Range of MotionNCT06947239
Additional Effects of Mirror Therapy on Shoulder Mobility and Function in Post-stroke Adhesive Capsulitis Patients
A study testing Mirror therapy along with conventional therapy in people with Range of Motion and Adhesive Capsulitis, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 40 to 70 years
- Conditions the study is for
- Range of Motion, Adhesive Capsulitis, Mirror Therapy
- What is being tested?
- Mirror therapy along with conventional therapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 22 participants
- Where
- 1 sitePakistan
- Study dates
- 20 Jun 2024to 20 Jan 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Foundation University College of Physical Therapy
Islamabad, 44000
About this study
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.
Read more
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.
Read the detailed description
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).
- Conditions
- Range of Motion, Adhesive Capsulitis, Mirror Therapy
- Being tested
- Mirror therapy along with conventional therapy, Control Group
- Keywords
- post stroke patients, Range of motion correction, mirror therapy exercises
- Medical subject headings
- Bursitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mirror therapy along with conventional therapyProcedure or surgery
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 GroupProcedure or surgery
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
| Study group | Role | What they receive |
|---|---|---|
| Mirror therapy along with conventional therapy | Experimental | It includes participants receiving mirror therapy session in adhesive capsulitis of post stroke patients for a period of 6 weeks.
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. Receives: Procedure: Mirror therapy along with conventional therapy |
| Conventional Therapy | Active comparator | it includes 11 participants receiving conventional physical therapy for a period of 6 weeks. The control group will receive the conventional therapy for 40 minutes including:
1. Heat pack \& TENS to alleviate pain for 15 minutes
2. Shoulder isometric exercises 10 reps Receives: Procedure: Control Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Range of motion
Goniometer will be used to assess range of motion at the shoulder
Measured: 6 weeks
cognitive impairment
Montreal cognitive assessment test that was used to detect mild cognitive impairment
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Apr 2025
- Study start20 Jun 2024
- Primary completion20 Dec 2024
- Study completion20 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Range of MotionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06947239
- Sponsor's protocol ID
- FUI/CTR/2024/67
- Status last verified
- Apr 2025
- First submitted
- 21 Apr 2025
- Last updated
- 27 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Additional Effects of Mirror Therapy on Shoulder Mobility and Function in Post-stroke Adhesive Capsulitis Patients
- ClinicalTrials.gov ID
- NCT06947239
- Acronym / sponsor ID
- FUI/CTR/2024/67
- Conditions
- Range of Motion, Adhesive Capsulitis, Mirror Therapy
- Keywords
- post stroke patients, Range of motion correction, mirror therapy exercises
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 20 Jun 2024 (actual)
- Primary completion
- 20 Dec 2024 (actual)
- Study completion
- 20 Jan 2025 (actual)
- First posted
- 27 Apr 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Mirror therapy along with conventional therapy | Experimental | Procedure: Mirror therapy along with conventional therapyIt includes participants receiving mirror therapy session in adhesive capsulitis of post stroke patients for a period of 6 weeks. 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. |
| Conventional Therapy | Active comparator | Procedure: Control Groupit includes 11 participants receiving conventional physical therapy for a period of 6 weeks. The control group will receive the conventional therapy for 40 minutes including: 1. Heat pack \& TENS to alleviate pain for 15 minutes 2. Shoulder isometric exercises 10 reps |
Who may qualify
- Ages
- 40 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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.
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mirror therapy along with conventional therapyThe 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 | Procedure or surgery | Mirror therapy along with conventional therapy |
| Control GroupDetails: Weeks wise: The control group will receive 20 mints of conventional therapy . 1. Heat pack \& TENS to alleviate pain for 15 minutes 2. Shoulder isometric exercises 10 reps 3. Active and passive Range of Motion exercises 10 reps each 4. Codman exercises 10 reps each 5. Wand exercises 10 reps each | Procedure or surgery | Conventional Therapy |
Primary outcome
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
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Apr 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mirror therapy along with conventional therapy in people with Range of Motion and Adhesive Capsulitis, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Range of motion (time frame: 6 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Apr 2025.