Effects of Robotic Gloves Along With Task-oriented Mirror Therapy on Motor Functions of Hands in Sub-acute Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Dexterity
研究概览
简要总结
This study is randomized control trial and purpose of this study is to find effects of robotic gloves assisted task-oriented mirror therapy in comparison with task-oriented mirror therapy on motor functions of hand in sub-acute stroke patients.
详细描述
Motor functions of the hand involve different movements and activities that the hand can perform due to the coordination of different muscles group in everyday activities which involves dexterity, manipulative skills and task performance skills which includes grasp, release and different types of grips of hand.
RATIONALE:
While the mirror therapy has been studied extensively and literature provide good quality of evidence for effects of mirror therapy on motor functions of hands the integration of pneumatic Robotic Mirror Therapy is relatively less explored .
and there is no comparison between Task oriented MT and pneumatic Robotic Mirror Therapy
SIGNIFICANCE This study will increase the understanding and therapeutic potential of robotic gloves assisted task-oriented MT mirror therapy and will demonstrate its efficacy as beneficial interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •40 years and above.
- •Ischemic (MCA) stroke.
- •Male and females both.
- •Montreal Cognitive Assessment (MoCA score >24 points).
- •Motor power of proximal upper Extremity at least 3 with ability to reach out.
- •FMA score for upper Extremity below 47
- •Modified Ashworth spasticity score <2 in hands and finger joints.
- •Ability to sit for at least 60 minutes
排除标准
- •Musculoskeletal problems such as severe pain in any joints of the paretic upper extremity.
- •Contractures in shoulder, elbow, hand or finger joints.
- •Severe Visual impairments.
研究组 & 干预措施
INTERVENTION GROUP (A)
INTERVENTION GROUP (A) will receive Robotic Gloves Assisted Task-Oriented Mirror Therapy along with conventional therapy.
subjects will sit on a chair and placed their both hands on the table. Patients will wear the soft robotic glove on affected hand and the data glove the unaffected hand.
Subjects will be instructed to visually observe the hand being moved by soft robotic glove
- In mirror training mode: Synchronized flexion and extension training with both hands.
- Task oriented activities: With help of robot patient will practice grasping, releasing the tennis ball, positioning the cup upright, carrying a wooded block, putting a ball
干预措施: Robotic Gloves assisted Task-oriented mirror therapy (Procedure)
INTERVENTIONAL GROUP (B)
INTERVENTIONAL GROUP (B) will receive Task-Oriented Mirror Therapy along with conventional therapy.
Both the extremities of the subject will be placed on the table and mirror will be placed in the patients' mid sagittal plane. Mirror will be placed in such a way that the reflection of the non-affected arm to be seen.
- Grasping and releasing (cylindrical grasp, spherical grasp, hook grasp, pincer grasp)
- Task oriented activities: positioning the cup upright, carrying a wooded block and putting a ball.
干预措施: Task-Oriented Mirror Therapy (Procedure)
结局指标
主要结局
Dexterity
时间窗: 8 weeks
An action research arm test will be used. Scores were rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally) for a maximum score of 57.
hand motor functions
时间窗: 08 Weeks
Fugl Meyer Assessment (FMA-UE), wii be used to assess motor functions of hands FMA:used to measure motor recovery in stroke patients. it has a maximum score of 66 points FMA hand section will be used to assess motor functions of hands from baseline to end of interventions.
unilateral gross manual dexterity
时间窗: 8 weeks
Box and block test is used to assess the unilateral gross manual dexterity of the hand. Subjects will be asked to move a wooden block from one compartment to the other.
次要结局
未报告次要终点