Stroke
Conditions
Interventions
Study Setting: Department of Physical Medicine, District General Hospital, Negombo
Randomization: Simple Randomized Sampling
Male and Female Patients will be recruited between 7 days to 3 months afte
Sponsors
University of Peradeniya
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and Female patients at their early sub-acute stroke period, which is seven days from onset to three months, and are registered at the Department of Physical Medicine, District General Hospital, Negombo. 2. Male and Female patients with stroke above 18 years of age. 3. Male and Female patients with a first stroke and a cut-off score of 10 in the Action Research arm test. 4. Male and Female patients who have no contraindications to cyclic neuromuscular electrical stimulation 5. Female Patients who are pregnant and who become pregnant during the intervention, with the consent of their in-charge consultant.
Exclusion criteria
Exclusion criteria: 1. Medically unstable patients. 2. Patients who have a history of osteoarthritis, rheumatoid arthritis, or soft-tissue injuries resulting in contractures or a reduced range of movement in the wrist and fingers. 3. Patients underwent thrombolysis. 4. Patients who have receptive aphasia. After randomization, Patients who show discomfort with the intervention and patients who become medically unstable during the treatment will be excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in score of the Action Research Arm Test (ARAT) The Action Reach arm test consists of 19 items designed to assess four areas of function: grasp, grip, pinch, and gross movement. Each question is scored on an ordinal scale ranging from 0 (no movement) to 3 (normal performance of the task). In ARAT, a cut-off score of 10 points was decided upon because a score of 9 points mostly shows gross arm motions, whereas a score of 9 points always represents some hand function only. [The measurement will be taken by this tool from each participant after enrollment on the first day before commencing the intervention and 15th day after completing the intervention for both treatment and control groups at the Department of Physiotherapy, District General Hospital Negombo.] | — |
Secondary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment Upper Extremity (FMA-UE) This is an impairment measure used to assess locomotor function and control, including balance, sensation, and joint pain in patients post-stroke. It consists of four categories (Shoulder/Elbow/Forearm, Wrist, Hand/Finger, and Coordination) and includes 23 different movements that evaluate 33 items. The items are scored on a 3-point rating scale. [The measurement will be taken by this tool from each participant after enrollment on the first day before commencing the intervention and 15th day after completing the intervention for both treatment and control groups at the Department of Physiotherapy, District General Hospital Negombo.] Manual Muscle Testing In studies that specifically looked at the rater reliability of manual muscle testing in stroke survivors, it was found that experienced examiners were able to determine the degree of muscle weakening in a variety of diseases with excellent inter-rater reliability. [ The measurement will be taken by this tool from each participant after enrollment on the first day before commencing the intervention and 15th day after completing the intervention for both treatment and control groups at the Department of Physiotherapy, District General Hospital Negombo.] Modified Barthel Index The index was initially intended to be used in assessing improvement during rehabilitation for patients with chronic neuromuscular or musculoskeletal disorders, and it is still used in this capacity today. Most frequently in populations recovering from stroke, a customized version has been utilized for inpatient rehabilitation assessments as a way to track functional changes. [ The measurement will be taken by this tool from each participant after enrollment on the first day before commencing the intervention and 15th day after completing the intervention for both treatment and control groups at the Department of Physiotherapy, District General Hospital Negombo.] Active Range of Motion AROM agai | — |
Countries
Sri Lanka
Contacts
Public ContactK.T.M.A.Fernando
Post Graduate Student (Msc in Physiotherapy
Outcome results
None listed