Outcome Measures of Modified Constraint Induced Movement Therapy Versus Dual Task Training on Upper Extremity and Cognitive Functions in Patients With Hemiparesis

Not Applicable

Completed

• Conditions: Hemiparesis
• Interventions: Other: Modified Constraint Induced Movement therapy; Other: Dual task training in the form of cognitive - motor task; Other: Conventional physiotherapy rehabilitation program

• Registration Number: NCT06457022
• Lead Sponsor: Ahmed Alshimy

Brief Summary

All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.

Detailed Description

The patients were classified randomly into three equal groups, Study group A (GA) receiving modified constraint induced movement therapy in addition to conventional physical therapy program, Study group B (GB) receiving dual task training in addition to conventional physical therapy program and control group C (GC) receiving only conventional physiotherapy program.

Study Timeline

• Study First Submitted: 2024-06-08
• Study First Submitted QC: 2024-06-08
• Study Start: 2024-06-10
• Study First Posted: 2024-06-13
• Status Verified: 2024-07
• Primary Completion: 2024-07-05
• Study Completion: 2024-07-10
• Last Update Submitted: 2024-07-18
• Last Update Posted: 2024-07-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Patients with age range between 55 and 65 years old.
• The patients were from both genders (males &females).
• Patients were of duration of illness between 6 and 12 months.
• The patients were scoring 1 &1+ on modified Ashworth scale (mild spasticity).
• The patients were of good ability to see and hear.
• Consent form was obtained from all participants to approve the study and follow the commands.
• All patients were scoring more than 26 on MMSE. All patients were medically stable.

Exclusion Criteria

• patients with moderate and sever spasticity.
• patients with cognitive disorder due to other cause rather than spasticity.
• patients with unstable medical conditions.
• patients with previous or recurrent stroke.
• patients with respiratory problems.
• patients with shoulder dislocation or subluxation or frozen shoulder.
• patients with uncontrolled hypertension, diabetes mellitus, unstable angina or heart failure.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Group A	Modified Constraint Induced Movement therapy	Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.
Group B	Dual task training in the form of cognitive - motor task	Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.
Group A	Conventional physiotherapy rehabilitation program	Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.
Group B	Conventional physiotherapy rehabilitation program	Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.
Group C	Conventional physiotherapy rehabilitation program	Receiving only conventional physiotherapy program for 60 minutes.

Primary Outcome Measures

Name	Time	Method
Biodex isokinetic dynamometer	4 weeks	Used to assess muscle strength and function
Montreal cognitive assessment	4 weeks	a quick test that is used to examine mild cognitive impairment and early dementia.
Fugl Myer upper extremity	4 weeks	a scale used to measure the functional impairment of stroke

Trial Locations

Locations (1)

Al Ryada University for Science and Technology; 🇪🇬 Sadat, Menoufia, Egypt