Nervous System Diseases
Conditions
Interventions
Wrist Mapping Study Group G1
Unilateral limb Wrist exercises control Group G2
Sponsors
Faculty of Physical Therapy at Cairo Uni.
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Chronic stroke patients aged from 50 to 65 years old - Duration of illness more than 6 months and less than 12 months, - Mild-to-moderate motor impairment in the upper extremity (Brunnstrom stage four or five) - Mild to moderate wrist spasticity (modified Ashworth scale (MAS) 1+ or 2) - Patients have an impairment proprioception in the affected wrist, intact vision and balance function.
Exclusion criteria
Exclusion criteria: - Chronic stroke patients with severe spasticity, recurrent stroke, apraxia, unilateral spatial neglect - Other neurological or orthopedic disorders affecting the reaching to grasping ability such as ataxia, joints stiffness or subluxation, deep sensory loss.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proprioception of the wrist was measured by goniometer for wrist extension. The patient will be blinded, and one physiotherapy put the affected wrist in 80 wrist extension then ask the patient to put the non-affected wrist in the same range of motion. After that, physiotherapist will measure the final Range of motion of the non-affected wrist and take average of three trials this method is called joint position matching. ;Wrist flexors spasticity by Modified Ashworth Scale which is an established and reliable 6-point scale. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity or increased resistance to passive movement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Upper Limb Impairment by Arm Section of Fugl–Meyer Assessment scale (FMA-UE), consisting of 33 items, was used to evaluate the recovery of upper limb movements. The upper limb section includes reflex, movement observation, grasping, and coordination assessments. The scale ranges from 0 to 66, with higher scores indicating higher levels of function. ;Functional recovery will be assessed by Action Research Arm Test (ARAT) which is an evaluative measure to assess specific changes in limb function among individuals who sustained cortical damage resulting in hemiplegia. It assesses a client's ability to handle objects differing in size, weight and shape and therefore can be considered to be an arm-specific measure of activity limitation. The total score on the ARAT ranges from 0 to 57, with the lowest score indicating that no movements can be performed, and the upper score indicating normal performance. Thus, higher scores will indicate better performance | — |
Countries
Egypt
Contacts
Public ContactWanees Badawy
Professor Department of Physical Therapy for Neurology and Neurosurgery Faculty of Physical Therapy Cairo University
Outcome results
None listed