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Mirror vs Virtual Reality Therapy for Upper Extremity Function in Hemiplegic Patients

NCT07018336 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 42

Last updated 2026-03-02

No results posted yet for this study

Summary

Upper extremity impairment in hemiplegic patients significantly impacts daily activities and reduces quality of life. Although traditional rehabilitation methods can help, some patients experience limited progress. Recently, modern techniques such as mirror therapy and virtual reality (VR) have emerged, demonstrating promising results in motor skill improvement.

This study aims to directly compare the acute effects of mirror therapy and VR therapy on upper limb motor function in hemiplegic patients. Forty-two participants aged 18-75 with hemiplegia due to stroke (6-12 months post-stroke) will be randomly assigned to either mirror therapy or VR therapy. The evaluation includes motor function (Fugl-Meyer Assessment), spasticity (Modified Ashworth Scale), activities of daily living (Barthel Index), fine motor skills (Box and Block Test), proprioception, and reaction time.

The goal is to identify the effectiveness of the mirror therapy and VR therapy on motor function, spasticity control, proprioception, daily activity performance, and reaction times, contributing valuable insights to clinical rehabilitation practices.

Conditions

  • Hemiplegia
  • Stroke
  • Upper Extremity Dysfunction

Interventions

OTHER

Mirror Therapy

Mirror therapy will be applied to the affected upper extremity by placing a mirror in the midsagittal plane to reflect movements of the non-paretic limb, creating the visual illusion of symmetrical bilateral movement. Participants will perform task-specific functional movements of the hand and arm (e.g., grasping, wrist flexion, and extension) while focusing on the mirror image.

DEVICE

Virtual Reality (VR) Therapy

Virtual reality therapy will be delivered using the Meta Quest 2 head-mounted display system. Participants will engage in interactive, task-specific upper extremity exercises designed to promote motor activation and functional movement of the affected limb through immersive visual feedback.

Sponsors & Collaborators

  • Istinye University

    lead OTHER

Principal Investigators

  • Çiçek Günday, Asst. Prof. · Istinye University, Department of Physiotherapy and Rehabilitation

  • Maysaa Hamdy Othman Ibrahim, Physiotherapist · Istinye University, Department of Physiotherapy and Rehabilitation

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Max Age
75 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2025-05-30
Primary Completion
2026-07-31
Completion
2026-07-31

Countries

  • Turkey (Türkiye)

Study Locations

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Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07018336 on ClinicalTrials.gov