Task Oriented Training in Post Stroke Patients

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Other: Conventional physical therapy; Other: Task Oriented Training

• Registration Number: NCT05201196
• Lead Sponsor: Riphah International University

Brief Summary

This study will be observe the effect of Task-oriented training on the dexterous movements of hands in hemiparetic post-stroke patients. Patient will be recruited that meet the inclusion criteria, with unilateral hemiplegia referred by Neurophysician having stroke for the first time, between age 47-70 year, both males and females, score of spasticity for upper extremity (shoulder, elbow) below and equal 2 based on the Modified Ashworth Scale (MAS), ability to comprehend simple instructions (Mini-Mental State Examination with a minimum score \> 24), Brunnstrom stages ≥ 4, not submitted to other upper-limb rehabilitation programs during the participation in this study. The individuals with recurrent stroke episodes and transient ischemic attack, other neurological diseases (Parkinson's disease, multiple sclerosis,), hemineglect, no sitting balance and comorbidities are excluded. Outcome measures used are FuglMeyer assessment scale (wrist and hand) and Wolf motor function test for upper extremity while Barthel index to assess the activities of daily living. All procedures will perform by taking informed consent. All Ethical standards for both patient and institution will be followed. After collecting data, will apply Shapiro Wilk test to check the normal distribution of data. For analysis use SPSS version 25

Detailed Description

Not available

Study Timeline

• Study Start: 2021-08-15
• Study First Submitted: 2021-11-08
• Study First Submitted QC: 2022-01-08
• Primary Completion: 2022-01-15
• Study First Posted: 2022-01-21
• Study Completion: 2022-01-30
• Status Verified: 2022-04
• Last Update Submitted: 2022-04-04
• Last Update Posted: 2022-04-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

Unilateral hemiplegic stroke patients referred by Neuro-physician (both ischemic and hemiplegic stroke patients).

• Patient with first time stroke (within 6month of onset).
• Age between 45-70 years of age.
• Gender both male & females.
• Ability to comprehend simple instructions (Mini-Mental State Examination with a score of >24 ).
• Score of spasticity for upper extremity (shoulder, elbow) below and equal 2 based on the Modified Ashworth Scale (MAS).
• Motor recovery of upper limb Brunnstrom stages ≥ 4.
• Not participated to other upper-limb rehabilitation programs during the participation in this study.

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Exclusion Criteria

Recurrent stroke attacks, Transient ischemic attacks(TIA).

• Previous injury, disease, or contracture of the upper extremity and no sitting balance.
• Any comorbid neurological disease or condition such as multiple sclerosis, Parkinson disease, spinal cord injury, traumatic brain lesions, brain tumor, epilepsy, or dementia,
• Had Hemineglect phenomena.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional physical therapy	Conventional physical therapy	Conventional physical therapy Muscle strengthening and Muscle Stretching, TENS.
Task Oriented Training	Task Oriented Training	Experimental group was given Task Oriented protocol including different task specific functional activities

Primary Outcome Measures

Name	Time	Method
Fugl-Meyer Upper Extremity Assessment (FMA-UE)	Post treatment after 6 weeks	Fugl-Meyer upper extremity evaluates voluntary movement, reflex activity, grasp, and coordination. Performance is measured on with a 3-point ordinal scale (0 to 2), with a maximum score of 30 with sub score 10 for the wrist, 14 for the hand, and for coordination and speed of movement the score is 6
Barthel Index	Post treatment after 6 weeks	Barthel index include the data obtained from the patient's self-report, or from one of his attendants. It include 10-activities of daily living. These outcome measures are administrated at initial before 3 days of treatment, middle at 6 session and posttreatment
Wolf Motor Function Test (WMFT)	Post treatment after 6 weeks	Wolf motor function is a quantitative measure used for upper extremity motor ability using timed and functional tasks. It comprises of 15 function-based tasks and 2-strength based tasks. Maximum score is 75 and Lower scores are suggests low level of functioning. Time required for the task vary with individuals and usually 15-20 minutes

Trial Locations

Locations (1)

Riphah international university; 🇵🇰 Lahore, Pakistan(Punjab_, Pakistan