This study aims to compare the effectiveness of three rehabilitation approaches in individuals with stroke: mirror therapy (MT), cognitive orientation to daily occupational performance (CO-OP), and conventional occupational therapy (COT), all combined with robotic balance training.
A total of 45 individuals with subacute and chronic stroke will be randomly assigned to one of three groups. Each group will receive 4 weeks of intervention (5 sessions per week), followed by a 3-month follow-up period.
Outcomes related to motor function, somatosensory function, activities of daily living, participation, and quality of life will be assessed at baseline, after intervention, and at follow-up.
The study aims to determine which intervention approach is more effective in improving functional outcomes in individuals with stroke.
- Individuals diagnosed with ischemic or hemorrhagic stroke
Age 18 years and older
Subacute (3-6 months post-stroke) or chronic stage (6-12 months post-stroke)
Brunnstrom Motor Recovery Stage ≥3 for upper extremity, ≥4 for hand, and ≥4 for lower extremity
- Poor motor coordination or major medical problems that would prevent participation
Presence of Wernicke's aphasia
Botulinum toxin injection within the last 3 months
Psychiatric conditions that may interfere with participation (e.g., depression, ongoing psychiatric treatment, low motivation)