Health Condition 1: I693- Sequelae of cerebral infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: First-ever ischemic or hemorrhagic stroke confirmed by imaging more than months post-stroke at time of assessment Clinically evident spasticity Modified Ashworth Scale more than one in at least one upper or lower limb Ability to ambulate (with or without assistance) Ability and willingness to provide informed consent
Exclusion criteria
Exclusion criteria: Cognitive impairment Severe medical instability or pregnancy History of phenol injection within past 2 years or botulinum toxin injection within past 3 months Presence of intrathecal baclofen pump Pre-existing neuromuscular or musculoskeletal disorders affecting limb function Uncontrolled pain or orthopedic deformity interfering with assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean difference in ultrasound-measured muscle thickness and echogenicityTimepoint: cross sectional study ,only one point | — |
Secondary
| Measure | Time frame |
|---|---|
| Correlation between ultrasound parameters & spasticity severityTimepoint: Obervational study ,only one point baseline;Correlation between ultrasound parameters & motor impairmentTimepoint: Obervational study ,only one point baseline;Association between ultrasound parameters & functional performance Grip Strength measured with handheld dynamometer in kilograms, Timed Up & Go recorded in seconds, 6 Minute Walk Test measured in meters Within-subject comparison of muscle thickness & echogenicity between paretic & non-paretic limbs Modified Heckmatt Scale Grades 1 to 4Timepoint: Obervational study ,only one point baseline | — |
Countries
India
Contacts
All India Institute of Medical Sciences (AIIMS), Jodhpur