Efficacy of Modified Constraint-Induced Movement Therapy on the Upper Limb Function of Sub-acute Stroke Patients in Peshawar Pakistan

Not Applicable

Not yet recruiting

• Conditions: Stroke
• Interventions: Other: Modified Constraint-Induced Movement Therapy

• Registration Number: NCT05570461
• Lead Sponsor: NCS University System

Brief Summary

This RCT will also help the clinicians to provide the best treatment to their patients for better outcomes.

The objective of the study is to determine the efficacy of Modified Constraint-induced movement therapy on the Upper Limb function of Sub-acute stroke patients in Peshawar Pakistan.

Alternative Hypothesis: There will be a difference in the means of Modified Constraint-induced movement therapyand traditional physical therapy on the upper limb function of subacute stroke patients.

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-10
• Study First Submitted: 2022-10-03
• Study First Submitted QC: 2022-10-03
• Last Update Submitted: 2022-10-03
• Study First Posted: 2022-10-06
• Last Update Posted: 2022-10-06
• Study Start: 2022-11-04
• Primary Completion: 2023-08-12
• Study Completion: 2023-09-25

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• 1. Age 30 to 60 years
• 2. Both female & male will be included.
• 3. Cognitive and lingual ability to communicate with the research staff.
• 4. A minimum of 10 degrees of active finger extension and 20 degrees of active wrist extension(16).
• 5. A history of a single stroke resulting in a hemiparesis

Exclusion Criteria

• 1. Recurrent stroke during the training period.
• 2. Neurological or orthopedic disorders prohibiting the use of the paretic arm.
• 3. Patients who doesn't show willingness to participate in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Modified Constraint-Induced Movement Therapy	Experimental group will receive Modified Constraint-Induced Movement Therapy and traditional physical therapy to the impaired upper limb based on the repetitive training of functional activities and behavioral shaping and a task-oriented approach, while the unaffected arm of subjects in the Modified Constraint-Induced Movement Therapy group will be constrained by wearing a mitten during the treatment session
Control Group	Modified Constraint-Induced Movement Therapy	Control group therapy will consist of increasing upper limb function with the use of both hands. The session include active or active assistive range of motion exercises, unilateral and bimanual activities, balance and strength training or coordination exercises depending on the severity of motor impairment. Similar to group A, daily therapy will be conducted for 40 min/day, 6 days/ week for upto 2 weeks.

Primary Outcome Measures

Name	Time	Method
Wolf Motor function test	4weeks	Use mainly for post-stroke patients with impaired upper limb motor ability. The purpose of this test is to enumerate upper limb motor ability through a series of functional tasks. The WMFT is an instrument with high internal consistency, interrater reliability and test-retest reliability. The quality of movement during the task is measured by functional ability scale, a 6-point ordinal scale, where 0 = does not attempt with the impaired arm and 5 = arm movement appear to be normal.; Higher the value higher will be the normal function.