Completed

NCT Number: NCT06947239

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

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.

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Key information

Conditions

Range of Motion Adhesive Capsulitis Bursitis Joint Diseases Mirror Therapy Musculoskeletal Diseases

Age range

40 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

About this study

OBJECTIVES OF STUDY

To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint range of motion in post-stroke adhesive capsulitis patients.
To determine the effects of mirror therapy along with conventional therapy on improving shoulder joint function in post-stroke adhesive capsulitis patients.
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

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).
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

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).
There is a statistically significant effect of mirror therapy in improving the shoulder joint function in post-stroke adhesive capsulitis patients. (p > 0.05).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Both genders male and female
Age 40-70 years
Ability to understand and follow simple verbal instructions
Patients able to stand for at least 10-15 mins.
Ability to participate in a therapy session by coming to hospital.
Chronic Stroke (ischemic) patients (6 months-1year) with adhesive capsulitis (capsular pattern :external rotation> abduction > internal rotation)
Scores of >24 on Montreal Cognitive assessment scale.

Exclusion criteria

Upper limb fractures or cervical spine pathology or radiculopathy
History of upper limb surgery or trauma
Rotator cuff pathology or prolonged immobilization of upper limb
Rheumatic disease, fibromyalgia or any other musculoskeletal disorder that is altering upper extremity movement
Any other neurological condition

Treatment and study plan

Mirror therapy along with conventional therapy

Procedure

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

Control Group

Procedure

Details: Weeks wise:

The control group will receive 20 mints of conventional therapy .

Heat pack & TENS to alleviate pain for 15 minutes
Shoulder isometric exercises 10 reps
Active and passive Range of Motion exercises 10 reps each
Codman exercises 10 reps each
Wand exercises 10 reps each

Primary outcomes

Range of motion

Time frame: 6 weeks

Goniometer will be used to assess range of motion at the shoulder
cognitive impairment

Time frame: 6 weeks

Montreal cognitive assessment test that was used to detect mild cognitive impairment

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start: 2024
Primary completion: 2024
Study completion: 2025
First posted: Apr 27, 2025
Registry last updated: Apr 27, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed