
|
To study the effectiveness of Mirror Therapy vs HABIT Approach on motor function of hemiparetic upper limb in post-stroke subjects- A Randomized Control Trial |
| Trial Acronym |
NIL
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Rajendra Kachhwaha |
| Designation |
Principal- Narayana Hrudayalaya College of Physiotherapy |
| Affiliation |
Narayana Hrudayalaya Institute Of Physiotherapy |
| Address |
Narayana Hrudayalaya Foundations, 258A Bommasandra Industrial Area Hosur Road, Bangalore 560099
Bangalore KARNATAKA 560099 India |
| Phone |
9529822777 |
| Fax |
8027832648 |
| Email |
rajendra.kachhwaha@hrudayalayafoundation.org |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Rajendra Kachhwaha |
| Designation |
Principal- Narayana Hrudayalaya College of Physiotherapy |
| Affiliation |
Narayana Hrudayalaya Institute Of Physiotherapy |
| Address |
Narayana Hrudayalaya Foundations, 258A Bommasandra Industrial Area Hosur Road, Bangalore 560099
Bangalore KARNATAKA 560099 India |
| Phone |
9529822777 |
| Fax |
8027832648 |
| Email |
rajendra.kachhwaha@hrudayalayafoundation.org |
|
Details of Contact Person Public Query
|
| Name |
Dr Rajendra Kachhwaha |
| Designation |
Principal- Narayana Hrudayalaya College of Physiotherapy |
| Affiliation |
Narayana Hrudayalaya Institute Of Physiotherapy |
| Address |
Narayana Hrudayalaya Foundations, 258A Bommasandra Industrial Area Hosur Road, Bangalore 560099
Bangalore KARNATAKA 560099 India |
| Phone |
9529822777 |
| Fax |
8027832648 |
| Email |
rajendra.kachhwaha@hrudayalayafoundation.org |
|
|
Source of Monetary or Material Support
|
| Narayana Hrudayalaya Foundations 258/A Bommasandra Industrial Area Hosur Road, Bangalore 560099 |
|
|
Primary Sponsor
|
| Name |
Bipurna Ghimire |
| Address |
258/A, Health City, Bommasandra, Industrial Area, Anekal Taluk, Bangalore-560099 |
| Type of Sponsor |
Other [self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Bipurna Ghimire |
Narayana Hrudayalaya hospital |
258/A, Narayana Health City, Department of Physiotherapy, room no.19 Bommasandra Industrial Area, Anekal Taluk, Bangalore-560099 Bangalore KARNATAKA |
8088546831
bpurna.essentials98@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Narayana Health Academic Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: G968||Other specified disorders of central nervous system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
HABIT APPROACH |
HABIT program along with Conventional physical therapy twice a day per week for 30 minutes for 4 weeks.
Task-oriented functional upper limb Hand-arm bilateral intensive training will be performed. Tasks will be carefully designed so the patient can select by its task motor function. Tasks based exercises given to the patients for 4 days per week for 4 weeks.
Total Duration- 4 weeks |
| Intervention |
MIRROR THERAPY
|
Task-oriented functional upper limb Mirror therapy exercises will be focused for 20 minutes by imitating the reflection of the unaffected arm movement in the mirror.
The patient should be able to move the hemiparetic arm in a manner identical to the unaffected arm reflected in the mirror under the direction of the therapist, who will assist patients in concentrating on their arm-movements.
The exercises will be starting with arm in neutral position. The patient will be asked to repeat each movement 20 times per set for 3 sets, with a 2-minute break between the sets. Total Duration- 4 weeks |
|
|
Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Subjects diagnosed with right or left upper extremity paresis or weakness,
Patient experienced stroke within 3-9 months,
Patient less than Grade3 spasticity on MAS,
Mini Mental State examination score 24 or more
Subjects with 10 degrees active wrist extension, 10 degrees active thumb abduction and 10 degrees active extension of any other two digits on affected hand. |
|
| ExclusionCriteria |
| Details |
Post-stroke hemiparesis patients affected with cognitive and balance disturbances,
Patients who are not willing to participate,
patients suffering from any kind of musculoskeletal problems in affected upper extremity,
Patient having any perceptual and visual-spatial disorders,
Spasticity scoring more than 2 on MAS |
|
|
Method of Generating Random Sequence
|
Other |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Fugl-Meyer Assessment Scale (FMA-UE) |
After 4 weeks of intervention application |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Action Research Arm Test (ARAT) |
After 4 weeks of intervention applicable |
|
|
Target Sample Size
|
Total Sample Size="42" Sample Size from India="42"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
01/04/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Aim: The study aims to find effectiveness of Mirror Therapy compared with HABIT Approach along with conventional therapy improves the upper extremity motor function in patients with hemiparetic arm post stroke. With between-groups experimental design and random patient allocation to experimental and control groups. This study anticipates significant outcomes using Fugl-Meyer Assessment (FMA-UE) and Action Research Arm Test (ARAT). Objectives: Primary objective: · To compare the effects of Mirror Therapy and HABIT approach on hemiparetic arm motor functions in patient post-stroke. Secondary objectives: · To evaluate the effectiveness of Mirror Therapy and HABIT approach in improving hemiparetic arm motor function in patient post-stroke. · To evaluate the effectiveness of Mirror Therapy and HABIT approach in improving muscle strength and endurance. · To evaluate the effectiveness of Mirror Therapy and HABIT approach in reducing pain and discomfort experienced by stroke. Hypothesis: Null Hypothesis [H0]: · There will be no significant difference in effect of HABIT approach v/s Mirror Therapy on improving upper extremity motor function in patients with post-stroke hemiparesis. Alternate Hypothesis [H1]: · There will be significant difference in effect of HABIT approach v/s Mirror Therapy on improving upper extremity motor function in patients with post-stroke hemiparesis. |