Evaluation of the Effects of Neuromuscular Electrical Stimulation and Mirror Therapy in Hemiplegia Rehabilitation
Hemiplegia, Upper Extremity Dysfunction
About this trial
This is an interventional treatment trial for Hemiplegia focused on measuring hemiplegia, mirror theraphy, NMES
Eligibility Criteria
Inclusion Criteria:
- Subacute hemiplegia
- Patients who can communicate well, are motivated enough and are willing to participate in the study
- Patients' medical conditions are stable
- Initiation of voluntary extension movement in the wrist (lower limit)
Exclusion Criteria:
- The presence of more than one previous cerebrovascular disease (except transient ischemic attack).
- Presence of flaccid hemiplegia.
- Presence of a previous neurological disease causing a decrease in strength in the affected extremity.
- Presence of deformity due to a previous fracture, inflammatory arthropathy, etc. in the affected extremity.
- Presence of more than grade 3 spasticity in upper extremity according to Modified Ashworth Scale
- Use of cardiac pace maker
- Presence of fatal cardiac arrhythmia
- Presence of seizure history within 2 years.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Active Comparator
Active Comparator
Active Comparator
Group Mirror
Group NMES
Group Mirror+NMES
Along with conventional rehabilitation techniques, patients will be given ROM exercises in all directions, in front of the real mirror, by the practitioner on the healthy upper extremity for 30 minutes.
Along with conventional rehabilitation techniques, NMES will be applied to the hemiplegic arm for 30 minutes by the practitioner while the patients are sitting in a chair.
In addition to conventional rehabilitation techniques, patients will be given ROM exercises for 30 minutes in all directions in front of the real mirror to the healthy extremity, which the practitioner will synchronize with visual or auditory stimuli, and NMES treatment for 30 minutes to the paretic upper extremity.