Effect of Isolated Versus Synergetic Muscle Facilitation on Upper Limb Functional Performance in Patients With Acute Stroke
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Cairo University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Evaluation of upper limb functional performance (dexterity- coordination) using the Action Reach Arm Test (ARAT)
Study Overview
Brief Summary
This study is a randomized controlled clinical trial that will be carried out to investigate the effect of isolated versus synergetic muscle facilitation on upper limb functional performance in patients with acute stroke.
RESEARCH QUESTION:
Is there a difference between isolated and synergetic muscle facilitation on upper limb functional performance in patients with acute stroke?
It will be hypothesized that:
There will be no difference between isolated and synergetic muscle facilitation on upper limb task-oriented training in patients with acute stroke.
Treatment procedures:
Study group (A): patients will receive a physical therapy program in the form of a range of motion exercise, electrical muscle stimulation, stretching exercise, mental practice with motor imagery, and isolated muscle facilitation using electromyography (EMG) biofeedback for six weeks and followed by task-oriented training of the upper limb for six weeks control group (B): will receive a standard physical therapy program including range of motion exercise, electrical muscle stimulation, Mental practice with motor imagery and stretching exercise, synergetic muscle facilitation for six weeks, and followed by task-oriented training of the upper limb for six weeks.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 50 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Unilateral Middle cerebral artery (MCA) stroke patients
- •Brunnstrom stage of recovery 1& 2
- •Normal body mass index (18.5 - 24.99 kg/m2)
- •Dominant handedness
Exclusion Criteria
- •Perceptual, apraxia, major cognitive deficits
- •Recurrent stroke
- •Subjects with cerebellar lesions, painful or subluxated shoulder, any contracture or deformity of the upper extremity
Outcomes
Primary Outcomes
Evaluation of upper limb functional performance (dexterity- coordination) using the Action Reach Arm Test (ARAT)
Time Frame: before enrollment and the end of treatment at 6 weeks
\- Action Reach Arm Test (ARAT): It will be used to assess upper extremity performance (coordination, dexterity, and functioning). It is a 19-item observational measure. Items are categorized into four subscales (grasp, grip, pinch, and gross movement) and arranged in order of decreasing difficulty. Subjects are first asked to perform the most difficult task within a subscale, followed by the least difficult task. while scoring the individual based on their performance of each task -Required Equipment: Chair without armrests, Table, Wooden blocks of various sizes, Cricket ball, Sharpening stone, Alloy tubes, Washer and bolt, 2 glasses Sharpening stone, Marbles, Ball bearings, and a Tin lid. -scoring: Task performance is rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally). Scores on the ARAT may range from 0 to 57 points, with a maximum score of 57 indicating better performance.
Secondary Outcomes
- Analysis of upper limb kinematics (shoulder, elbow, and wrist Positions and acceleration speed of movement) using Kinovea software(Before enrollment and at the end of treatment at 6 weeks)
Investigators
Mohamed Ahmed Mohamed Mousa
Assistant lecturer of physical therapy for neurology and neurosurgery
Cairo University