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Mirror therapy for improving hand functioning in chronic stroke: a randomised controlled clinical trial.


- candidate number2727
- NTR NumberNTR1052
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR5-sep-2007
- Secondary IDs2007-111 mec 
- Public TitleMirror therapy for improving hand functioning in chronic stroke: a randomised controlled clinical trial.
- Scientific TitleMirror therapy for improving hand functioning in chronic stroke: a randomised controlled clinical trial.
- ACRONYMMirror therapy in stroke.
- hypothesisMirror therapy in stroke patients has a positive effect on hand function, ADL, pain and quality of life compared to standard treatment.
- Healt Condition(s) or Problem(s) studiedStroke
- Inclusion criteria1. Minimal age 18;
2. Stroke of main stem or superior branch of the middle cerebral artery;
3. Ability to walk indoors;
4. Speaking and understanding Dutch language;
5. Stroke more than 1 year ago;
6. First-ever and only stroke.
- Exclusion criteria1. Other neurological disorders;
2. Rheumatic or orthopaedic disorders to both arms, including shoulder girdle and spinal column;
3. Subarachnoid haemorrhage;
4. Relevant co morbidity that emerges during the study.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-sep-2007
- planned closingdate1-sep-2009
- Target number of participants40
- InterventionsMirror therapy versus standard treatment
- Primary outcomeHand function
- Secondary outcome1. Skills;
2. Activity limitations;
3. Brain activation patterns;
4. Quality of life.
- Timepoints
- Trial web sitehttp://www.erasmusmc.nl/rehabilitation/
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDr. Hans Bussmann
- CONTACT for SCIENTIFIC QUERIESDr. Hans Bussmann
- Sponsor/Initiator Erasmus Medical Center
- Funding
(Source(s) of Monetary or Material Support)
Hersenstichting Nederland, RVVZ, Nuts/Ohra, Kon. Ned. Genootschap voor Fysiotherapie
- Publications
- Brief summaryStroke often leads to dysfunction of arm and hand in daily life. Therefore, optimizing upper-limb function is a central theme in stroke rehabilitation. Mirror therapy is a recently designed intervention, during which patients practice their affected arm behind a mirror while watching the reflection of movement of their unaffected arm. Several studies have shown positive effects of mirror therapy on upper limb function in stroke patients. However, these studies were undersized and not sufficiently controlled. In the present single-blind randomised clinical trail, the effect of mirror therapy on a group of patients in the chronic phase after stroke will be examined. Outcome will be compared to a standard treatment group with similar treatment intensity. fMRI measurements will be incorporated to asses whether a period of mirror therapy results in different brain activation patterns. Primary outcome of the study is hand function; secondary outcomes are skills, activity limitations, brain activation patterns and quality of life.
- Main changes (audit trail)
- RECORD5-sep-2007 - 6-mrt-2008


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