Stroke
Conditions
Brief summary
The purpose of the study is to investigate the combined effect of pelvic and trunk control exercises on muscle performance of affected upper extremity in stroke patients.
Detailed description
The study conducted on forty stroke patients. They assessed by Biodex System 3 Pro Isokinetic, Modified Ashworth Scale(MAS), Fugel Meyer Assessment scale (FMAS), Box and block test and hand grip dynamometer. Patients divided into control group and study group. The control group treated by a traditional physical therapy program.The study group treated by the traditional physical therap program in addition to pelvic and trunk control exercises for 40 min.
Interventions
OTHERPelvic and trunk control exercises
Patients in this group will be treated by the traditional physical therapy program in addition to a 18 sessions of pelvic and trunk control exercises for 40 min included abdominal drawing in maneuver for contraction of transversus abdominis pelvic tilting exercises and pelvic stabilization exercises from different positions. Pelvic tilting exercises included; anterior, posterior, lateral pelvic tilting and pelvic rotation on a therapeutic ball. Pelvic stabilization exercises include bridging, half bridging, clamshell from supine and side lying, quadribed exercises, weight shifting on the affected limb from standing by forward and diagonal reach out, ball bridging and rhythmic stabilization exercises
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
45 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patient's age will range from 45 - 60 years. * Muscle tone grade will range from 1 to 1+ according to modified Ashworth scale. * Duration of illness will range from 6 to 18 months after stroke onset. * Ability of the patient to stand without assistive devices.
Exclusion criteria
* • Other neurological or musculoskeletal disorders that might affect pelvic alignment such as severe arthritis, knee surgery, total hip joint replacement, lower limb fractures, contractures of fixed deformity or leg length discrepancy. * Severe chronic back and/or knee pain that might affected standing posture. * Recurrent stroke * Shoulder or upper limb injury that might affect the recovery. * Perceptual or cognitive dysfunctions. * BMI \> 30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Biodex System 3 Pro Isokinetic | Six weeks after the beginning of the intervention | Changes in peak muscle torque of upper limb muscles from baseline to four weeks after the beginning of intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fugl-Meyer Assessment for upper extremity | Six weeks after the beginning of the intervention | Changes in upper limb function from baseline to four weeks after the beginning of intervention |
| Box and block test | Six weeks after the beginning of the intervention | Changes in gross hand function from baseline to four weeks after the beginning of intervention |
| Hand grip dynamometer | Six weeks after the beginning of the intervention | . Changes in hand grip strength from baseline to four weeks after the beginning of intervention |
Countries
Egypt
Contacts
Primary ContactRowida Abdelgleel, Assistant lecturer
Backup ContactNahed Salem, Professor
Outcome results
None listed