Effect of MRP With and Without EMS on Gait, Functional Independence and QOL in Stroke Patients

Not Applicable

Recruiting

Interventions: Other: motor relearning programme
Other: electrical muscle stimulations with motor relearning programme

Brief Summary: To determine the effects of motor relearning programme with and without electrical muscle stimulation on gait, functional independence and quality of life in hemiplegic stroke patients.

Detailed Description: A study was performed a motor relearning program in stroke survivors. A clinically significant improvement was found in the motor relearning groups, and only in one study is this improvement significant compared to another intervention.

Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post-Stroke. While the potential for enhancing functional motor ability seems less clear, the current systematic review and meta analysis's results point to a significant positive impact of NMES on ADL function during the post stroke rehabilitation process.

People with hemiparesis who received both conventional treatment and interventions based on motor relearning showed a significant improvement in their level of disability. There were no appreciable gains in the HRQoL perception.

Many research investigations have been carried out to assess the effects of motor relearning programs with regard to specific functional aspects and physical deficiencies. Up to the researcher's knowledge, there is no data to assess the effects of electrical muscle stimulation along with motor relearning programs in stroke patients. Therefore, the purpose of this study is to compare how a motor relearning program with and without electrical muscle stimulation affects hemiplegic stroke patients' gait, level of functional independence, and quality of life.

Recruitment & Eligibility

Inclusion Criteria

Diagnosed as hemiplegic stroke
- Age between 45-65 years
- Both males and females
- Mini-Mental State Examination score ≥24
- Able to stand independently for at least 1 min and (5) can ambulate 25 feet/10 m (with or without the assistive device)

Exclusion Criteria

Experiencing balance problems as a result of neurological conditions other than stroke (for instance cerebellar impairment, inner ear dysfunction, or Parkinson's disease)
- Fixed ankle or foot contracture.
- A serious cardiac disease (aorta stenosis, angina, hypertrophic cardiomyopathy, arrhythmia and pacemakers).
- congenital limb deformities

Arm && Interventions

Group	Intervention	Description
Electrical Muscle Stimulation	motor relearning programme	Electrical Muscle Stimulation with Motor Relearning programme
Intervention physical therapy	motor relearning programme	Motor Relearning programme training
Electrical Muscle Stimulation	electrical muscle stimulations with motor relearning programme	Electrical Muscle Stimulation with Motor Relearning programme

Primary Outcome Measures

Name	Time	Method
Functional Independence Measurement (FIM).	baseline week 1 and post interventional week 8	The Functional Independence Measure (FIM) instrument was applied to assess the changes in functional ability. Out of the eighteen items in the FIM, thirteen evaluate physical domains and five evaluate cognitive functions. Each item is scored from 1 to 7 ("1" total dependence; "7" complete independence). The final score ranges from 18 to 126.

Secondary Outcome Measures

Name	Time	Method
Dynamic Gait Index	baseline week 1 and post interventional week 8	The DGI has 8 items: walking, walking while changing speed, walking while turning the head horizontally and vertically, walking with pivot turn, walking over and around obstacles, and stair climbing. The scoring of the DGI is based on a 4-point scale ranging from 0 to 3, with 0 indicating severe impairment and 3 indicating normal ability. The best performance total score is 24. A low composite DGI score thus indicates greater impairment in functional mobility.
Stroke specific quality of life	baseline week 1 and post interventional week 8	The SSQOL is a valid, reliable measurement that assesses health-related quality of life in stroke subjects and consists of a 49-item scale (each scored 1-5) representing 12 domains, for a maximum score of 245. All subjects were assessed while not wearing the treatment device.