Unilateral Versus Bilateral Task-specific Training on Motor Impairment, Upper Extremity Function, and Hand Dexterity in Post-Stroke Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Motor recovery and upper extremity function
研究概览
简要总结
This randomized clinical trial will examine upper limb rehabilitation in individuals recovering from stroke. The study will compare unilateral and bilateral task-oriented training approaches to determine their relative effectiveness. Thirty-two medically stable participants with active shoulder movement and adequate cognition will be enrolled into two groups. Both groups will receive structured training for four weeks. Outcomes related to motor function and dexterity will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper extremity function after stroke.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Age between 40 and 75 years
- •Clinically diagnosed stroke (no more than three lifetime episodes)
- •Stroke duration between 6 to 24 months
- •Ability to perform antigravity shoulder movement with the paretic limb
- •Abbreviated Mental Test score ≥ 7
- •Medically stable and capable of giving consent
排除标准
- •• Uncontrolled systemic conditions (e.g. Unstable cardiac conditions)
- •Major orthopedic issues affecting the involved upper limb
- •Hearing deficits
- •Allergy to electrodes
- •Receptive aphasia or severe language impairment
- •Severe joint contracture limiting required upper limb movements
研究组 & 干预措施
Unilateral task oriented training with Electrical Muscle Stimulation
干预措施: Unilateral task oriented training (UTOT) with baseline EMS (Procedure)
Bilateral task oriented training with Electrical Muscle Stimulation
干预措施: Bilateral task oriented training (BTOT) with baseline EMS (Procedure)
结局指标
主要结局
Motor recovery and upper extremity function
时间窗: Four weeks
Motor recovery and upper extremity performance will be assessed using Fugl-Meyer Assessment for Upper Extremity (FMA-UE). This scale assesses upper limb motor function by examining reflex activity, voluntary movements and movement synergy patterns. It allows systemic tracking of recovery over time.
次要结局
- Hand dexterity(Four weeks)
研究者
Dr Izza Ayub; PT
Assistant Professor
University of Faisalabad