The effectiveness of EMG biofeedback and mirror visual feedback on improving hand function in subacute stroke. A Quasi experimental study.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- w/h Fugl meyer upper extremity
研究概览
简要总结
Hand function impairment is one of the most disabling consequences of stroke, affecting up to 80% of stroke survivors. The loss of hand function and motor control severely limits the ability to perform essential activities of daily living such as, eating, dressing and writing there by reducing independence and quality of life. EMG biofeedback and mirror therapy have individually shown promising effects on hand recovery while advanced neurorehabilitation techniques such as robotic therapy, VR have been widely studied, direct comparison between EMG biofeedback and mirror therapy remains limited. This study aims to compare the effectiveness of EMG biofeedback and mirror therapy for improving hand function in sub-acute stroke.
Based on purposive sampling method sub-acute stroke patients are taken from Sri Ramakrishna hospital from the department of neurorehabilitation center. Total number of 20 patients selected by inclusion and exclusion criteria. The patients are divided into two groups according to their availability and purposively allocated. The pre test measure was taken by FMA-UE scale and Goniometer for hand function and wrist extension ROM .A well explained consent form is given and the approval of patients are received.
One group patients (10) are wrist exercise with mirror visual feedback, the other group (10) receives wrist extension exercise with EMG biofeedback. After 2 months of follow up the post test measure will be taken to determine the effects.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 45.00 Year(s) 至 55.00 Year(s)（—）
- 性别
- All
入选标准
- •Diagnosed left MCA ischemic stroke, Sub acute phase, Good static trunk balance, No history of use of EMG or mirror therapy, Brunnstrom stage 4,5 Minimum 10 degree of active flexion and extension of wrist.
排除标准
- •Associated neurological disorder, Cognitive disorder MMSC less than 24, Perceptual disorders, RSD, Subluxed shoulder, Pusher syndrome, Modified Ashworth scale more than 3.
结局指标
主要结局
w/h Fugl meyer upper extremity
时间窗: pre test of individual participant will be assessed before the first session and post test will be assessed by end of last session which is after 2 months follow up.
for hand function evaluation.
时间窗: pre test of individual participant will be assessed before the first session and post test will be assessed by end of last session which is after 2 months follow up.
次要结局
- Goniometer- wrist extension ROM(pre test of individual participant will be assessed before the first session & post test will be assessed by end of last session which is after 2 months follow up.)
研究者
Poornima D
College of physiotherapy, Sri Ramakrishna institute of paramedical sciences