Difficulties in upper extremity functional performance in patients with subacute stroke. Task-
Conditions
Interventions
rest will be used. The researcher will demonstrate the performance of the tasks to the participants prior to the training. Variables such as speed,
distance,
or/and resistance will progressively make more difficult according to the ability of the individual patient. To perform the tasks completely and specifically,
the researcher will provide verbal,
visual,
or proprioceptive feedback and manually assist or direct the participants.
In a total 1 hour session,
the participants will perform warm-
up exercises for 10 minutes and practice the selected functional tasks for 50 minutes. During 50 minutes TOT,
a rest period of 2.5 minutes will be g
Experimental Other,Active Comparator Other
oriented training (TOT),Conventional Exercise Program (CEP)
Eligible participants in the EG will be treated with the TOT. During the training period,
the researcher will train participants as individualized treatment program. Participants will practice unilateral TOT for the affected UE for 1 hour a session,
5 sessions a week for 4 weeks as a hospital-
based exercise program. For the TOT program,
6 functional tasks that are useful for daily life activities of Myanmar people will be selected. Each participant will be asked to select the 3 out of 6 functional tasks depending on his/her preferenc
and feet must be fully supported on the floor. For adjusting the position of individual patient and preventing the compensatory trunk movement,
a height-
controlled chair with back-
Sponsors
Ms. Aye Aye Thant
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Both sexes 2.Ages between 40 years and 70 years 3.Between 1 month and 6 months after the onset of stroke (Arya et al., 2012; Timmermans et al., 2010) 4.Motor portion of FMA-UE score between 19 and 58 (Fugl-Meyer et al., 1975; Winstein et al., 2016) 5.Initiation of active extension of the wrist and fingers (Winstein et al., 2003) 6.Right-handed assessing by Edinburgh Inventory Test 7.Both ischemic and hemorrhagic stroke survivors 8.Able to understand and follow instruction 9.Willing to participate in the study 10.Stable medical condition
Exclusion criteria
Exclusion criteria: 1.Other neurological diseases such as Parkinson’s disease, Alzheimer’s disease, peripheral neuropathy 2.Bilateral stroke 3.Uncontrolled medical conditions 4. Musculoskeletal problems such as deformities, recent fracture, and reflex sympathetic dystrophy on the affected UE 5.Pain that interferes with functional use of UE as identified by pain/ROM FMA-UE pain score of 1 for at least 2 joints on the paretic arm (Tretriluxana et al., 2013) 6.All types of aphasia 7.Visual problem that cannot be corrected
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wolf Motor Function Test (WMFT) At baseline, After 2 weeks, 4 weeks and 6 weeks of training functional tasks timed to a maximum of 120 seconds and rated on a 6-point ‗functional ability sc | — |
Secondary
| Measure | Time frame |
|---|---|
| Fugl-Meyer Assessment and Stroke Impact Scale At baseline, After 2 weeks, 4 weeks and 6 weeks of training Fugl-Meyer Assessment with 3-point ordinal scale, Stroke Impact Scale with 5-point Likert scale | — |
Countries
Thailand
Contacts
Public ContactAye Thant
Department of Physiotherapy, University of Medical Technology, Yangon, Myanmar
Outcome results
None listed