Combined Effects of PNF and Electrical Muscle Stimulation on Spasticity and Hand Function in Stroke Patients.

Not Applicable

Completed

• Conditions: Proprioceptive Disorders; Stroke; Balance; Distorted
• Interventions: Other: control group; Other: experimental group

• Registration Number: NCT05916872
• Lead Sponsor: Riphah International University

Brief Summary

To determine the combined effects of proprioceptive neuromuscular facilitation and electrical muscle stimulation on spasticity and hand function in stroke patients.

Detailed Description

It will be a randomized controlled trial. The stroke patients aged between 30-70 years will be included in this study. Participants will be selected with non-probability convenience sampling technique. Participants will be randomly allocated into two groups by lottery method i.e experimental group and control group. The experimental group will receive proprioceptive neuromuscular technique (contract relax-10 repetition) (5-min) and electrical muscle stimulation(10 min) as 15 min session 3 times a week for four weeks while the control group will receive only conventional therapy. The outcome measure will be calculated by modified barthel index, modified ashworth scale and wolf motor function test.

Study Timeline

• Study Start: 2022-11-01
• Study First Submitted: 2023-06-14
• Study First Submitted QC: 2023-06-14
• Study First Posted: 2023-06-23
• Primary Completion: 2023-09-01
• Study Completion: 2023-09-15
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-26
• Last Update Posted: 2023-10-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Both ischemic and haemorrhagic stroke patients
• Chronic stroke patients from 6 month to 2years
• Mini Mental Scale Examination (MMSE) more than 25

Exclusion Criteria

• Transient ischemic attack
• Recurrent stroke
• Stroke patient with comorbidity and cardiac disease
• Myopathies

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control group	control group	patients in groups B will receive conventional therapy.
experimental group	experimental group	patients in this group will receive contract relax exercises along with EMS

Primary Outcome Measures

Name	Time	Method
Modified Barthel Index:	9 months	It is used for assessing the activities of daily living. It is composed of 10 questions that link the degree of independence to daily living activities. Collin et, al; proposed amendment in 1988, in which each domain was scored in one-point increments, ranging from 0 to 2 or 3 for each activity with a maximum score of 20 suggesting functional independence. It is highly reliable and has a good correlation with other disability measures.
Modified Ashworth Scale:	9 months	Modified Ashworth Scale: It is used to assess the spasticity in patients of stroke or spinal cord injury. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. It is characterized by exaggerated deep tendon reflexes that interfere with muscular activity, gait, movement, or speech. It has excellent validity and reliability.

Trial Locations

Locations (1)

Riphah International University; 🇵🇰 Islamabad, Fedral, Pakistan