Effects of Combined Electrical Muscle Simulator and Mirror Therapy in Upper Limb Stroke Patients
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Nouman Khan
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Fugl- Meyer Assessment
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This study will be designed to evaluate the effectiveness mirror therapy combined with electrical muscle stimulations compared with constraint induced therapy in upper limb stroke patients. The aim of the study is to investigate the therapeutic effectiveness of mirror therapy and EMS in stroke patients and compare the outcomes with CIMT.
Detailed Description
Stroke or CVA is the sudden death of the brain cells due to inadequate blood flow, it's a focal disturbance of cerebral function, with symptoms lasting for 24hrs or longer or leading to death, with no apparent cause other than of vascular origin. The commonest consequence of stroke is loss of upper limb function. The protocol planned for improving the function of the upper limb is mirror therapy combined with EMS and compare with constraint-induced movement therapy (CIMT) treatment in stroke patients Many works done on CIMT and mirror therapy in rehabilitation prove to be powerful tools for upper limbs in people with stroke. Different studies concluded that CIMT is more effective than Mirror Therapy (MT) in the upper extremity in stroke patients. An RCT was published in 2019 in which mirror therapy combined with electrical stimulation proves to be effective in stroke patients. However, I have not found a study comparing EMS combined with Mirror therapy compared to CIMT treatment in stroke patients. According to the Alternate hypothesis mirror therapy combined with EMS has beneficial effects on clinical outcomes in upper limb stroke patients. According to the null hypothesis, CIMT has better results in stroke patients as compared to EMS combined with Mirror therapy.
Investigators
Nouman Khan
lecturer
Shifa Tameer-e-Millat University
Eligibility Criteria
Inclusion Criteria
- •Both male and female stroke patients above 45 years
- •Ischemic and Haemorrhagic chronic stroke patients
- •Participants should be able to do 100 wrist extension
Exclusion Criteria
- •Patients with an implanted electrical device
- •Patients with paresis
- •Patients of hemiplegia caused due to other brain injuries (TBI, tumour), Coordination problem
- •Individuals with impaired sensory perception
Outcomes
Primary Outcomes
Fugl- Meyer Assessment
Time Frame: 12 weeks
Fugl- Meyer Assessment scale is a stroke specific performance- based impairment index. it has 226 total score and has 5 domains to assess the motor functions, overall reliability of FMA scale was high overall intraclass correlation coefficient varies from 0.61 to 0.97 for the upper extremity and the validity coefficient ranged from 0.91 to 0.97.
Secondary Outcomes
- Motor assessment scale(12 weeks)