PNF Strengthening and De-lorme and Watkins Exercises on Upper Extremity Function and Strength in Stroke Patients

Not Applicable

Recruiting

• Conditions: Upper Extremity Paresis
• Interventions: Other: de-lorme and watkins exercises; Other: PNF strengthening exercises

• Registration Number: NCT05904795
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to evaluate the effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercises program in stroke patients with upper limb weakness in chronic stroke patients. The randomized central trial will recruit patients according to consecutive sampling into two intervention groups. One group will receive proprioceptive neuromuscular facilitation strengthening exercises and other group will receive de-Lorme and Watkins exercises program.

Detailed Description

A study in which the participants (n=26) were recruited in the study suffering from stroke and meeting the inclusion criteria. Two groups formed such that patients in group A will be treated with conventional therapy and PNF and group B will be treated with PNF and NMES in along with conventional therapy. The protocol will cover 6 weeks of treatment. Regular assessment at 0,3rd and 6th week will be carried out. In the rehabilitation period, we will evaluate upper extremity function, activities of daily living(ADLs), mental status examination at regular interval during the rehabilitation.In previous studies there is less literature regarding the combine effects of proprioceptive neuromuscular facilitation techniques and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients with upper limb weakness. Therefore there is dire need to explore which training technique is most effective in improving upper limb function and strength in chronic stroke patients therefore this study aims in comparative effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercise program on upper limb function and strength in chronic stroke patients.

Study Timeline

• Study Start: 2023-02-25
• Status Verified: 2023-06
• Study First Submitted: 2023-06-06
• Study First Submitted QC: 2023-06-06
• Last Update Submitted: 2023-06-06
• Study First Posted: 2023-06-15
• Last Update Posted: 2023-06-15
• Primary Completion: 2023-10-18
• Study Completion: 2023-10-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Chronic stroke patients.
• Medically stable patients having a single stroke.
• History of stroke 6 to 24 months.
• A score greater than 24-30 in mini-mental test.
• Patients having consciousness with GC;10

Exclusion Criteria

• Recurrent stroke
• Patients with gullian berrie syndrome, multiple sclerosis lesion osteoarthritis of shoulder.
• Manual muscle testing below grade II.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
de-lorme and watkins progressive resistance exercises	de-lorme and watkins exercises	progressive resistance exercises along with isometrics and range of motion exercises
PNF strengthening exercises	PNF strengthening exercises	Pnf strengthening exercises along with isometrics and range of motion exercises

Primary Outcome Measures

Name	Time	Method
The barthel index scale	4th day	The Barthel Index (BI) is a measure of independence in activities of daily living (ADL).It contains 10 components which has different scores.The total score is calculated by dividing 100.
Hand held dynamometer	4th day	The hand held dynamometry is an objective method in detecting minimum muscle strength change, which has an impact on the physical function of ICU survivors. The minimum change in the fore can be measured in units of weight such as pounds or kilograms.

Trial Locations

Locations (1)

Shahida Islam teaching hospital Lodhran; 🇵🇰 Lodhran, Punjab, Pakistan