Stroke, Rehabilitation
Conditions
Keywords
Modified constraint-induced therapy, Proprioceptive Training, conventional rehabilitation
Brief summary
In the present study, it was aimed to compare the proprioception training applied in addition to conventional treatment and Modified Constraint-Induced Movement Therapy treatment in patients with chronic strokes and to investigate the effects on proprioception, spasticity, functional motor skills and daily living activities in the upper extremity.
Interventions
OTHERmodified constraint-induced therapy
Patients received conventional rehabilitation and modified constraint-induced therapy schedule
Patients received conventional rehabilitation and Proprioceptive Training schedule
OTHERconventional rehabilitation
Patients received conventional rehabilitation schedule
Sponsors
Acibadem University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Post stroke hemiparetic patients of six months * spasticity ≤ Grade -3 on modified Ashworth scale * those patients capable of extension of at least 10º each at Metacarpophalangeal (MCP), Proximal Interphalangeal (PIP) and Distal Interphalangeal (DIP) joints and 20º at wrist joint * a score of 24 or higher on the Modified Mini-Mental State Examination * no excessive pain in the affected upper limb, as measured by a score of 4 or higher on a 10-point visual analog scale
Exclusion criteria
* Patients with history of previous stroke, * angina, * uncontrolled hypertension, on medication that could impair neuromuscular performance, * wrist or finger pathologies, significant visual or hearing impairment, * balance problems which may compromise safety during sound upper limb constraint, * unwilling to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer assessment test | Score change after 6 weeks of intervention compared to baseline | The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based upper extremity function. The maximum available score is 66 and The minimum available score is zero.The higher total score means better motor function in the arm |
| Action Research arm test | Score change after 6 weeks of intervention compared to baseline | The Action Research Arm Test (ARAT) is a 19 item observational measure used by physical therapists and other health care professionals to assess upper extremity performance. The maximum available score from the 19 items was 57. The higher total score means better motor function in the arm |
| Motor Activity Log | Score change after 6 weeks of intervention compared to baseline | Daily use of the affected upper extremity was assessed using Motor Activity Log. It is a self-statement questionnaire to determine the frequency and quality of movement in the upper extremity. Score range is 0-5, The higher total score means better motor function in the arm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Ashworth Scale | Score change after 6 weeks of intervention compared to baseline | Modified Ashworth Scale was measure muscle spasticity. It is among the most commonly used scales for clinical and research purposes. The resistance against passive movement is evaluated on a scale of 0-4 points.The lower total score means better spasticity in the arm |
| thumb localizing test | Score change after 6 weeks of intervention compared to baseline | A proprioception examination, called the 'thumb localizing test' (TLT), is described as a technique for testing 'limb localization'. With the patient's eyes closed, the examiner positions one of the patient's upper limbs (fixed limb) and asks him to pinch the thumb of that limb with the opposite thumb and index finger (reaching limb).It is evaluated on a 0-3 point scale. The lower the total score, the better the proprioceptive in the arm. |
Countries
Turkey (Türkiye)
Outcome results
None listed