Comparison of myofascial release versus roods approach on spasticity and motor function of upper limb in stroke patient.
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- jyothi kesti
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- 1.Modified Ashworth scale
Overview
Brief Summary
The study aims to compare the effectiveness of myofascial release (MFR) and the Rood’s sensory-motor approach in reducing spasticity and improving motor functions in the upper limbs of stroke patients. Myofascial release involves sustained pressure to relieve muscle adhesions and restore tissue flexibility, while the Rood’s approach utilizes sensory stimulation to modulate neuromuscular responses. The hypothesis posits a significant difference (alternative hypothesis) in outcomes between these techniques, though the null hypothesis assumes no such difference. The randomized comparative study will evaluate chronic stroke patients over six weeks, employing measures like the Modified Ashworth Scale and Fugl-Meyer Assessment to assess spasticity and motor function improvements.
Study Design
- Study Type
- Interventional
- Allocation
- Other
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 40.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •a)Patients who came voluntarily and signed the informed consent b)MAS Grade 1-3 c)MMSE score more than 24 d)Both ischemic and haemorrhagic stroke e)3–5 stage of recovery of voluntary control according to Brunnstrom stages for shoulder, elbow, and wrist joints f)Participants suffering from unilateral stroke dysfunction in chronic stage ( 6 months after the onset).
Exclusion Criteria
- •1.complex regional pain syndrome 2.severe cognitive impairment, 3.impaired sensation over the affected upper limb, recently injured area/open wounds 4.arthritic or any other musculoskeletal condition of the upper extremity, 5.Botox injection in the past 4 months, 6.Unilateral neglect 7.shoulder instability based on the posterior or anterior apprehension test, and positive sulcus test 8.Multiple strokes.
Outcomes
Primary Outcomes
1.Modified Ashworth scale
Time Frame: pre( 0 week), post(6 weeks), 1 month post termination of intervention
2.Fugl Meyer assessment scale for upper extremity
Time Frame: pre( 0 week), post(6 weeks), 1 month post termination of intervention
Secondary Outcomes
- Limb length, limb girth, voluntary control grading(0 Weeks & 6 weeks)
Investigators
JYOTHI KESTI
dayananda sagar university - college of physiotherapy