Stroke, Stroke (CVA) or TIA, Upper Limb Function
Conditions
Keywords
Mirror Therapy, Motot recovery, Stroke Rehabilitation, Somatosensory Stimulation
Brief summary
This randomized controlled trial will be conducted at the Department of Physical Therapy, DHQ Hospital Sheikhupura, over duration of eleven months. A total of 20 stroke patients meeting inclusion criteria will be conveniently sampled and randomly assigned into two groups. Group A will receive somatosensory stimulation, while Group B will undergo task-based mirror therapy. Interventions will be administered five times per week for four weeks. Upper limb function will be assessed at baseline and post-intervention using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), and the Box and Block Test (BBT) to assess upper limb motor function, task based performance and gross motor dexterity. Data analysis will be performed using SPSS version 26.
Interventions
The group will be provided with somatosensory stimulation-induced rehabilitation of the upper limb, which will personalize to patients with both motor and sensory disturbance after stroke. The aim of the therapy will be to improve the functioning of upper limbs that focused directly on tactile, proprioceptive, and sensory discrimination abilities (14). The session will be started with a 5-minute warm-up, and the muscle groups involved active-assisted movement of the shoulder, elbow, and wrist to achieve better circulation and excite the limb to receive the sensations. Patients will be advised to direct their attention to the kinaesthetics of motion.
OTHERMirror Therapy:
Patients will be administered with Task-Based Mirror Therapy, where they will practice real-life functional movement through a mirror reflection of the movement of the affected upper limb. The mirror will be located with a sagittal angle so that the reflection of the patient only display the image of the non-affected limb, resulting in an optical illusion that both limbs move symmetrically
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
An independent therapist who has not taken part in the intervention will do all outcome assessments that will help in reducing chances of biasness.
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age: above 40-70 years * Both Male and female patients * Unilateral ischemic or hemorrhagic stroke * Having attack duration of 1 to 6 months * Mild - Moderate motor impairment * Moderate cognitive ability according to Mini-mental State Examination score \>24 3 grade Brunnstrom upper extremity stage
Exclusion criteria
* Aphasia * Serious unilateral neglect (Star Cancellation Test ≤ 44/54) or visual field deficiency * Any other comorbid neurological diseases except for stroke * Diagnosis of any other neuromuscular or orthopedic disease in the upper extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BOX & BLOCK TEST | 4th Week | The Box and Block Test (BBT) is a performance-based measure of gross manual dexterity that allows clinicians to infer about levels of activity |
| ACTION RESEARCH ARM TEST | 4th Week | Action research arm test has been used widely clinically for the assessment of upper extremity function post stroke and in various other conditions. Measurement of recovery after stroke is becoming increasingly important with the advent of new treatment options under investigation in stroke rehabilitation research. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORZain Ul Abbas, Ms
Riphah International University
Outcome results
None listed