Health Condition 1: G819- Hemiplegia, unspecified
Conditions
Interventions
Intervention1: Personalized physiotherapy protocol: Personalized physiotherapy protocol stratified by apraxia subtype (ideomotor and ideational) and lesion location (frontal and parietal)
Control Inte
two restorative gesture training sessions and one strategy training session) along with hemiplegia-oriented physiotherapy.
Sponsors
Anshu Tikariha
Eligibility
Inclusion criteria
Inclusion criteria: 1. First ever stroke with left-sided unilateral vascular lesion, confirmed via neuroimaging within 3 to 6 months of stroke. 2. Right handed individuals, as determined by Briggs and Nebes Laterality Inventory, to control for hemispheric dominance in praxis processing. 3. Cognitive function within normal range, indicated by a Mini-Mental State Examination (MMSE) score more than 23 4. Presence of limb apraxia, confirmed by Van Heugten Apraxia Test with a score less than 86. For IA, the De Renzi Test for IA score is between 0 to 14 and for IMA, the De Renzi Test for IMA score is between 0 to 72. 5. Score between 0 and 3 on the Modified Rankin Scale (mRS) that is mild to moderately severe post-stroke disability 6. Spasticity graded less than 2 according to the Modified Ashworth Scale and Brunnstrom stage 4 and above. 7. Age between 40 and 65 years.
Exclusion criteria
Exclusion criteria: 1. Presence of neurodegenerative disorders like Parkinsons disease, dementia, Alzheimers and severe cognitive impairment. 2.Severe aphasia using Aphasia Severity Rating, ASR, more than or equal to 2. 3.Previous history of other neurological disorders, a known intellectual or learning disorder 4. Severe comorbid medical conditions or debilitating chronic disease like chronic liver disease or chronic kidney disease, limiting participation in rehabilitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional independence (Barthel Index score, Functional Independence Measure), Motor planning accuracy Timepoint: 3 weeks and 6 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of Life (Stroke Impact scale-16)Timepoint: 3 weeks and 6 weeks | — |
Countries
India
Contacts
Public ContactAnshu Tikariha
Outcome results
None listed