Stroke is a neurological disorder characterized by blockage of blood vessels. Clots form in the brain and interrupt blood flow, clogging arteries and causing blood vessels to break, leading to bleeding. Rupture of the arteries leading to the brain during stroke results in the sudden death of brain cells owing to a lack of oxygen.. Cerebral infarction due to thrombosis of unspecified cerebral artery
Conditions
Interventions
Intervention 1: Intervention Group : Group A will be received electrical stimulation for 15 minutes with hot pack and the stretching of muscles will be performed at the end. The sessions will be las
Sponsors
University of Lahore
Eligibility
Sex/Gender
All
Age
25 Years to 65 Years
Inclusion criteria
Inclusion criteria: Aged between 25-65 years Both Male and females Stroke Onset =3 months Ischemia Stroke Patients with limb spasticity equal to 2 or less than 2 on modified Ashworth scale Patients with English reading and writing skills
Exclusion criteria
Exclusion criteria: Patients with visual and auditory defects Patients with severe shoulder or wrist pain Patients with upper limb fractures/dislocations Contraindication to Electrical stimulation such as skin allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Modified Ashworth Scale is a clinical assessment tool used to measure the spasticity of muscles in individuals with neurological conditions, such as cerebral palsy, stroke, multiple sclerosis, or spinal cord injuries. Timepoint: 8th weeks. Method of measurement: The Modified Ashworth Scale typically uses a 6-point grading system to assess muscle tone.The csale ranges from 0 to 4 with an additional grade of 1+. Where 0 means normal and 4 severe spasticity.;The Motor evaluation scale for upper extremity in stroke (MESUPES) measures quality of movement performance of the hemiparetic arm and hand in stroke patients. MESUPES is comprised of 17 items in two subscales: MESUPES–Arm function: 8 items with 6 response categories (0-5) and other one is MESUPES–Hand function: 9 items with 3 response categories (0-2). Timepoint: 8th weeks. Method of measurement: The maximum achievable score is 58 (MESUPES-Arm maximum score is 40; MESUPES-Hand maximum score is 18). The patient is awarded one score for each task, and the highest score is retained. A score of 0 is awarded when the patient demonstrated inadequate tone, abnormal muscle contractions, synergic (flexor/extensor) or mass movement patterns. | — |
Secondary
| Measure | Time frame |
|---|---|
| The National Institutes of Health Stroke Scale (NIHSS) is a widely used clinical tool for assessing the severity of stroke-related neurological deficits. It was developed by the National Institute of Neurological Disorders and Stroke (NINDS) and is utilized to evaluate the status of patients who have experienced a stroke or other cerebrovascular events. Timepoint: 8th weeks. Method of measurement: The NIHSS consists of a series of 11 neurological examination items, and each item assesses specific functions related to different areas of the brain. Each item is scored on a scale from 0 to 3 or 0 to 4, depending on the specific item. A higher score indicates a more severe neurological deficit. The scores from each item are then added together to give a total NIHSS score, which can range from 0 (no stroke-related deficits) to 42 (maximum severity). (Zöllner et al., 2020). | — |
Countries
Pakistan
Contacts
Public ContactNimra Zulfaqar
University of Lahore
Outcome results
None listed