Motor Imagery Training for Upper Limb Functional Strength in Chronic Stroke Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- FUNCTIONAL STRENGTH
Study Overview
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:
- To improve upper limb functional strength.
- To improve the upper limb coordination.
- To improve upper limb functional improvement.
HYPOTHESIS
Alternate Hypothesis:
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 45 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Stroke duration 6 months onwards (chronic stroke).
- •age 45 years and above.
- •Both genders.
- •Access cognitive function score > 24 on MoCA.
Exclusion Criteria
- •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
Arms & Interventions
CONTROL GROUP A- CONVENTIONAL PHYSICAL THERAPY
The participants will receive conventional physical therapy focusing on active range of motion, strengthing and coordination exercises.
Subjects will receive protocol of 45 min thrice a week for 8 weeks with 2 min rest in between.
The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination.
Intervention: Intervention Group A Conventional Physical Therapy (Procedure)
INTERVENTION GROUP B- MOTOR IMAGERY WITH CONVENTIONAL PHYSICAL
The participants will recieve conventional physical therapy focusing on active range of motion, strengthing and coordination exercises.
Subjects will recieve protocal of 45 min thrice a week for 8 weeks with 2 min rest in between.
The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination.
Intervention: Intervention Group B Motor Imagery with Conventional Physical Therapy (Procedure)
Outcomes
Primary Outcomes
FUNCTIONAL STRENGTH
Time Frame: 8 weeks
FUNCTONAL STRENGTH WILL BE ASSESSED USING WOLF MOTOR FUNCTION TEST
Coordination
Time Frame: 8 weeks
The Action Research Arm Test (ARAT) will be used to assess upper extremity performance
Secondary Outcomes
No secondary outcomes reported