Motor Imagery Training for Upper Limb Functional Strength in Chronic Stroke Patients
- Conditions
- Chronic Stroke
- Registration Number
- NCT06945185
- Lead Sponsor
- Foundation University Islamabad
- Brief Summary
Stroke is a leading cause of upper extremity deficits worldwide. Persistent upper extremity dysfunction affects many post stroke patients and is strongly associated with decreased activities of daily living and poor quality of life.
There is accumulating evidence of a cross-over effect with training of one limb that slightly increase strength and coordination in contralateral untrained limb through neurological adaptations.
One of rehabilitation that is beneficial for stroke patient is motor imagery, a mental rehearsal of a movement that does not include physical movement has been shown to enhance upper limb function.
Evidence demonstrate that MI not only activates motor cortical and subcortical regions but also induces plastic change in motor networks and modulates synaptic activity at spinal level.
- Detailed Description
OBJECTIVE:
The objectives of this study are:
1. To improve upper limb functional strength.
2. To improve the upper limb coordination.
3. To improve upper limb functional improvement.
HYPOTHESIS
Alternate Hypothesis:
There will be statistically significant difference in effects of motor imagery technique combined with conventional physical therapy and in comparison to conventional physical therapy alone on upper limb functional strength, coordination and functional improvement in chronic stroke. (p\<0.05).
Null Hypothesis:
There will be no statistically significant difference in effects of motor imagery technique combined with conventional physical therapy and in comparison to conventional physical therapy alone on upper limb functional strength, coordination and functional improvement in chronic stroke. (p\>0.05).
Research Design: Experimental study. Randomized Control Trial
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 26
- Stroke duration 6 months onwards (chronic stroke).
- age 45 years and above.
- Both genders.
- Access cognitive function score > 24 on MoCA.
- Patients with any comorbidity, previous surgery and congenital anomly.
- Patient with any fracture/ MSK disorders.
- Score 3 or more on Modified Ashworth scale.
- Patients with hearing impairments
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method FUNCTIONAL STRENGTH 8 weeks FUNCTONAL STRENGTH WILL BE ASSESSED USING WOLF MOTOR FUNCTION TEST
Coordination 8 weeks The Action Research Arm Test (ARAT) will be used to assess upper extremity performance
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Foundation University College of Physical Thrapy
🇵🇰Islamabad, Pakistan