Comparative Effects of Constraint-Induced Movement Therapy (CIMT) with Motor Relearning Program (MRP) and Bobath Approach to Augment Functional Motor Recovery of Chronic Hemiparetic Arm
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 2
- 主要终点
- Fugl-Meyer Assessment (FMA)
研究概览
简要总结
Hemiparesis is a condition characterized by weakness or the inability to move on one side of the body, making it difficult to perform everyday activities like eating or dressing (Iswatun et al., 2022). It is a common after-effect of stroke that causes weakness on one side of the body, limiting movement and affecting all basic activities such as dressing, eating, and walking. Hemiparesis can also be a sign of a stroke, and the side of the body weakened by hemiparesis could be ipsilateral (the same side as the brain injury) or contralateral (the opposite side of the brain injury) (Obman, 2020).
The symptoms of hemiparesis include: Weakness, Difficulty walking, Loss of balance, Muscle fatigue, Difficulty with coordination, Inability to grasp objects. Additionally, a person with hemiparesis may experience trouble maintaining balance, standing, or walking, as well as a tingling or numbing sensation on the weak side (Brandstaedter & Lindenbaum, 2023). Difficulty grabbing things, moving with precision, and lack of coordination can also be present. Hemiparesis is a one-sided muscle weakness that can affect all or most of the anatomical segments on one side of the body (Dantes et al., 2020).
Constraint-Induced Movement Therapy (MCIMT) with combination of Motor Relearning Program (MRP) has significant effects on stroke rehabilitation. CIMT is considered to achieve its beneficial effects through mechanisms such as overcoming learned nonuse and use-dependent neural plasticity. However, in case of Bobath there in no such evidence. Therefore more studies are needed to evaluate the effects of CIMT with MRP and Bobath only in both acute and chronic post-stroke populations. Therefore, the aim of this research is to focus on rehabilitation of hemiparetic arm. This present study compared the effects of CIMT with MRP versus Bobath to Augment Functional Motor Recovery of Chronic Hemiparetic Arm.
详细描述
To determine the comparative effects of constraint-induced movement therapy (CIMT) with motor relearning program (MRP) and Bobath therapy to augment functional motor recovery of chronic hemiparetic arm.
Study Design: Randomized Control Trial
Study Setting: The data was collected from the University of Lahore Teaching Hospital and Sehat Medical Complex , Lahore.
Study Duration: 9 months after the approval of synopsis.
Sampling technique: It was purposive sampling technique.
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
- Single (Outcomes Assessor)
盲法说明
Single-blinded assessor was considered to minimize bias in outcome measurements. The assessor was unaware of the intervention group assignment for each participant.
入排标准
- 年龄范围
- 50 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with chronic hemiparesis at least 6 months prior to study enrollment (Lang et al., 2016).
- •Chronic hemiparesis affecting one arm only (Lang et al., 2016).
- •Age between 50 and 65 years old (Lang et al., 2016).
- •Patients experiencing functional limitations in upper limb motor function (Gracies et al., 2019).
- •Mini-Mental State Examination (MMSE) score ≥ 24 (Page et al., 2007).
- •Patients with mild to moderate spasticity (Jan et al., 2019).
- •Able to tolerate and participate actively in the assigned intervention (Gracies et al., 2019)
排除标准
- •Recent acute medical/surgical condition unrelated to stroke (Lang et al., 2016).
- •Severe cognitive impairment or communication difficulties (Lang et al., 2016)
- •Uncontrolled pain or spasticity in the affected arm (Lang et al., 2016).
- •History of shoulder instability or major orthopedic surgery in the affected arm (Gracies et al., 2019).
结局指标
主要结局
Fugl-Meyer Assessment (FMA)
时间窗: Baseline, mid-intervention (3 weeks), and post-intervention (6 weeks).
The Fugl-Meyer Assessment (FMA) is a widely used clinical tool designed to evaluate motor impairment, balance, sensation, and joint functioning in individuals with post-stroke hemiplegia. It consists of various items that assess motor function in the upper and lower extremities, providing a comprehensive measure of motor recovery post-stroke.
Modified Ashworth Scale (MAS)
时间窗: Baseline, mid-intervention (3 weeks), and post-intervention (6 weeks).
The Modified Ashworth Scale (MAS) is a 6-point scale used to assess spasticity in patients with lesions to the central nervous system. Scores on the MAS range from 0 to 4, where lower scores represent normal muscle tone and higher scores indicate increased spasticity. The MAS assigns a grade of spasticity based on resistance encountered during passive movement, with a grade of 0 indicating no increase in muscle tone and a grade of 4 representing limb rigidity in flexion or extension.
次要结局
- Pain(Baseline, mid-intervention (3 weeks), and post-intervention (6 weeks).)
研究者
Muhammad Ahad
Clinical Demonstrator
University of Lahore Teaching Hospital