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Study to determine if exercises involving daily tasks improve arm and hand function in those who had stroke recently.

Completed
Conditions
Cerebral infarction due to embolism of cerebral arteries,
Registration Number
CTRI/2020/12/030144
Lead Sponsor
Narayana Hrudayalaya Ltd
Brief Summary

The importance of early mobilization after stroke cannot be overemphasized. It is well-established that early and graded mobilization lead to faster recovery and better outcomes. Upper limb function is the most important predictor of independence and almost 70% of stroke patients have some degree of impairment of upper limb. Studies have evaluated task oriented training (TOT) for improvement of upper limb functions in stroke subjects in the subacute and chronic phases. However, there are very few studies where early training of upper limb has been carried out, that too with task-oriented approach of intervention. Hence, this study aims to quantify the gains in upper limb function after upper limb task-oriented training in the acute phase of stroke. Treatment will be delivered soon after 48 hours of the event and outcomes will be assessed at the end of 2 weeks using the MESUPES.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Subjects with first diagnosis of stroke by a neurologist and confirmed by CT scan or MRI.
  • Subjects with age > 21 years.
  • Both male and female subjects.
  • Intact touch, pain and temperature sensations.
  • Paresis but no paralysis on the hand and arm item of Scandinavian Stroke Scale (SSS).
  • Ability to sit on the bed unsupported.
  • Ability to follow commands. (MMSE score ≥ 24).
  • Ability to provide informed consent.
Exclusion Criteria
  • Subjects with residual deficits from previous stroke or CNS lesion.
  • Subjects with any cognitive impairment, receptive aphasia or visual difficulties.
  • Subjects with neuromuscular and orthopedic disorders.
  • Other significant upper limb impairment (pain, frozen shoulder, severe arthritis).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Motor Evaluation Scale for Upper Extremity in Stroke Subjects (MESUPES)2 weeks
Secondary Outcome Measures
NameTimeMethod
Fugl-Meyer Assessment of Sensorimotor Function-Upper Extremity (FMA-UE)2 weeks

Trial Locations

Locations (1)

Mazumdar Shaw Medical Center

🇮🇳

Bangalore, KARNATAKA, India

Mazumdar Shaw Medical Center
🇮🇳Bangalore, KARNATAKA, India
Aashish Nepal
Principal investigator
07483488921
aashishnep1996@gmail.com

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