Balance; Distorted, Proprioceptive Disorders, Stroke
Conditions
Keywords
Stroke, Proprioceptive Disorders, Balance; Distorted
Brief summary
To determine the combined effects of proprioceptive neuromuscular facilitation and electrical muscle stimulation on spasticity and hand function in stroke patients.
Detailed description
It will be a randomized controlled trial. The stroke patients aged between 30-70 years will be included in this study. Participants will be selected with non-probability convenience sampling technique. Participants will be randomly allocated into two groups by lottery method i.e experimental group and control group. The experimental group will receive proprioceptive neuromuscular technique (contract relax-10 repetition) (5-min) and electrical muscle stimulation(10 min) as 15 min session 3 times a week for four weeks while the control group will receive only conventional therapy. The outcome measure will be calculated by modified barthel index, modified ashworth scale and wolf motor function test.
Interventions
OTHERcontrol group
Patients will receive conventional therapy.
OTHERexperimental group
Patients will receive Proprioceptive Neuromuscular Facilitation (contract-relax) technique with EMS
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
patients will be allocated to two groups by randomization. Patients in Group A will receive Proprioceptive Neuromuscular Facilitation (contract-relax) technique & EMS patients in Group B will receive conventional therapy.
Eligibility
Sex/Gender
ALL
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Both ischemic and haemorrhagic stroke patients * Chronic stroke patients from 6 month to 2years * Mini Mental Scale Examination (MMSE) more than 25
Exclusion criteria
* Transient ischemic attack * Recurrent stroke * Stroke patient with comorbidity and cardiac disease * Myopathies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Barthel Index: | 9 months | It is used for assessing the activities of daily living. It is composed of 10 questions that link the degree of independence to daily living activities. Collin et, al; proposed amendment in 1988, in which each domain was scored in one-point increments, ranging from 0 to 2 or 3 for each activity with a maximum score of 20 suggesting functional independence. It is highly reliable and has a good correlation with other disability measures. |
| Modified Ashworth Scale: | 9 months | Modified Ashworth Scale: It is used to assess the spasticity in patients of stroke or spinal cord injury. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. It is characterized by exaggerated deep tendon reflexes that interfere with muscular activity, gait, movement, or speech. It has excellent validity and reliability. |
Countries
Pakistan
Outcome results
None listed