Outcome of hand function in patients receiving computer assisted physiotherapy in addition to conventional physiotherapy and functional electrical stimulation compared to conventional physiotherapy and functional electrical stimulation alone in patients with hand dysfunction due to stroke.
- Conditions
- Stroke
- Registration Number
- SLCTR/2020/019
- Lead Sponsor
- K D Pathirana
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- Not specified
1. Patients with stroke admitted to Teaching Hospital Karapitiya with a history of stroke with disability including of either hand.
2. Onset of stroke within three weeks.
3. Age above 22 year and below 60 years.
4. Level of consciousness 15/15 in Glasgow Coma Scale.
5. Modified Rankin scale of three or less in a scale of 0- 6 (0 = no disability, 6 = death).
1. History of previous stroke affecting the right upper limb.
2. Dysfunction of the affected hand due to other illnesses like polyarthritis, carpal tunnel syndrome or nerve palsies, peripheral neuropathy.
3. Difficulties in communication due to comprehensive or expressive aphasia.
4. Inability understand the instructions.
5. Known allergy to the electrode paste or skin cleaners.
6. Those who withdraw the consent.
7. Those who cannot attend the regular follow up visits due to logistical, financial or social reasons.
8. Those who follow alternative rehabilitation therapies in addition to what is prescribed by the caring team of Teaching Hospital, Galle.
9. Patients with other comorbities preventing them from participating in the research.
10. Previous implant of pacemaker of any kind or any device that can be interfered with electrical signals.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Improvement of mean scores of the following: <br><br>• Fugl-Meyer Scoring Upper Extremity (FMA-UE) - components such as motor functioning, sensory functioning, passive joint motion and joint pain will be assessed, <br>• Bunnstrome staging (stage of recovery of a stroke patient),<br>• Activities of Daily Living (ADL) according to Barthel Index <br><br>Surface Electromyography (EMG) in completely paralyzed muscle will be evaluated before and after interventions (compare improvement of motor units recruited with attempted contraction)<br> [Timepoint: Before and 4, 8 and 12 weeks after intervention ]<br>
- Secondary Outcome Measures
Name Time Method Improvement of ADLs according to<br>Barthel Index [Timepoint: Before and 12 weeks after interventions ]<br> Patient perception of quality of life according to WHOQoL (BREF) scale.This has 4 domains, physical, psychological, social relationships and environmental. [Timepoint: Before and 12 weeks after interventions ]<br>