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comparison of three neurological rehabilitation approaches on the function of upper extremity in chronic post stroke hemiparesis patients

Not Applicable
Recruiting
Conditions
stroke.
Spastic hemiplegia
G81.1
Registration Number
IRCT20140222016680N6
Lead Sponsor
Iran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
24
Inclusion Criteria

1. Having first unilateral hemiparesis following stroke.
2. confirming stroke by computerized tomography (CT) or Magnetic Resonance Imaging (MRI).
3. Having a stroke for 2 to 12 months ago.
4. Having age range between 45 to 70.
5. Ability to comprehend simple instructions (Score above 20 base on Mini-Mental State Examination).
6. Score above 3 base on hand motor recovery stages of Brunnstrom approach.
7. Spasticity score of the elbow flexors below 2 base on the Modified Ashworth Scale.
8. Depression score above 8 base on the Geriatric Depression Scale.
9. During the study, they are not involved in other rehabilitation programs in upper limbs.

Exclusion Criteria

1. Having previous injury, disease, or contracture in the involved upper extremity
2. Having severe shoulder pain.
3. No sitting balance
4. Having any comorbid neurological disease or conditions such as Multiple Sclerosis, Parkinson Disease, Spinal Cord Injury, Traumatic Brain Injuries, Brain Tumor, Epilepsy or Dementia.
5. Having unilateral neglect.

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Motor function in the Wolf Motor Function Test and the Fugl Meyer Assessment. Timepoint: before intervention, in the middle (6th session) and post intervention (12th session ). Method of measurement: Wolf Motor Function Test and Fugl Meyer Assessment.
Secondary Outcome Measures
NameTimeMethod
dependency in activity of daily living. Timepoint: before intervention, middle (six sessions post intervention) and post intervention (12th session). Method of measurement: The Barthel Index.;Grip Strength in force tester. Timepoint: before intervention, middle (six sessions post intervention) and post intervention (12th session). Method of measurement: Force Tester.
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