Comparative Effects of Constraint-Induced Movement Therapy With Bilateral Functional Task Training On Hand Function In Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Upper extremity performance
研究概览
简要总结
Task-oriented training is an approach that will encourage active participation of the patient making treatment functional and task orientated in order to achieve the best possible recovery following injury.
Neurorehabilitation studies have shown that Constrained induced movement therapy can increase both motor function and the use of the paretic arm and that these improvements parallel changes in the activation of the brain sensorimotor network.
Bilateral Functional Task Training which promotes the use of the paretic limb simultaneously with the nonparetic limb. Many of our daily chores are bimanual and utilize concurrent use of both arms.
详细描述
OBJECTIVES:
The objectives of this study are:
- To determine the effects of constraint induced movement therapy post-stroke patients with motor impairment of hand in terms of grasp/grip, pinch and gross movements.
- To determine the effects of bilateral functional task training post-stroke patients with motor impairment of hand in terms of grasp/grip, pinch and gross movements.
- To determine the comparative effects of constraint, induced movement therapy versus bilateral functional task training post-stroke patients with motor impairment of hand in terms of grasp/grip, pinch and gross movements.
HYPOTHESIS:
Alternate Hypothesis:
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 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both genders.
- •Age range from 40 to 60 years.
- •Diagnosed Cases of Stroke.
- •MMT greater than Grade
- •Wrist ROM valid for functional tasks.
- •Brunnstrom stages of recovery: Grade 4
- •MAS: Grade 2 or less
排除标准
- •Active joint disease (rheumatoid, or any other rheumatological disease)
- •Recent history of upper limb surgery.
- •Contractures or Deformity.
- •Inability to follow-2-step commands.
- •Psychiatric diagnoses.
研究组 & 干预措施
Experimental group A
It includes participants receiving task oriented combined with bilateral functional task training exercises for 10 weeks treatment.
干预措施: Task -oriented training with bilateral functional task training exercises (Procedure)
Experimental group B
This group involves participants receiving task oriented training with constrained induced movement therapy exercises for a period of 10 weeks.
干预措施: Task Oriented Training with CIMT (Procedure)
结局指标
主要结局
Upper extremity performance
时间窗: 10 weeks
Action Research Arm Test (ARAT) will be used for estimation of upper-limb function. This is a summated rating scale with 4 domains: Grasp, Grip, Pinch, and Gross. Scoring is based on the performance of several tasks from each domain. Each task is rated from 0 to 3, where higher scores denote less disability.
次要结局
未报告次要终点