Comparing Modified Constraint-Induced Movement Therapy and Mirror Therapy to Improve Upper Limb Function and Daily Independence in Adults with Hemiplegic Stroke

What this Trial Is About

The trial investigates the effects of two therapies, Modified Constraint-Induced Movement Therapy mCIMT and Mirror Therapy MT, on improving upper limb motor function, activity participation, and independence in daily living for adults with hemiplegic stroke. Stroke often causes upper extremity impairment that limits daily activities and social engagement. This research compares these two neuroplasticity-based treatments to determine which better supports functional recovery and quality of life. Participants will be randomly assigned to one of two groups those receiving mCIMT, which involves restricting movement of the unaffected arm and intensive training of the affected limb, and those receiving MT, where they perform tasks while watching the unaffected arms reflection to create an illusion of movement. Both interventions are delivered face-to-face in a rehabilitation setting over a 4-week period, alongside routine rehabilitation care. Participants will undergo assessments before and after treatment by a blinded evaluator using standardized tools measuring upper limb motor function, independence in daily activities, and participation levels. Follow-up includes evaluations of motor recovery and daily function at baseline and after the 4-week therapy. The study aims to provide clear comparisons of these therapies impact on stroke recovery over this time frame.

Effects of Modified Constraint-Induced Movement Therapy and Mirror Therapy in Hemiplegic Stroke