stroke patients. Diseases of the nervous system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion is voluntary (completed consent form) Age range 75-18 years Ischemic or hemorrhage stroke diagnosed by neurologist Stage 4, 5 and 6 Brunnstrom in proximal and distal of upper extremities Sufficient cognitive ability to understand and execute verbal and practical commands (obtaining at least 22 score from the Mini-Mental Status Examination) Mild spasticity in all involved upper limb joints (Modified Ashworth Scale less than 3) Existence at least 20 degrees wrist extension and 10 degrees extension of the affected fingers
Exclusion criteria
Exclusion criteria: Use of mirror therapy and modified constraint-induced movement therapy before intervention Refer to other clinics and receive other upper limb rehabilitation services Despite previous dementia, difficulty understanding given explanations and execute commands such as Wernicke aphasia, global aphasia, and any impairment of vision and hearing examinations by specialist Presence of musculoskeletal damage, frozen shoulder joint and any other neurological and orthopedic disease based on examination of specialist who leads to motion impairment. Excessive pain in the upper limb ( in this study the score more than 4 in the Visual Analog Scale to be regarded as pain)) Botox injections at least 3 months before the intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| "Upper extremity score based on Fugl-Meyer Assessment ". Timepoint: "Before the intervention, after the intervention, one month after the intervention.". Method of measurement: "Fugl-Meyer Assessment". | — |
Secondary
| Measure | Time frame |
|---|---|
| "functional independence score". Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: "Functional Independence Measure".;"Muscle Tone Score". Timepoint: "Before the intervention, after the intervention, one month after the intervention.". Method of measurement: "Modify Ashworth Scale". | — |
Countries
Iran (Islamic Republic of)
Contacts
University of social welfare and rehabilitation sciences