Nervous System Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient's age ranged from 45-65 years. 2. All participants had an ischemic stroke recruited (ischemic/ hemorrhage) with a duration of illness ranged from one to six months prior to enrollment. 3. Mild spasticity of the affected hand muscles ranging from 1 to 1+ according to modified Ashworth scale. 4. All patients were muscles test for wrist and finger extensor , flexor at least grade (3) MMT. 5. muscles power in the wrist and finger flexor/initiation of active extension of the wrist and fingers test results of manual muscle tests of the affected hand Grade ‘fair’. 6. Patients had sufficient cognitive and communication abilities and were able to understand and follow instructions (Mini-Mental Scale >24). 7. Patients had a body mass index that did not exceed 35. 8. Patients were medically stable.
Exclusion criteria
Exclusion criteria: 1.All Participants exclusion criteria in treatment research on neurological disorders (e.g. Parkinson’s disease or Alzheimer’s disease), musculoskeletal problems (e.g. deformities or a recent fracture), sever aphasia. A praxia, sever heart and lung disease, skin conditions or injuries,a malignant tumor and cognitive impairment 2.Upper extrimity sensory deficits attributable to nonstroke pathology, such as diabetes or peripheral neuropathy 3.Intolerance to TENS or participation in another experimental rehabilitation project during the duration of treatment. 4.Treatment with botulinum toxin. 5.Severe uncontrolled hypertension. 6.had participated in other rehabilitation or drug trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Semmes-Weinstein Monofilament (SWM)test ,Two-point Discrimination (2PD)test and Fugl-Meyer assessment upper extremity- sensory part test. | — |
Secondary
| Measure | Time frame |
|---|---|
| Box and Blocks Test of Hand Function , Fugl-Meyer assessment upper extremity (FMA-UE) - motor part test, 9 hole peg test, dynamometer hand- grip strength test , Hydraulic pinch gauge lateral pinch test | — |
Countries
Egypt
Contacts
Supervisor Head of Occupational Therapy Department Al Aqsa University