This study is randomized control trial and purpose of this study is to find effects of robotic gloves assisted task-oriented mirror therapy in comparison with task-oriented mirror therapy on motor functions of hand in sub-acute stroke patients.
40 years and above.
Ischemic (MCA) stroke.
Male and females both.
Montreal Cognitive Assessment (MoCA score >24 points).
Musculoskeletal problems such as severe pain in any joints of the paretic upper extremity.
Contractures in shoulder, elbow, hand or finger joints.
Severe Visual impairments.
Parallel
Robotic Gloves assisted Task-oriented mirror therapy
Procedure/SurgeryRobotic gloves assissted task-oriented Mirror therapy along with conventional therapy. Conventional therapy consists of stretching exercises,active assisted and active ROMS of shoulder along with weight bearing and reaching activities. Robotic gloves assisted task-oriented Mirror therapy will be delivered by syrebo robotic hand rehabilitation device. it has different training modes including Mirror mode and task-oriented training. 5 sessions per week will be provided for 8 weeks exercises: 30 minutes (3 sets of 10 reps) * In mirror training mode: Synchronized flexion and extension training with both hands.
Task-Oriented Mirror Therapy
Procedure/SurgeryInterventional group (B) will receive Task-Oriented Mirror Therapy along with conventional therapy. To perform Task-Oriented Mirror Therapy both the extremities of the subject will be placed on the table and the mirror (40×60 cm) will be placed in the patients' mid-sagittal plane. Mirror will be placed in such a way that the reflection of the non-affected arm can be seen. The subjects will be instructed to perform the movement bilaterally. The movement on the impaired limb will be performed. Affected arm is involved in exercise therapy either through patients trying to move themselves or with a therapist in assisting movement. 5 sessions per week will be provided for 8 weeks. * Task-Oriented Mirror therapy exercises: 30 minutes. (3 sets of 10 reps) * Hand flexion and extension through the tennis ball. * Grasping and releasing (cylindrical grasp, spherical grasp, hook grasp, pincer grasp) * Task oriented activities: positioning the cup upright, carrying a woode
hand motor functions
Fugl Meyer Assessment (FMA-UE), wii be used to assess motor functions of hands FMA:used to measure motor recovery in stroke patients. it has a maximum score of 66 points FMA hand section will be used to assess motor functions of hands from baseline to end of interventions.
Dexterity
An action research arm test will be used. Scores were rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally) for a maximum score of 57.
unilateral gross manual dexterity
Box and block test is used to assess the unilateral gross manual dexterity of the hand. Subjects will be asked to move a wooden block from one compartment to the other.
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