Coupling Rehabilitation Versus Constraint Induced Movement Therapy in Post Stroke Patients With Upper Limb Impairment
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Change in Hand Dexterity Using the Box and Block Test (BBT)
研究概览
简要总结
This clinical trial aims to compare the effects of coupling rehabilitation and constraint-induced movement therapy (CIMT) on improving arm function, hand skills, and daily activity performance in people who have upper limb weakness after a stroke. Participants will be randomly assigned to one of two groups and receive 12 weeks of therapy, including either CIMT or coupling rehabilitation along with conventional physical therapy. The study will evaluate which method is more effective in restoring movement and independence by using standardized assessments before, during, and after the intervention. The findings may help guide future rehabilitation approaches for stroke survivors
详细描述
This study focuses on improving upper limb recovery in people who have experienced a stroke. Stroke often leads to long-term weakness or difficulty using one arm, which can limit a person's ability to perform everyday tasks such as dressing, eating, or writing. The study explores two promising rehabilitation strategies-Constraint-Induced Movement Therapy (CIMT) and Coupling Rehabilitation-that may help improve arm movement, hand coordination, and independence in daily life.
Participants will take part in therapy sessions over a 12-week period, during which they will engage in structured, goal-oriented exercises tailored to their physical abilities. The research team will monitor changes in motor function and hand dexterity through standard assessments administered at the beginning, mid-point, and end of the study. By comparing outcomes between the two groups, the study seeks to identify which therapy method is more effective in promoting functional recovery after stroke, with the goal of enhancing rehabilitation practices in clinical settings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 40-65 years old
- •Patients suffering from Sub acute stroke
- •Motor function score at Fugl-Meyer Assessment between 40-60
- •Fine motor assessment at Box and Block Test<20
- •ADL's assessment at Motor Activity Log:
- •Amount of use scale<2.5 Quality of movement scale<3
排除标准
- •Individuals suffering from unstable angina, symptomatic heart failure, or uncontrolled hypertension
- •Physician determined unstable cardiovascular conditions
- •The patient has been diagnosed as having organ failure, including the heart, kidneys, and lungs
- •Patients with any traumatic musculoskeletal injury to upper limbs
- •Individuals who are experiencing cognitive impairment as a result of neurological conditions other than stroke.
研究组 & 干预措施
Constraint-Induced Movement Therapy (CIMT) Group
Participants in this group will receive Constraint-Induced Movement Therapy (CIMT) along with conventional physical therapy. CIMT involves structured, task-specific exercises that focus on improving the use of the affected upper limb by restricting the unaffected arm. Sessions will include activities such as fine motor training, reaching tasks, strengthening exercises, and functional movement tasks. Therapy will be delivered three times per week for 12 weeks.
干预措施: Constraint-Induced Movement Therapy (CIMT) (Other)
Coupling Rehabilitation Group
Participants in this group will receive Coupling Rehabilitation along with conventional physical therapy. Coupling Rehabilitation involves bilateral arm training and task-specific activities that encourage coordinated use of both upper limbs to stimulate recovery in the affected arm. Exercises will include trunk-supported reaching, object manipulation, and simulated daily tasks. Therapy will be provided three times per week for 12 weeks.
干预措施: Coupling Rehabilitation (Other)
结局指标
主要结局
Change in Hand Dexterity Using the Box and Block Test (BBT)
时间窗: Baseline, 6 weeks, and 12 weeks after start of intervention
This outcome evaluates fine motor skills and hand coordination by measuring the number of blocks a participant can move from one compartment to another in one minute using the affected hand. Higher scores indicate better hand dexterity.
Change in Performance of Daily Activities Using the Motor Activity Log (MAL)
时间窗: Baseline, 6 weeks, and 12 weeks after start of intervention
This outcome assesses real-world use of the affected upper limb in daily activities using the MAL questionnaire. It includes two subscales: Amount of Use (AOU) and Quality of Movement (QOM). Higher scores indicate better function and limb use.
Improvement in Upper Limb Motor Function Using the Fugl-Meyer Assessment (FMA)
时间窗: Baseline, 6 weeks, and 12 weeks after start of intervention
This outcome assesses changes in motor control and function of the affected upper limb using the Fugl-Meyer Assessment, a validated stroke-specific performance test. Higher scores reflect better motor recovery.
次要结局
未报告次要终点