Paresis
Conditions
Interventions
This is a randomized, sham-controlled, double-blind clinical trial, made up of 24 volunteer participants. Experimental group: 12 people aged between 40 and 70 with motor sequelae in the upper limb fol
E02.331.750
Sponsors
Universidade Federal da Paraíba
Universidade Federal da Paraíba
Eligibility
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Single episode of stroke, ischemic or hemorrhagic, with at least six months between the ictus and their inclusion in the study, proven by a medical report; aged between 40 and 70 years; classified with a degree of spasticity with a score less than or equal to 2, detected using the Modified Ashworth Scale for spasticity; active extension capacity of 10 degrees in the metacarpophalangeal and interphalangeal joints, and 10 degrees in the wrist joint; no cognitive deficit (score less than 24), verified using the Mini-Mental State Examination; pain threshold with a maximum score of 4 in the affected upper limb, verified using the Visual Analog Pain Scale
Exclusion criteria
Exclusion criteria: Those who had clinical evidence of multiple brain injuries and other comorbidities, inability to ambulate and instability to walk with the healthy upper limb (HUL) immobilized, failure to perform the training tasks with the paretic HUL, or symptoms of depression or severe anxiety, as verified by the Hospital Anxiety and Depression Scale, would be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We expected to find an increase in upper limb motor function using the Fugl-Meyer Assessment Scale, applied only to the upper limb section, of at least 5% in the pre-and post-intervention measurements, and after 4 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Greater use of the upper limb most affected after the stroke in activities of daily living is expected from the Motor Activity Log Scale (MAL). The higher the average obtained on the scales, the better the quality and quantity of use of the most affected upper limb in performing ADLs, based on an increase of at least 5 points in the measurements before, after, and 4 weeks after the intervention.;We expect to see an improvement in the functional recovery of the upper limb using the Jebsen-Taylor Test, which measures the time needed to perform seven functional activities, based on a decrease of at least 5% in the pre-and post-intervention measurements. ;We expect to see an improvement in handgrip strength using a hydraulic hand dynamometer, based on a variation of at least 5% in the pre-and post-intervention measurements. ;We expect to see an increase in fine motor coordination using the 9 pins and holes test, based on a variation of at least 5% of the time in the pre-and post-intervention. ;We expected to see an increase in gross motor coordination using the Box and Blocks Test, based on a variation of at least 5% of the time in the pre-and post-intervention. | — |
Countries
Brazil
Contacts
Public ContactMaria Luísa Gomes
Universidade Federal da Paraíba
Outcome results
None listed