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CompletedNCT06980181Updated May 11, 2026

Comparison of Graded Motor Imagery and Mirror Therapy in Chronic Stroke Rehabilitation

An interventional study of Graded Motor Imagery and Mirror Therapy in Stroke, sponsored by Elite College of Management Sciences, Gujranwala, Pakistan. Completed at 1 site in Pakistan. Open to participants aged 45 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-11.

Sponsored by Elite College of Management Sciences, Gujranwala, Pakistan · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
45 Years to 65 Years
Sex
All
01

Study summary

The study is conducted to assess whether the GMI or MT reduce the level of spasticity. Also to compare the level of independence in GMI and MT in the chronic stroke patients.

Read the detailed description

A stroke is a medical condition that occurs when inadequate blood flow to a part of the brain leads to cell death. There are two primary types of strokes: ischemic, caused by reduced blood flow, and hemorrhagic, caused by bleeding. Both types result in impaired brain function in the affected areas.

A systemic review was conducted on the effectiveness of mirror therapy on lower extremities, stal and walk in early stage and long term stroke. Results shown better results with using mirror the than control group.

Non-randomized controlled trial study was conducted on stroke patients treated by graded n imagery. It consisted of 28 subjects and the experimental group included 14 and other 14 included in the control group. Graded motor imagery showed better results than the convent therapy as 10 patients showed better outcomes in the intervention group and only 4 patients sho improvement in the control group.

02

Conditions studied

  • Stroke

Keywords

  • Stroke
  • Speech Disorder
  • Stroke Rehabilitation
  • Hypertension
03

In context

Stroke

8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.

This study's enrollment of 44 is below the median of 49 across 6,024 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Elite College of Management Sciences, Gujranwala, Pakistan is the lead sponsor of 17 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age:45 to 65 years
  • First ever unilateral stroke and over 3 months since onset.
  • Both ischemic and hemorrhagic stroke individuals were included.

Exclusion criteria

Exclusion Criteria

  • Patients suffering from psychological problems.
  • Visual Impairments.
  • Fractures.
  • Any other Neurological disorder
  • Inflammatory joint diseases
  • Medical instability e.g Uncontrolled HTN
  • Any systemic disease
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    Graded Motor Imagery

    GMI uses visual cues and mental exercises to retain the brain in steps.

    Other: Graded Motor Imagery

  • Active comparator
    Mirror Therapy

    Mirror Therapy uses a mirror to make the brain think the weak side is moving

    Other: Mirror Therapy

Interventions

  • OtherGraded Motor Imagery

    Graded Motor Imagery typically 1 to 3 times per day for 5 to 10 minutes for each phase. No physical movement at first only cognitive task, mental rehearsal and visual motor.

  • OtherMirror Therapy

    Mirror Therapy typically involves 1 to 3 sessions per day for 10 to 15 minutes gradually increases as tolerated.Visual and motor training using a mirror placed at the midline.

06

What researchers measure

Primary outcomes

  1. Modified Ashworth Scale

    Changes from baseline Modified Ashworth SCale is a clinical tool used to measure the spasticity.It comprises 4 grades.0 No increase in muscle tone, 1 Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion (ROM), 1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM, 2 More marked increase in muscle tone through most of the ROM, but affected parts) easily moved, 3 Considerable increase in muscle tone, passive movement difficult, 4 Affected parts rigid in flexion or extension.

    Time frame: 4 weeks

07

Study locations

1 site
  • Paraplegic Center
    Peshawar, Khyber Pakhtunkhwa 2500, Pakistan
08

References and documents

Publications

  • Gandhi DB, Sterba A, Khatter H, Pandian JD. Mirror Therapy in Stroke Rehabilitation: Current Perspectives. Ther Clin Risk Manag. 2020 Feb 7;16:75-85. doi: 10.2147/TCRM.S206883. eCollection 2020. PubMed 32103968 ↗
  • Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical activity in the prevention and treatment of stroke. ISRN Neurol. 2011;2011:953818. doi: 10.5402/2011/953818. Epub 2011 Oct 1. PubMed 22389836 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06980181
Lead sponsor
Elite College of Management Sciences, Gujranwala, Pakistan
Responsible party
Sponsor
First posted
May 20, 2025
Start date
Jun 15, 2025
Primary completion
Jun 15, 2025
Completion
Jul 1, 2025
Last update
May 11, 2026

Study contacts

Usman Iqbal Janjua, Phd
principal investigator · Elite College of Management Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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