RECRUITING Not applicable ClinicalTrials.gov

Impact of Mirror Therapy Combined With Conventional Training on Gait and Lower Limb Motor Function Among Post-Stroke Patients

Sponsor: Ibadat International University, Islamabad • ClinicalTrials.gov ID: NCT07797712

Registry updated: 2026-09-01

Recruiting for Similar Conditions?

Sponsors are looking for patients like you. See if you qualify for compensated research studies.

Description

This randomized controlled trial aims to evaluate the effects of mirror therapy combined with conventional training on gait and lower limb motor function among post-stroke patients. Stroke remains a worldwide health crisis, persistently ranking as a leading cause of long-term severe disability. The study will evaluate the gait and lower limb motor function.

Interventions

Mirror Therapy Based Functional Training (Other)
(Basic) - Sitting position: * Ankle dorsiflexion/plantarflexion (simulating pressing a gas pedal) * Knee extension/flexion (simulating kicking a ball) * Hip flexion/extension (simulating marching) * Ankle circling in both directions (Intermediate)-Sitting to standing transition: * Performing "stepping" movements while seated * Simulated sit-to-stand movements focusing on weight transfer observed in the reflection * Sliding the foot forward and backward along the floor (simulating the swing phase of gait) * Heel slides (Advanced) - Standing position: * Heel raises and toe raises in standing * Weight shifting between limbs observing symmetry in the mirror * Mini squats and half squats with mirror feedback * Stepping forward, backward, and laterally * Tracing shapes or following a moving target with the foot * Practicing coordinated ankle movements essential for navigating uneven terrain.
Conventional Lower Limb Training (Other)
Passive and active-assisted range of motion exercises for hip, knee, and ankle joints of the affected limb * Bridging exercises * Ankle dorsiflexion/plantarflexion against manual resistance or TheraBand * Seated knee extension * Mini squats * Heel raises * Straight leg raises * Weight shifting in standing (side-to-side and front-toback) * Sit-to-stand transfers * Tandem standing * Single-leg stance (with support as needed) * Standing on foam surface (if available) * Practice walking on level surfaces with emphasis on weight-bearing on affected limb * Focus on heel strike and push-off phases * Verbal cues for step length and symmetry * Gait speed variations (slow to moderate pace) * Gentle stretching of hamstrings, quadriceps, gastrocnemius, and soleus muscles

Eligibility criteria

Inclusion Criteria: * Diagnosed with the first-ever unilateral stroke. * Duration of stroke between 3 months and 6 months (subacute to chronic stage). * Both male and female patients aged 40 to 70 years. * Ability to walk at least 10 meters independently. * Mini Mental State Examination (MMSE) score \>24. * Brunnstrom stage of recovery for the lower limb is \> 3, indicating some voluntary movement out of synergy. Exclusion Criteria: * Severe cognitive impairment, perceptual deficits, or inability to follow simple verbal commands (e.g., severe aphasia or low MMSE score). * Presence of other neurological disorders affecting motor performance such as Parkinson's disease, multiple sclerosis, traumatic brain injury, or cerebellar disorders. * Severe musculoskeletal disorders of the lower limb, including fracture, contracture, severe osteoarthritis, or pain limiting participation in exercise. * Uncontrolled medical conditions such as unstable hypertension, uncontrolled diabetes mellitus, a recent cardiac event, or other conditions making exercise unsafe. * Severe visual impairment, vestibular dysfunction, or hearing loss that may interfere with treatment instructions or mirror-based feedback. * Severe unilateral neglect (hemispatial neglect) or apraxia interfering with task performance. * Current participation in another physiotherapy, rehabilitation, or interventional research study during the data collection period.

Conditions

Stroke

Locations

Department of Physical Therapy at suleman medical complex hospital, Quetta. — Quetta, Balochistan, Pakistan

Partner with Nurenyx

Showcase your study to thousands of motivated patients matching your criteria.

Learn More

Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record

Accelerate Your Clinical Trial Recruitment