Which stroke rehab works best? new trial pits mirror therapy against cognitive training

This study compares three rehabilitation approaches for people recovering from a stroke: mirror therapy (using a mirror to trick the brain into thinking the affected limb is moving), cognitive orientation to daily occupational performance (CO-OP, a problem-solving strategy to achieve personal goals), and conventional occupational therapy. All participants also receive robotic balance training. The trial involves 45 adults who are 3 to 12 months post-stroke and have some movement recovery. They will receive therapy for 4 weeks (5 sessions per week) and be followed for 3 months to see which approach best improves motor function, daily activities, and quality of life.