Comparison of Intermittent Long-Term Constraint Induced Movement Therapy Protocol Versus Standard Motor Relearning Program for Upper Extremity Function in Patients with Stroke
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- 1.Motor activity Log-28
研究概览
简要总结
The patients with stroke suffering from Middle cerebral artery infarct regain motor function in lower limb early and become ambulated. But upper limb functions remain limited causing difficulty in activities of daily living.
The two important interventions to improve upper extremity function are Constraint induced movement therapy and standard Motor relearning program.
The original form of Constraint induced movement therapy involves intensive graded practice of paretic upper extremity for 6 hours a day,5 days a week for 2 weeks (Edward Taub).
Further evidence shows about modified CIMT with less clinical hours and increased amount of time to be spent on home-based practice. A study by Mithil Shah et al (2016) had compared effects of CIMT with Motor relearning program where constraint was given for 3 hours daily for 14 days.
This puts burden on family members / care givers for application of sling and influences the degree and completion of compliance. Therefore, there is a need to frame a revised protocol for CIMT.
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
- 40.00 Year(s) 至 70.00 Year(s)（—）
入选标准
- •All Genders
- •Age group 40 to 70 years
- •First incidence of stroke
- •6th day post Stroke
- •Hemiplegia due to thromboembolus of Middle cerebral artery involvement confirmed on CT or MRI
- •Brunnstroms voluntary control of affected extremity Grade 2
- •Mini Mental Status Examination (MMES) score more than 24
- •Motor Activity Log scores more than 2
- •Patient having at least one care giver at home.
排除标准
- •Hemodynamically unstable patient
- •Patient who developed recurrent stroke during rehabilitation
- •History of traumatic and arthritic conditions interfering with upper extremity function
- •Patients with sensory Stroke
- •Patients who are unable to understand instructions and follow commands.
结局指标
主要结局
1.Motor activity Log-28
时间窗: Subjects will be evaluated 2 times-pretraining 1st week and post-training after 6 weeks
2.Nine Hole Peg Test
时间窗: Subjects will be evaluated 2 times-pretraining 1st week and post-training after 6 weeks
3.Fugl-Meyer Assessment Upper Extremity
时间窗: Subjects will be evaluated 2 times-pretraining 1st week and post-training after 6 weeks
4. Hand Dynamometer
时间窗: Subjects will be evaluated 2 times-pretraining 1st week and post-training after 6 weeks
次要结局
- 1.Serum lactate level
研究者
Amruta Dhondiram Doijad
D.Y.Patil College of Physiotherapy,Kolhapur