Stroke
Conditions
Keywords
Chronic stroke rehabilitation, neural mobilization, tactile kinesthetic stimulation, tactile therapy
Brief summary
Combined Effects of Tactile -kinesthetic stimulation with Neural mobilization on sensory and motor functions of upper limb in stroke patients
Detailed description
Stroke ranks among the primary causes of lasting disability, frequently leaving the upper limb weak, numb, or clumsy and thereby curtailing daily independence and overall well-being. Although multiple therapy regimens appear helpful, research to date Meestal tests each method alone, obscuring how paired sensory and motor targets might accelerate recovery. The present study investigates combined the effect of tactile-kinesthetic input with neural mobilization against standard care, hypothesizing that the blend will produce broader gains in sensation and movement. This randomized clinical trial will be conducted at Ittefaq Hospital (Trust) Lahore and Gulab Devi Chest Hospital Lahore over duration of 11 months. The sample size will be (53) participants. Participants which meet the inclusion criteria will be taken through non-probability convenience sampling technique, which will further be randomized through lottery method. Group A (27) participants will be assigned to combined tactile kinesthetic stimulation plus neural mobilization and Group B (27)participants will be assigned to conventional therapy. Data will be collected through different assessment tools, including Fugyl-Meyer Assessment for motor function, Nottingham Sensory Assessment Scale (NAS) for sensory function. Pre-interventions assessments will be conducted for both groups. The effects of the interventions will be measured at pre-treatment and post-treatment of 6 weeks. Data analysis will be performed by using SPSS 26 software.
Interventions
OTHERTactile kinesthetic stimulation with neural mobilization
The therapist rests a light touch on the limb, applying only the weight of fingertips Soft, gliding strokes travel across the skin, delivered with the very tips of the fingers Pressure remains steadily upon targeted patches of tissue without sliding away Measured, rhythmical strokes creep up and down the length of the arm or leg Smooth silk, rough jute, coarse sponge, and other materials are brushed over the skin in turn.Slowly glide the median nerve by extending wrist and fingers while gently abducting the shoulder.
OTHERkinesthetic therapy
Median nerve mobilization: Slowly glide the median nerve by extending wrist and fingers while gently abducting the shoulder. Ulnar nerve mobilization: Control elbow flexion and wrist extension while holding shoulder in slight abduction Radial nerve mobilization: Passively flex the wrist, pronate the forearm, and depress the shoulder to slide the radial nerve
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age between 45 - 65 years * Both gender Male and Female * Diagnosed with chronic stroke stated as occurring 6 month to 12 month . * Sensory impairment - loss of tactile and proprioception NSA ( \< 7/12) * Motor impairment - lack in full strength and coordination ( Brunnstrom \>3) * Scored 24 or higher on the Mini-Mental State Examination, indicating sufficient cognition to follow study instructions.
Exclusion criteria
* Severe cognitive or communication difficulties that would prevent meaningful involvement in therapy or testing. * Comorbid conditions that impair upper-limb function, including arthritis, prior fractures, or similar disorders. * Neurological conditions other than stroke that could interfere with study outcomes * Engagement in any other rehabilitation program during the trial period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 2.Nottingham Sensory Assessment (NSA) | baseline with 4 week | The Nottingham Sensory Assessment, or NSA, provides clinicians with a standard method for mapping sensory loss after a stroke. Designed to examine both arms and legs, it centers on three core domains: touch, proprioception, and stereognosis. Within the protocol, practitioners test responses to light touch, gentle pressure, pinprick, temperature changes, and passive joint positioning. Because around half of all stroke survivors carry hidden somatosensory deficits that often impede movement, the tool is essential for early identification. |
| 1.Fugl-Meyer Assessment (FMA) | baseline with 4 week | The Fugl-Meyer Assessment (FMA) was developed specifically for stroke survivors and is a performance-based tool that gauges sensorimotor deficits in people living with hemiplegia. The FMA examines five key areas: voluntary motor control, sensory perception, balance, passive joint range of motion, and joint-related pain. Within this battery, the motor section commands the most attention; it rates movement, coordination, and reflex activity in the arms and legs, yielding a ceiling score of 100 points (66 for the arm and 34 for the leg). |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSabiha Arshad, Ms
Riphah International University
Outcome results
None listed