Stroke
Conditions
Keywords
Stroke, Physical Resisted exercise, Imaginary Resisted exercise, Hand grip strength
Brief summary
The goal of our study is to make a comparison between the effectiveness of physical resistance exercise and imaginary resistance exercise in improving handgrip strength, dexterity, and eye-hand coordination among stroke patients.
Detailed description
A Randomized Control Trial study will be conducted in which patients with stroke will be allocated to Group A that will receive imaginary resistance exercises and patients in group B will receive physical resistance exercises. The intervention will be applied (3 days /week) for 12 weeks, which consists of 5 different types of resistance using 5 different resistive objects, each will have 15 repetitions. Each session includes handgrip exercises with physical resistance exercises for one group and imaginary resistance exercises using Virtual Reality Box for another group. As for improving dexterity and eye-hand coordination, the Purdue pegboard test and finger-to-nose test will be used respectively in both groups with 15-15 repetitions.
Interventions
OTHERImaginary Resistance Exercises
In imaginary resistance exercises, resistive force is assumed to get applied by the patient after demonstrating some resistive objects and the kind of force exerted by them.
In physical resistance exercises, resistive force is applied to the targeted region by using different and appropriate resistive objects.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Our study will be single-blinded, outcome assessor-blinded. The assessor will be blinded to avoid being biased during the outcome assessment.
Eligibility
Sex/Gender
ALL
Age
50 Years to 74 Years
Healthy volunteers
No
Inclusion criteria
* Age should be in the range from 50 years to 75 years * Time passed since stroke attack should be more than one year. * Grade of Manual Muscles Testing for Elbow and Wrist, Flexion / Extension should be more than 2 out of 5. * Scoring of Modified Ashworth Scale should be more than 3 out of 5 for the same muscle groups of previously mentioned movements.
Exclusion criteria
* Any significant pain present in the affected upper limb. * Increased muscle tone that interferes with movements of the affected upper limb. * Serious sensory loss in the affected upper limb. * Severe medical issues currently. * Cognitive impairment to a level that interferes with sessions of intervention. * Impairments of vision that disables patient to perform interventional exercises. * Serious presence of apraxia / neglect. * If enrolled for any related or alike other upper limb therapy sessions / interventional studies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hydraulic Hand Dynamometer | 12th Week | It is an isometric instrument that can provide the most stable results during repetitive gripping exercises. This instrument has been reported to have high validity and reliability. This is considered to be a Gold Standard instrument, and many researchers have used the Jamar as a standard to validate other instruments. |
| Purdue Peg Board Test | 12th Week | It is a functional assessment tool to screen for hand dexterity. It was designed to assess fine motor hand function using three common objects, pegs, washers, and collars, to be inserted on a pegboard. With its long history and wide usage, its reliability in healthy subjects is well established because it employs tasks that resemble activities of daily living. It is economical and easy to administer |
| Goniometer | 12th Week | Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure each joint movement. |
Countries
Pakistan
Outcome results
None listed