Effect Of Kinesthetic Illusion Induced By Visual Stimulation On Hand Functions In Stroke Patients

Completed

Conditions: Other specified disorders of central nervous system,

Registration Number: CTRI/2023/01/049217

Lead Sponsor: MGM Institute of Physiotherapy, Aurangabad

Brief Summary: Upper limb motor dysfunction is a common and undesirable consequence of stroke that increases activity limitation and reduces their quality of life (QOL). Hand function impairment in chronic stroke is related to decreased ability to control voluntary muscle activity and the abnormal recruitment of contralateral corticoreticulospinal pathways. Kinesthetic illusion induced by visual stimulation (KINVIS) is an implicit motor imagery that is carried as a result of cognitive substitution of the paralyzed real body with a functioning virtual body. Kinesthetic illusion induced by visual stimulation (KINVIS) has been demonstrated to induce a vivid kinesthetic sensation without accompanying voluntary movement. The aim of this study is to evaluate effect of kinesthetic illusion induced by visual stimulation (KINVIS) on hand function in patients with chronic stroke. Patients with stroke of age between 45 years to 65 years will be included in the study. Patients will be screened according to the inclusion and exclusion criteria. Before the collection of the data informed written consent will be obtained. The patients will be allocated into two exercise groups using a block randomization method. The participants in interventional group will be receiving Kinesthetic illusion induced by visual stimulation (KINVIS) and conventional therapy. Patients will be seated in a comfortable position with their forearm resting on the top of the table. A pre-recorded video of hand movement of unaffected side will be flipped horizontally and projected on a monitor, which will be placed over the affected forearm to provide the illusion that the patientâ€™s forearm is identical to that depicted in the video. The video will show that the hand repeatedly grasps an object for 3 seconds and releases the object for 3 seconds, with a total of 20 min (2 sessions of 10 minutes). Conventional therapy group aimed to normalize movement patterns and minimize spasticity. Physical therapy included static and dynamic control of position, balance skills, weight shifts, and activities of daily living. The pre-treatment data will be obtained using Fugl meyer assessment scale-upper extremity, Modified ashworth scale and Block and block test. The intervention will be given to the patients of both the groups for 4 weeks. After completion of the intervention, the patients will be screened for post treatment data.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 30

Inclusion Criteria

1- Patients with chronic stroke 2- Patients with Brunnstorm hand recovery score more than or equal to 3 3- Mini Mental scale score more than 24.

Exclusion Criteria

1- Patients with severe communication difficulty.
2- Severe perceptual and visual disorders 3- Patients with other neurological conditions.
4- Patients with upper limb musculoskeletal injuries and upper limb fractures.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
2- Modified Ashworth Scale	Baseline and at 4 weeks
1- Fugl Meyer Assessment- Upper Extremity	Baseline and at 4 weeks
3- Box and Block Test	Baseline and at 4 weeks

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): MGM Medical College
🇮🇳
Aurangabad, MAHARASHTRA, India
MGM Medical College
🇮🇳Aurangabad, MAHARASHTRA, India
Vanu Bharwani
Principal investigator
9146366727
vanu.bharwani123@gmail.com