Use of Rhythmic Auditory Cueing During Bilateral Training of the Upper Extremities in Stroke Patients

Not Applicable

Completed

• Conditions: Hemiplegia, Spastic
• Interventions: Other: Bilateral arm training; Other: Rhythmic Auditory Cueing; Other: Conventional physical therapy program

• Registration Number: NCT04939493
• Lead Sponsor: Cairo University

Brief Summary

The purpose of the study is to determine the effect of rhythmic auditory cueing with bilateral arm training on upper limb functions in stroke patients.

Detailed Description

Arm and hand movement problems are major contributors to disability in patients after stroke. In fact, only 5% of adults regain full arm function after stroke, and 20% regain no functional use. Hence, alternative strategies are needed to reduce the long-term disability and functional impairment from upper limb hemiparesis.

To solve problems concerning upper limb dysfunction related to stroke, various treatment methods have been used in several previous studies. Rhythmic auditory stimulation has been reported as an effective intervention for improving movement in the affected extremities of stroke patients.

To the best of our knowledge, no mentioned previous studies evaluating the effect of rhythmic auditory cueing with bilateral arm training using functional exercises on upper extremity impairment in patients with stroke in Egypt are reported. So, this study aims to determine the effect of rhythmic auditory cueing with bilateral arm training on upper limb functions in patients with stroke.

Study Timeline

• Study Start: 2021-01-01
• Primary Completion: 2021-05-30
• Status Verified: 2021-06
• Study Completion: 2021-06-15
• Study First Submitted: 2021-06-17
• Study First Submitted QC: 2021-06-17
• Last Update Submitted: 2021-06-17
• Study First Posted: 2021-06-25
• Last Update Posted: 2021-06-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

1. Thirty patients with ischemic stroke from both sexes will be included.
2. Patients will have stroke for the first time.
3. The age of patients will range from 45 to 60 years.
4. Duration of illness will be from six months to eighteen months.
5. The degree of spasticity will ranged from 1 to 1 + grade according to the modified Ashworth scale.
6. Patients will have moderate arm motor impairment (between 30 and 49 scores) according to Fugl-Meyer (FM) arm section scale.
7. The affected upper extremity will be the dominant side.
8. Patients will be able to sit and maintain balance in a sitting position.

Exclusion Criteria

• The patients will be excluded if they have:

  1. Visual or auditory deficits.
  2. Perceptual disorders.
  3. Any surgical interventions in the upper extremities limiting the range of motion.
  4. Aphasia or apraxia.
  5. Musculoskeletal or neurological impairment of the unaffected upper extremity.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Rhythmic Auditory Cueing	Conventional physical therapy program	Group (B): Patients in this group will receive the same designed physical therapy program given to the control group in addition to auditory cueing during bilateral arm training using the metronome.
Bilateral arm training	Bilateral arm training	Patients in this group will receive a standard physical therapy program in addition to Bilateral arm training.
Rhythmic Auditory Cueing	Rhythmic Auditory Cueing	Group (B): Patients in this group will receive the same designed physical therapy program given to the control group in addition to auditory cueing during bilateral arm training using the metronome.
Rhythmic Auditory Cueing	Bilateral arm training	Group (B): Patients in this group will receive the same designed physical therapy program given to the control group in addition to auditory cueing during bilateral arm training using the metronome.
Bilateral arm training	Conventional physical therapy program	Patients in this group will receive a standard physical therapy program in addition to Bilateral arm training.

Primary Outcome Measures

Name	Time	Method
Assessing the change in Upper Extremity Motor Performance	Baseline and 6 weeks post-intervention	Assessment via using Upper Extremity Motor Performance scale. This scale has been shown to be valid and reliable, and it correlates well with inter joint upper extremity coordination. It has a maximum score of 66
Assessing the change in upper limb Motor Function	Baseline and 6 weeks post-intervention	Assessment via using Wolf Motor Function Test (WMFT) The final time score will be the median time required for all timed tasks executed. One hundred twenty seconds is the maximum time allowed for each task attempted Timing is carried out using a stopwatch.
Assessing the change in gross manual dexterity	Baseline and 6 weeks post-intervention	Assessment via using Box and Block Test Involves moving 1-inch cube blocks from a rectangular box container to another container, and the number of blocks moved by each hand in 60 seconds is determined using stop watch

Trial Locations

Locations (1)

Outpatient clinic - Faculty of Physical Therapy - Cairo University; 🇪🇬 Dokki, Egypt