Randomized controlled trial to determine whether mirror therapy (MT), added to conventional physiotherapy, improves upper-limb motor recovery, hand function, spasticity, and range of motion (ROM) in acute stroke compared with conventional physiotherapy alone. Outcomes include ARAT, Motor Assessment Scale, Modified Ashworth Scale, and goniometric ROM.
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Eligibility Criteria
Inclusion Criteria:
* Age 40-55 years
* Acute ischemic or hemorrhagic stroke within the last 1 month
* Unilateral hemiparesis/hemiplegia
* Medically stable and cleared for rehabilitation
* Able to follow verbal instructions; MMSE ≥ 24
* Provides written informed consent
Exclusion Criteria:
* Recu…
Inclusion Criteria:
* Age 40-55 years
* Acute ischemic or hemorrhagic stroke within the last 1 month
* Unilateral hemiparesis/hemiplegia
* Medically stable and cleared for rehabilitation
* Able to follow verbal instructions; MMSE ≥ 24
* Provides written informed consent
Exclusion Criteria:
* Recurrent stroke or bilateral involvement
* Severe cognitive impairment (MMSE \< 24)
* Visual field deficits, unilateral neglect, or severe aphasia interfering with MT
* Other neurological disorders (e.g., Parkinson's, MS)
* Orthopedic conditions affecting upper limb/trunk
* Uncontrolled cardio-respiratory disease limiting exercise
* Severe spasticity (MAS ≥ 3) in affected limb
* Concurrent enrollment in other interventional trials
* Inability/refusal to consent
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