stroke
Conditions
Interventions
The study will be conducted at teaching hospital, Peradeniya and at the Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya..
The control group will receive tra
Sponsors
University of Peradeniya
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged between 40 to 70 years diagnosed with stroke resulting in hemiplegia more than six months ago 2.Stable spasticity (no variability within two months before recruitment) in upper limb 3. Patients with more than grade three of Modified Ashwath Scale 4. Patients with Voluntary Control Grading from two to four for affected UL 5. Able to maintain standing position for five minutes without manual assistance 6. Able and willing to participate in four weeks study and to sign consent form
Exclusion criteria
Exclusion criteria: 1.Patients with reflex sympathetic dystrophy/ severe shoulder subluxation/ shoulder dislocation/ contracture in the affected UL/ fixed deformity of hand/ shoulder hand syndrome 2.Any neurological disorder or pain that might limits arm movement 3. Patients who have received botox injection or acupuncture within past 6 months to the affected UL 4. Complete sensory loss of upper limb 5. Presence of high risk cardiovascular disorders such as myocardial infarction, heart failure 6. Severe hypertension defined as SBP? 180 and or DBP ? 110 7. Presence of convulsions 8. Patients with visual impairment 9. Patients with behavioral problems 10. Already enrolled in some form of physical therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Spasticity grading of affected upper limb using Modified Ashwath scale •Voluntary control of affected upper limb according to a grading system [All the subjects will be assessed for spasticity of upper limb and voluntary control of upper limb immediately after the TENS or rESWT treatment has been given, and at the end of the four weeks treatment session eight, twelve, sixteen and twenty weeks after the first treatment ] | — |
Secondary
| Measure | Time frame |
|---|---|
| • Fugl - Meyer motor assessment of physical performance of upper limb • Action research arm test [All the subjects will be assessed for hand function grading immediately after the TENS or rESWT treatment has been given, at the end of the four weeks treatment session and after eight, twelve, sixteen and twenty weeks after the first treatment ] | — |
Countries
Sri Lanka
Contacts
Public ContactM.K.I.Dilhari Senarath
Lecturer (Probationary)
Outcome results
None listed