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Effects of mCIMT vs CT on Upper Extremity Motor Function and ADLs in Chronic Stroke Patients

Not Applicable
Active, not recruiting
Conditions
Chronic Stroke
Interventions
Behavioral: modified constraint induced movement therapy (mCIMT)
Combination Product: conservative treatment
Registration Number
NCT06548295
Lead Sponsor
Superior University
Brief Summary

"Cerebral palsy (CP) affects gross motor function variably, with the spastic type notably impacting movement, coordination, and balance. Research highlights that spastic CP, characterized by muscle stiffness, can severely hinder activities like walking and running.

Detailed Description

Interventions such as gait training and vibrational therapy have shown promise in enhancing muscle function and body movements. A new device, EKKO, uses vibrational waves based on Neurotransmission Cognitive Theory to improve gross motor skills in children with CP by applying mechanical vibrations to nerve points. This study aims to compare the efficacy of EKKO therapy with traditional conservative treatments (such as range of motion exercises and balance training) in improving gross motor function in children with CP. Conducted over six months with randomized controlled trials, the research seeks to provide evidence-based insights into optimizing rehabilitation strategies for better motor performance and quality of life for CP patients.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Participants will be under the age of 40-75 years
  • Diagnosis: stroke
Exclusion Criteria
  • patients suffering from motor dysfunction due to other diseases (e.g., cerebral palsy, traumatic brain injury, and Parkinson's disease
  • Balance problem
  • Rheumatic diseases
  • High spasticity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
modified constraint induced movement therapy (mCIMT)modified constraint induced movement therapy (mCIMT)-
conservative treatmentconservative treatment-
Primary Outcome Measures
NameTimeMethod
Barthal index12 Months

Barthel Index (BI) stands out as a widely utilized measure for assessing basic activities of daily living (ADL). Scores of 0-20 indicate "total" dependency. Scores of 21-60 indicate "severe" dependency. Scores of 61-90 indicate "moderate" dependency.

The use of FMA-UE12 months

measureing comprising 30 items for motor function and 3 items for reflex function, provides a comprehensive evaluation of motor abilities .

In regards to UE feature, 33 elements evaluate motor function, six items assess sensitivity and proprioception, while the last 24 points rate joint pain and mobility.

Every item of the assessment scale is marked on an ordinal level, from 0 to 2; the 0 value corresponds with the impossibility to perform a movement, and 2 represents the ability to perform a complete and adequate movement

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Little angles home aziz bhati shaheed road opposit junior aps

🇵🇰

Sialkot, Pakistan

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