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Use of Tendon Vibration and Mirror for the Improvement of Upper Limb Function and Pain Reduction (VibMirror)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified November 2009 by Hadassah Medical Organization.
Recruitment status was:  Not yet recruiting
Information provided by:
Hadassah Medical Organization Identifier:
First received: November 8, 2009
Last updated: June 2, 2010
Last verified: November 2009

Upper limb paralysis following stroke is a very common problem. Only 30% of stroke patients who suffer from upper limb paresis experience a full recovery of function. There is a need for the development of more efficient rehabilitation methods for the improvement of the paralysed upper limb function.

It has been shown that the use of mirror therapy after a stroke induces the activation of motor, sensory and associative regions in the affected hemisphere and is associated with an improvement in the function of the affected limb. Mirror therapy is a treatment modality in which the affected arm is hidden from the patient's sight; the patient is instructed to watch the reflection of his healthy hand on a mirror while he performs movements with his healthy hand and tries to move simultaneously his affected hand. This induces the illusion that his affected hand moves well.

It has also been shown that applying vibration to a muscle tendon at frequencies between 50-100 Hz induces an illusion of elongation of the vibrated muscle, if visual feedback is prevented. For instance, vibrating the triceps will induce a strong illusion of elbow flexion.

In the present study the investigators will couple the use of a mirror with the application of vibration to tendons, in order to obtain a multisensorial and strong illusion of movement in the paralyzed limb.

The study hypothesis is that the administration of mirror therapy together with vibration will induce the activation of multiple motor, sensory and associative areas in the affected brain hemisphere, resulting in improvement of the affected upper limb function, compared to the administration of mirror therapy alone or sham therapy.

Condition Intervention Phase
Stroke Hemiplegia Device: Vibration and Mirror Device: Mirror therapy Device: no mirror, sham vibration Phase 1 Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Use of Tendon Vibration and Mirror for the Improvement of Upper Limb Function and Pain Reduction After Stroke

Resource links provided by NLM:

Further study details as provided by Hadassah Medical Organization:

Primary Outcome Measures:
  • Upper Limb function according to Fugl-Meyer assessment [ Time Frame: after treatment, and 3 months after treatment ]

Secondary Outcome Measures:
  • Activity of Daily living performance assessed by FIM (Functional Independence Measurement) score [ Time Frame: after treatment and 3 months after treatment ]

Estimated Enrollment: 30
Study Start Date: November 2009
Estimated Study Completion Date: November 2011
Estimated Primary Completion Date: December 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Vibraton Mirror (VM)
subjects will receive tendon vibration AND mirror therapy
Device: Vibration and Mirror
10 treatments of 30 minutes in which vibration of 50-100 Hz will be administrated to the elbow and wrist muscles together with the use of a mirror. The patient moves his healthy hand in a certain repetitive pattern and watches its reflection on a mirror. Meanwhile he receives vibration in his affected hand in a timing that induces the illusion of movements similar to the movements of his healthy hand, thereby inducing a strong illusion of movement of his affected hand.
Active Comparator: Mirror (M)
Subjects will receive treatment only with Mirror, together with sham vibration (over bone instead of tendon)
Device: Mirror therapy
10 sessions of mirror therapy: moving the healthy hand while watching its reflection on a mirror. Meanwhile sham vibration over bone in the affected handwill be given to resemble the conditions of the experimental arm.
Sham Comparator: Sham (S)
Opaque board instead of mirror, bone vibration instead of tendon vibration
Device: no mirror, sham vibration
10 sessions in which patient moves his healthy hand and tries to move his affected hand, which is hidden by an opaque board instead of a mirror. Sham vibration is applied to bone instead of muscle, no illusion is generated.


Ages Eligible for Study:   18 Years to 85 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Stroke onset 1 month-1 year ago
  • NIH Stroke Scale 3-15 on admission to study
  • Affected Upper limb function 10-90% on Fugl-Meyer scale
  • Ability to understand instructions and to move freely the unaffected upper limb

Exclusion Criteria:

  • Severe cognitive impairment- severe Aphasia or severe Neglect that impair ability to understand instructions or to execute tasks
  Contacts and Locations
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Please refer to this study by its identifier: NCT01010607

Contact: Elior Moreh, MD 97225844464

Hadassah University Hospital Not yet recruiting
Jerusalem, Israel
Contact: Elior Moreh, MD    97225844464   
Sponsors and Collaborators
Hadassah Medical Organization
  More Information

Responsible Party: Elior Moreh/ MD, Hadassah Medical Organization Identifier: NCT01010607     History of Changes
Other Study ID Numbers: 0305-09-HMO-CTIL
Study First Received: November 8, 2009
Last Updated: June 2, 2010

Additional relevant MeSH terms:
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Neurologic Manifestations
Signs and Symptoms processed this record on September 19, 2017