Health Condition 1: I639- Cerebral infarction, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Post stroke duration 6 to 18 months 2. Montreal Cognitive Assessment (MoCA) score 26 to 30 3. Brunnstrom s hand stage 1to 4 4. ARAT score 0 to 38 5. Can continuously sit for 1.5 hour as inquired from caretaker
Exclusion criteria
Exclusion criteria: 1. Bilateral and recurrent stroke, posterior circulation stroke 2. Additional relevant medical, psychological and musculoskeletal condition like unresolved sepsis; postural hypotension; end stage renal failure, terminal illness, severe aphasia, inattention, hemi spatial neglect; skin infection, eczema, contracture or deformity of upper limb, severe visual impairment, severe depression; psychiatric disorder. 3. Pregnancy 4. Modified ashworth scale grading for finger flexors more than 2. 5. Epilepsy or medication of same during last 6 months 6. Unable to understand and follow instructions. 7. Patients involved in another research trial at the same time, in which intervention may improve upper limb functions. 8. Patients with conditions that is contraindicated for use of transcranial magnetic stimulation i.e. ferromagnetic or magnetic sensitive metal objects implanted in the head or neck areas, epileptic patients, pacemakers, any brain surgery or craniotomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Action Research Arm Test (ARAT) Timepoint: Before the intervention and after completion of 18 session of intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Feasibility assessment- Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) will be used for examining the feasibility. 2. Grip strength 3. Fugl-Meyer Assessment scale 4. The Stroke Specific Quality Of Life scale (SS-QOL) 5. Beck depression inventory 6. Sollerman hand function test 7.Transcranial magnetic stimulation (TMS)- The motor threshold, amplitude and latency of motor evoked potential will be measured.Timepoint: Before the intervention and after completion of 18 sessions of intervention | — |
Countries
India
Contacts
Post Graduate Institute of Medical Education and Research