Effects of Short-intensity Modified Constraint-induced Movement Therapy on Hand Function in Stroke Patients.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemorrhagic Stroke
- Sponsor
- Riphah International University
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- The motor activity log
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
To determine effects of short-intensity modified constraint-induced movement therapy on hand function in stroke patients.
Detailed Description
The aim of the study is to determine the effects of a short-intensity modified CIMT (mCIMT) program on hand function in stroke patients. This study will be a randomized controlled trial comprising two groups, an experimental group in which patients will be given short-intensity mCIMT along with conventional therapy. A control group, in which participants will be given conventional therapy alone. Patients will be assessed with the Wolf Motor Function Test, the Motor Activity Log, and the Ashworth Scale before and after treatment. The data will be analyzed by using SPSS for windows software version 25. Statistical significance will be set at p=0.05.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients having the First stroke either ischemic or hemorrhagic (3-24 months after stroke)
- •Patients having Mini-mental status examination score (MMSE) ≤23/30
- •Patients having Passive range of motion (PROM) includes at least 90 degrees shoulder flexion and abduction, 45degrees shoulder external rotation,- 30 degrees elbow extension, and 45 degrees forearm supination and pronation (from a neutral position). At least 10 degrees active wrist extension, 10 degrees abduction/thumb extension, and 10-degree extension at the level of the metacarpophalangeal and interphalangeal joints between the two toes among the II-III-IV-V fingers (these movements will be repeated starting from a resting position 3 times in 1 minute).
Exclusion Criteria
- •Patients having Subarachnoid hemorrhage.
- •Patients having Motor activity log - the amount of use score ≥2.5
- •Patients having treatment of upper limb spasticity (e.g., botulinum toxin) in the 3 months prior to the start of the study and/or during its execution.
Outcomes
Primary Outcomes
The motor activity log
Time Frame: 9 months
The motor activity log is a structured interview, designed to explore how and how well subjects are using the more affected arm outside of a laboratory setting. Participants are asked standardized questions about their high-impact arm usage (amount scale or AS) and quality of movement (how good scale or HW) during a specified functional activity. The scale is printed on a separate sheet and placed in front of the participant during test administration. Participants should be told that they can give half marks (i.e. 0.5, 1.5, 2.5, 3.5, 4.5) if this reflects their assessment.
Wolf motor function test (WMF)
Time Frame: 9 months
Wolf motor function test (WMF) is a new time-based method for evaluating upper extremity performance that provides insight into joint-specific and whole limb movements. To investigates the effects of mandatory exercise therapy in patients with mild to moderate stroke and traumatic brain injury. The original version of the WMFT consisted of 21 items. The widely used WMFT consists of 17 items. The first 6 items consist of timed functional tasks, items 7 and 14 measure muscle strength, and the remaining 9 items consist of analyses of the quality of movement in accomplishing various tasks.
The Ashworth scale,
Time Frame: 9 months
The Ashworth scale, which rates each passive movement between 1 (normal) and 5 (immobility), was used in a recent study and is easier to use than other methods and applicable to wide-range movements.