Stroke
Conditions
Interventions
• Study setting - Neurology and Neuro-surgery Physiotherapy Unit, Teaching Hospital, Anuradhapura.
• Randomization - 1:1 randomization using sealed envelopes.
• Intervention - Functional Electrical St
Sponsors
Faculty of Allied Health Sciences, University of Peradeniya
Eligibility
Inclusion criteria
Inclusion criteria: • Age between 18 to 70 years • Both male and female • Post stroke hemiparesis • First unilateral stroke with upper limb involvement. • Acute and sub-acute stroke patients up to 6-month period from onset • Both hemorrhagic/ischemic stroke patients • Modified Ashworth scale (MAS) score 2 or less than 2 at wrist and elbow. • Sufficient cognitive ability to follow instructions.
Exclusion criteria
Exclusion criteria: • Contraindicated for Functional Electrical stimulation (FES) which include: Poor skin condition (pressure sores, sensitive skin for self-adhesive electrodes) Poorly controlled epilepsy Current pregnancy: Cardiac pacemakers Cancerous tumor: Metal implants: Unhealed fracture. Suspected, diagnosed, or uncontrolled Cardio-vascular conditions: Severe muscle spasticity or contractures. Botulinum toxin • Presence of psychological or emotional issues depend on medical diagnosis due to current condition or any previous illness. • Presence of previous history of head injury, trauma or concussions. • Any other associated Musculoskeletal or Neurological conditions which might affect upper limb functions. • Numeric Pain Scale >7 (NPS) • Visual defects • Inability to sit in a standard armless chair for at least 40 min • Currently having other treatment options other than medical treatments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor functional recovery of upper limb within 8 weeks will be measured by using Fugl Meyer Assessment Upper Extremity. It is tool which assesses performance-based, quantitative measures of motor impairment of upper limb. It is designed to assess motor functions, sensations and joint functioning in post stroke hemiplegia. The components as follows. A-Upper Extremity reflex activities and movement patterns (volitional movements within synergies, mixing synergies, and little or no synergies) B-Wrist movement patterns C-Hand Mass movements and grasp patterns D-Coordination/Speed, Tremor, Dysmetria and Time. [• Before the application of intervention, in both treatment and control groups. (Baseline measurements) • After the application of intervention in both groups at the end of 8th week. ] Motor functional abilities of upper limb will be measured by using Wolf motor function test (WMFT). This measures the upper extremity motor ability through timed and functional tasks in individuals with upper extremity functional deficits. The WMFT consists of 17 items and composed of 3 parts: 1. Time 2. Functional ability 3. Strength [• Before the application of intervention, in both treatment and control groups. (Baseline measurements) • After the application of intervention in both groups at the end of 8th week. ] | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean changes in scores using the Modified Barthel Index. This is an ordinal scale used to measure performance in activities of daily living. The MBI includes 10 personal activities: 1. Feeding 2. Personal hygiene. 3. Bathing. 4.Dessing and undressing 5. Toilet transfers. 6. Controlling bladder. 7. controlling bowel 8. Chair to bed transfers and returning. 9. Walking on level surface (or propelling a wheelchair if unable to walk) 10. Ascending and descending stairs. [• Before the application of intervention, in both treatment and control groups. (Baseline measurements) • After the application of intervention in both groups at the end of 8th week. .] | — |
Countries
Sri Lanka
Contacts
Public ContactD.M.J.K.Dinasena
Physiotherapist
Outcome results
None listed