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Mirror-image device exercise for arm weakness after stroke

Tests a mirror-image device added to usual therapy in stroke patients.

Key facts

Who runs it
Clinique Les Trois Soleils
Where
Boissise-le-Roi, Cosne-Cours-sur-Loire, Reims, Saint-Paul-lès-Dax, and Villiers-sur-Orge, FranceSee the 5 sites
Trial code
Registry title
Mirror Therapy Rehabilitation of the Upper Limb After Stroke (NEURO-MIROIR 2)
Status
Recruiting
People taking part
66 people, planned
Started
10 Dec 2019
Expected to end
31 Jul 2028
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Conventional rehabilitation
  • Intensive Visual Simulation
Record updated
18 March 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who had a stroke 4 to 10 weeks ago and have weakness on one side, with poor wrist and hand movement.

Age
18 to 100 years
Sex
All sexes can join.
Disease stage
Weakness on one side of the body after a stroke caused by one focal brain lesion. The stroke happened 4 to 10 weeks before the start. Wrist and hand sub-scores of the Fugl-Meyer total less than 16.
Earlier treatment
People who had mirror therapy or IVS rehabilitation before joining cannot join.

Main reasons for not taking part

  • Memory or thinking problems or a worsening illness that makes taking part impossible
  • Speech or language problems that prevent understanding instructions
  • Taking part in another clinical trial
  • Neurological conditions before the stroke
  • Rheumatological disease of the hand and wrist

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • Age ≥18 years
  • Stroke hemiparesis on unilateral focal lesion dating from 4 to 10 weeks at baseline
  • Total sub-scores wrist and hand of th Fugl-Meyer < 16
  • Patient having agreed to sign an informed consent
  • patient being affiliated to the French Social Security

Who cannot take part

  • Neurological conditions prior to stroke
  • Patient who had mirror therapy or IVS rehabilitation before inclusion
  • Cognitive dysfunction or progressive intercurrent illness making effective communication or participation in the study impossible
  • Phasic disorders that prevent the understanding of instructions
  • Patient include in an other clinical trial
  • Rheumatological pathology of the hand and wrist
  • Person under legal protection measure

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 100 years old?

Where in France

  • Clinique Les Trois SoleilsBoissise-le-Roi, FranceContact: Christophe Duret, MDTaking people
  • CRF PasoriCosne-Cours-sur-Loire, FranceContact: Nikolay Dobrev, MDTaking people
  • CHU SébastopolReims, FranceContact: François BOYER, PhDNot yet recruiting
  • Clinique NapoléonSaint-Paul-lès-Dax, FranceContact: Magali CAPLANNE, MDNot yet recruiting
  • Clinalliance Villiers-sur OrgeVilliers-sur-Orge, FranceContact: Manuel Wiese, MDTaking people

About the trial

What the trial wants to find out

Hemiparesis is a common motor disorder after a stroke. The majority of patients do not recover functional use of their paretic upper limb.

Read full original descriptionShow less

The use of mirror therapy allows the activation of the mirror neurons involved to stimulate brain plasticity after brain damage.The IVS (Intensive Visual Stimulation) device allows an easy implementation of mirror therapy by filming the valid upper limb and projecting the inverted image onto a screen placed above the parietal arm thus producing the illusion of movement of the parietal arm.

The main hypothesis of this study is that the structured practice of a large number of upper limb targeted movement repetitions using an intensive visual numerical simulation device as a partial replacement for routine care (conventional occupational therapy) in the sub-acute phase of stroke will increase the active function (motor function and functional abilities) of the distal end of the upper limb compared to conventional rehabilitation.

Objectives: This randomized controlled trial will evaluate the effects of partial substitution of routine care (occupational therapy) by structured movement repetition programs by Intensive Visual Simulation using an IVS3 device, on the distal motor control of the upper hemiparesis limb, between 4 and 10 weeks after the stroke, compared to a program with conventional care alone.

The 2 groups in the trial

  • Conventional RehabilitationExisting treatment, for comparison

    at least 4 sessions/week for 6 weeks, from 1 hour of conventional upper limb rehabilitation by an occupational therapist.

  • Intensive Visual SimulationTreatment being tested

    at least 4 sessions/week for 6 weeks, of 1 hour of upper limb rehabilitation including 45 minutes of conventional rehabilitation (occupational therapy) and 15 minutes of work with a medical device allowing intensive visual digital simulation.

    Treatment: Conventional rehabilitation and Intensive Visual Simulation

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Intensive Rehabilitation Program With Intensive Visual Numerical Simulation Device for Improving Distal Motor Performance and Upper Limb Functional Capacity in Subacute Hemiparetics After Stroke. Randomized Controlled Trial.
Plain-language title
Mirror-image device exercise for arm weakness after strokeGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT04119544, who can take part
Record updated
18 March 2026