Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Riphah International University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Byl-Cheney-Boczai Sensory Discriminator Test
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
To determine effects of proprioceptive activities on hand function in chronic stroke patients
Detailed Description
Stroke is causing the long term disability worldwide. The patient in the chronic phase of stroke may suffer from long term hand disability along with both motor and sensory dysfunction. That causes hindrance in performing the ADLs. As the hand is the important organ performing major functions of daily living .So the early restoration of the motor as well as sensory function is necessary. The motive of this study IS to determine effects of proprioceptive activities on hand function in chronic stroke patients. Total 40 chronic stroke patients will be included in the study. They will be randomly allocated in two groups by lottery method that fulfills the inclusion criteria of the study. In group A patients will be recruited and proprioceptive activities will be given to the affected hand for 3 days /week for 2 months. On the other hand in group B conventional therapy will be given for 3 days /week for 2 months. In sensory training graphesthesia and stereognosis will be checked by modified subtest of sensory integration praxis test and Byl-Cheney-Boczai Sensory Discriminator Test respectively. The motor task will be assessed by the wolf motor test. As a baseline treatment hot pack for 15 min will be given to both of the groups
Investigators
Eligibility Criteria
Inclusion Criteria
- •Either right or left sided hemiplegic patients post stroke 6 months to 4 years
- •Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.
Exclusion Criteria
- •Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand
- •Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.
Outcomes
Primary Outcomes
Byl-Cheney-Boczai Sensory Discriminator Test
Time Frame: 15 minutes
For the stereognosis
Graphesthesia (modified sub test of sensory integration praxis test)
Time Frame: 15 minutes
to assess Graphesthesia
wolf motor assessment scale
Time Frame: 15 minutes
The scale was categorized from 0-5.0 represents that UE doesn't attempt tested.1 represents that the UE being tested does not participate functionally.2 represents that UE does movements minor readjustment or change in position, but requires assistance.3 represents UE does movement but movements is effected to certain degree by synergy or performance gradually or with effort.4 represents that movement was close to normal slight slower lack accuracy.5 represents that movement seems to be accurate