Effect of Segmental Muscle Vibration on Upper Limb Function in Post Stroke Patients

Not Applicable

Completed

Brief Summary: The aim of this study is to observe and to compare effects of segmental vibration on flexors versus extensor muscle groups on upper limb function in post-stroke patients. This study will be helpful in finding out that either low frequency segmental vibration on flexors muscle group is better in improving upper limb function or low frequency segmental vibration on extensor muscle group is more beneficent in improving upper limb function.

Detailed Description: Stroke is the leading cause of long-term disability and is often associated with persistent involvement of upper limbs.Several disturbances are the manifestation of UL impairments after stroke (i.e., muscle weakness, changes in muscle tone, joint disturbances, impaired motor control) . Muscular weakness and spasticity are most commonly observed in post stroke patients. There are many strategies are developed to improve functional status and to reduce spasticity pattern in post stroke patients. Among the different approaches to improve motor functions in post stroke patients, vibration therapy gives strong stimulatory effects in post paretic limb. Segmental muscle vibration (SMV) is a fairly new technique that has been used to improve motor function and inhibit spasticity in the hemiplegic upper extremity of patients following a stroke. In SMV, a vibratory stimulus is applied to a specific muscle tendon using a mechanical device unit.The aim of this study is to observe and to compare effects of segmental vibration on flexors versus extensor muscle groups on upper limb function in post-stroke patients. This study will be helpful in finding out that either low frequency segmental vibration on flexors muscle group is better in improving upper limb function or low frequency segmental vibration on extensor muscle group is more beneficent in improving upper limb function.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Cardiovascular event (myocardial ischemia or infarction) occurring within 12 months,
Use of any antispastic drug
Pain from vibration
Inflammatory osteoarticular diseases

Arm && Interventions

Group	Intervention	Description
Experimental Group A	segmental muscle vibration	will recieve (low frequency segmental muscle vibration of 41 Hz over flexors muscles of upper limb Pectoralis minor, Biceps brachii, Flexor carpi muscle + general physical therapy session ) The transducer applied perpendicular to the muscle near its distal tendon insertion.The application consisted of 3 vibration sessions each with duration of 5 minutes for each muscle with 1 minute interval separated these sessions during the interval muscle vibration will interrupted and the subject will request to relax the muscle
Experimental Group B	segmental muscle vibration	group receive (low frequency segmental muscle vibration of 41 Hz over extensors muscles of upper limb Triceps brachii, Extensor carpi radialis longus \& brevis + general physical therapy session ) The transducer applied perpendicular to the muscle near its distal tendon insertion The application consisted of 3 vibration sessions each with duration of 5 minutes for each muscle with 1 minute interval separated these sessions during the interval muscle vibration will interrupted and the subject will request to relax the muscle

Primary Outcome Measures

Name	Time	Method
Wolf Motor Functional Test	10 to 15 minutes	WMFT is valid and reliable on assessing upper extremities motor function of stroke patients. The WFMT is a tool with high interrater reliability, internal consistency, test-retest reliability and adequate stability.
Modified Ashworth Scale	4 to 5 minutes	This scale measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity
Fugl Meyer Assessment	10 minutes	Fugl Meyer Assessment
Manual Muscle Testing	8 to 10 minutes	to check muscle strength
• Brunnstrom Stages of Stroke Recovery • Brunnstrom Stages of Stroke Recovery Brunnstrom Stages of Stroke Recovery	5 to 10 minutes	to check the stages of improvemnet

Secondary Outcome Measures

Name	Time	Method

Locations (2): Muhammad shahid shabbir
🇵🇰
Rawalpindi, Punjab, Pakistan
Riphah International University
🇵🇰
Rawalpindi, Punjab, Pakistan