Effect Of Neurodynamics On Hand Function, Motor Control And Hand Muscle Spasticity In Individuals With Hemiparesis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Chedoke Arm and Hand Activity Inventory Scale for Hand Function
Study Overview
Brief Summary
NEED OF THE STUDY:
• There are studies that indicate around 85% of stroke patients world-wide have hand dysfunction, with 60% still suffering from upper limb disorders, after treatment and discharge.
• Several studies indicate beneficial effects of Neuro-mobilization in regulating muscle tone, increasing range of motion and improving functional mobility of patients affected by stroke.
• Another study also supports that, neural mobilization is efficient in reducing myoelectric activity in the biceps brachii muscle in patients with stroke and may be used by physiotherapists as an efficient method for treating stroke patients.
• Hand function causes difficulties in performing the most basic activities of daily living (ADL). The rehabilitation of fine motor activity is important for recovering upper limb function.
• As the hand functions are more neglected in rehab, proximal control develops but distal control is always taken for granted.
• So, here the strong need arises to assess the hand functions, motor control and hand muscle spasticity by applying Neurodynamics.
AIM OF THE STUDY:
• To study the effect of Neurodynamics on hand function, motor control and hand muscle spasticity in individuals with hemiparesis.
OBJECTIVES OF THE STUDY:
- To evaluate effect of conventional therapy on hand function by The Chedoke Arm and Hand Activity Inventory in individuals with hemiparesis.
- To evaluate effect of conventional therapy on motor control by Brunnstorm Voluntary Control Gradation in individuals with hemiparesis.
- To evaluate effect of conventional therapy on hand muscle spasticity by The Modified Ashworth Scale in individuals with hemiparesis.
- To evaluate effect of Neurodynamics on hand function by The Chedoke Arm and Hand Activity Inventory in individuals with hemiparesis who will receive NDS and conventional both treatments.
- To evaluate effect of Neurodynamics on motor control by Brunnstorm Voluntary Control Gradation in individuals with hemiparesis who will receive NDS and conventional both treatments.
- To evaluate effect of Neurodynamics on hand muscle spasticity by The Modified Ashworth Scale in individuals with hemiparesis who will receive NDS and conventional both treatments.
- To compare the effect of Neurodynamics vs. conventional therapy on hand function by The Chedoke Arm and Hand Activity Inventory in individuals with hemiparesis.
- To compare the effect of Neurodynamics vs. conventional therapy on motor control by Brunnstorm Voluntary Control Gradation in individuals with hemiparesis.
- To compare the effect of Neurodynamics vs. conventional therapy on hand muscle spasticity by The Modified Ashworth Scale in individuals with hemiparesis.
PROCEDURE:
The subject will be divided into two groups
- Group A: Neurodynamics
- Group B: Conventional therapy with Neurodynamics
Outcome measures will be recorded before and after intervention
Study Design
- Study Type
- Interventional
- Allocation
- Coin toss, Lottery, toss of dice, shuffling cards etc
- Masking
- None
Eligibility Criteria
- Ages
- 40.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Individuals Diagnosed for Any Type of Stroke for More Than Equal to 3 Months
- •Mini Mental State Examination Is Score More Than Equal to 24
- •Modified Ashworth Scale of Long Finger Flexor & Wrist Flexor Less Than Equal to 2
- •Voluntary Control Grade of Wrist More Than Equal to 3.
Exclusion Criteria
- •Any Orthopedic Condition Affecting Hand Functions Such as Rheumatoid Arthritis, Fractures of Hand etc.
- •Severe Cardiovascular Conditions
- •Presence of Any Perceptual or Psychological Disorders
- •Open Wound on Hand.
Outcomes
Primary Outcomes
Chedoke Arm and Hand Activity Inventory Scale for Hand Function
Time Frame: Baseline and at 3 weeks
Secondary Outcomes
- Voluntary control gradation by brunnstrom for Voluntary control(Baseline & at 3 weeks)
- Modified Ashworth Scale for Spasticity(Baseline & at 3 weeks)
Investigators
PANKTI RAVI SHAH
Ahmedabad Institute of Medical Science