Bayburt Merkez

This research aims to compare three rehabilitation methods for people who have had a stroke: mirror therapy, cognitive orientation to daily occupational performance (CO-OP), and conventional occupational therapy. All approaches are combined with robotic balance training to help improve motor, sensory, and cognitive functions affected by stroke. The study focuses on individuals in the subacute or chronic stages after stroke to evaluate which therapy best enhances recovery and daily functioning. Participants will be randomly placed into one of three groups receiving either mirror therapy, CO-OP, or conventional occupational therapy. Each group will begin sessions with robotic balance training, which involves repetitive movements to improve balance and motor control. The therapies will be delivered 5 days a week for 4 weeks, with additional strategies to help transfer gains to everyday life. This design allows comparison of these approaches over a defined treatment period. During the study, participants will undergo assessments at the start, after 4 weeks of therapy, and again after 3 months. These evaluations will measure motor abilities, sensory function, daily activities, participation in life roles, self-confidence, and quality of life. The main outcome is the Fugl-Meyer Motor Assessment, used to track motor recovery. Safety and effectiveness will be monitored throughout the study and follow-up periods to understand the lasting impact of each therapy.