Comparison of the Effect of Proprioceptive Training Therapy or Modified Constraint-Induced Movement Therapy on Upper Extremity Physical Functions in Chronic Stroke Patients - A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Fugl-Meyer assessment test
研究概览
简要总结
In the present study, it was aimed to compare the proprioception training applied in addition to conventional treatment and Modified Constraint-Induced Movement Therapy treatment in patients with chronic strokes and to investigate the effects on proprioception, spasticity, functional motor skills and daily living activities in the upper extremity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Post stroke hemiparetic patients of six months
- •spasticity ≤ Grade -3 on modified Ashworth scale
- •those patients capable of extension of at least 10º each at Metacarpophalangeal (MCP), Proximal Interphalangeal (PIP) and Distal Interphalangeal (DIP) joints and 20º at wrist joint
- •a score of 24 or higher on the Modified Mini-Mental State Examination
- •no excessive pain in the affected upper limb, as measured by a score of 4 or higher on a 10-point visual analog scale
排除标准
- •Patients with history of previous stroke,
- •uncontrolled hypertension, on medication that could impair neuromuscular performance,
- •wrist or finger pathologies, significant visual or hearing impairment,
- •balance problems which may compromise safety during sound upper limb constraint,
- •unwilling to participate
结局指标
主要结局
Fugl-Meyer assessment test
时间窗: Score change after 6 weeks of intervention compared to baseline
The Fugl-Meyer Assessment (FMA) is a stroke-specific, performance-based upper extremity function. The maximum available score is 66 and The minimum available score is zero.The higher total score means better motor function in the arm
Action Research arm test
时间窗: Score change after 6 weeks of intervention compared to baseline
The Action Research Arm Test (ARAT) is a 19 item observational measure used by physical therapists and other health care professionals to assess upper extremity performance. The maximum available score from the 19 items was 57. The higher total score means better motor function in the arm
Motor Activity Log
时间窗: Score change after 6 weeks of intervention compared to baseline
Daily use of the affected upper extremity was assessed using Motor Activity Log. It is a self-statement questionnaire to determine the frequency and quality of movement in the upper extremity. Score range is 0-5, The higher total score means better motor function in the arm
次要结局
- Modified Ashworth Scale(Score change after 6 weeks of intervention compared to baseline)
- thumb localizing test(Score change after 6 weeks of intervention compared to baseline)
研究者
Nuray Alaca
Assit Prof. Nuray Alaca
Acibadem University