Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Stroke is a leading cause of upper extremity deficits worldwide. Persistent upper extremity dysfunction affects many post stroke patients and is strongly associated with decreased activities of daily living and poor quality of life.
There is accumulating evidence of a cross-over effect with training of one limb that slightly increase strength and coordination in contralateral untrained limb through neurological adaptations.
One of rehabilitation that is beneficial for stroke patient is motor imagery, a mental rehearsal of a movement that does not include physical movement has been shown to enhance upper limb function.
Evidence demonstrate that MI not only activates motor cortical and subcortical regions but also induces plastic change in motor networks and modulates synaptic activity at spinal level.
OBJECTIVE:
The objectives of this study are:
HYPOTHESIS
Alternate Hypothesis:
There will be statistically significant difference in effects of motor imagery technique combined with conventional physical therapy and in comparison to conventional physical therapy alone on upper limb functional strength, coordination and functional improvement in chronic stroke. (p<0.05).
Null Hypothesis:
There will be no statistically significant difference in effects of motor imagery technique combined with conventional physical therapy and in comparison to conventional physical therapy alone on upper limb functional strength, coordination and functional improvement in chronic stroke. (p>0.05).
Research Design: Experimental study. Randomized Control Trial
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CONTROL GROUP A- CONVENTIONAL PHYSICAL THERAPY | Active Comparator | The participants will receive conventional physical therapy focusing on active range of motion, strengthing and coordination exercises. Subjects will receive protocol of 45 min thrice a week for 8 weeks with 2 min rest in between. The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination. |
|
| INTERVENTION GROUP B- MOTOR IMAGERY WITH CONVENTIONAL PHYSICAL | Experimental | The participants will recieve conventional physical therapy focusing on active range of motion, strengthing and coordination exercises. Subjects will recieve protocal of 45 min thrice a week for 8 weeks with 2 min rest in between. The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention Group A Conventional Physical Therapy | Procedure | Active Range of Motion Exercises: (5-10 reps with 2 sets) Finger bends, finger spreads, finger to thumb opposition, thumb to palm stretches, palm up and down, wrist rotation, wrist bends, elbow bends, shoulder shrugging and shoulder rotation. Strengthening Exercises: (10-15 reps 2 sets weight 500 ml to 1L water bottle). Finger pinch, power grip, finger spread, pushing movement, wrist curls, roll and squeeze, bicep curls, side arm raise, lifting objects to a height, pulling resistance band. Coordination Exercises: (10-15 reps 2 sets) finger to finger, finger to doctor's finger, finger to nose, holding and lifting coins, buttoning, holding and lifting coins, alternate hand movement, closing and opening hand. |
| Measure | Description | Time Frame |
|---|---|---|
| FUNCTIONAL STRENGTH | FUNCTONAL STRENGTH WILL BE ASSESSED USING WOLF MOTOR FUNCTION TEST | 8 weeks |
| Coordination | The Action Research Arm Test (ARAT) will be used to assess upper extremity performance | 8 weeks |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AYESHA ASIF, DPT | Contact | +92 316-5314207 | ayesha97asif@gmail.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Thrapy | Recruiting | Islamabad | 44000 | Pakistan |
Not provided
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Intervention Group B Motor Imagery with Conventional Physical Therapy | Procedure |
Motor Imagery Training: Week 1-2: Approaching and holding a cup, turning book pages and grasping pencil to write. Week 3-4: wiping desk, turning door handle and drinking water from cup. Week 5-6: pressing light switch on and off, turning faucet and putting card in wallet. Week 7-8: folding towel, brushing teeth and brushing hair. Imagine for 30 sec 2-3 repetitions. |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |