Effect of Isolated Versus Synergetic Muscle Facilitation on Upper Limb Functional Performance in Patients With Acute Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Evaluation of upper limb functional performance (dexterity- coordination) using the Action Reach Arm Test (ARAT)
研究概览
简要总结
This study is a randomized controlled clinical trial that will be carried out to investigate the effect of isolated versus synergetic muscle facilitation on upper limb functional performance in patients with acute stroke.
RESEARCH QUESTION:
Is there a difference between isolated and synergetic muscle facilitation on upper limb functional performance in patients with acute stroke?
It will be hypothesized that:
There will be no difference between isolated and synergetic muscle facilitation on upper limb task-oriented training in patients with acute stroke.
Treatment procedures:
Study group (A): patients will receive a physical therapy program in the form of a range of motion exercise, electrical muscle stimulation, stretching exercise, mental practice with motor imagery, and isolated muscle facilitation using electromyography (EMG) biofeedback for six weeks and followed by task-oriented training of the upper limb for six weeks control group (B): will receive a standard physical therapy program including range of motion exercise, electrical muscle stimulation, Mental practice with motor imagery and stretching exercise, synergetic muscle facilitation for six weeks, and followed by task-oriented training of the upper limb for six weeks.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral Middle cerebral artery (MCA) stroke patients
- •Brunnstrom stage of recovery 1& 2
- •Normal body mass index (18.5 - 24.99 kg/m2)
- •Dominant handedness
排除标准
- •Perceptual, apraxia, major cognitive deficits
- •Recurrent stroke
- •Subjects with cerebellar lesions, painful or subluxated shoulder, any contracture or deformity of the upper extremity
结局指标
主要结局
Evaluation of upper limb functional performance (dexterity- coordination) using the Action Reach Arm Test (ARAT)
时间窗: before enrollment and the end of treatment at 6 weeks
\- Action Reach Arm Test (ARAT): It will be used to assess upper extremity performance (coordination, dexterity, and functioning). It is a 19-item observational measure. Items are categorized into four subscales (grasp, grip, pinch, and gross movement) and arranged in order of decreasing difficulty. Subjects are first asked to perform the most difficult task within a subscale, followed by the least difficult task. while scoring the individual based on their performance of each task -Required Equipment: Chair without armrests, Table, Wooden blocks of various sizes, Cricket ball, Sharpening stone, Alloy tubes, Washer and bolt, 2 glasses Sharpening stone, Marbles, Ball bearings, and a Tin lid. -scoring: Task performance is rated on a 4-point scale, ranging from 0 (no movement) to 3 (movement performed normally). Scores on the ARAT may range from 0 to 57 points, with a maximum score of 57 indicating better performance.
次要结局
- Analysis of upper limb kinematics (shoulder, elbow, and wrist Positions and acceleration speed of movement) using Kinovea software(Before enrollment and at the end of treatment at 6 weeks)
研究者
Mohamed Ahmed Mohamed Mousa
Assistant lecturer of physical therapy for neurology and neurosurgery
Cairo University