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
This randomized clinical trial will examine upper limb rehabilitation in individuals recovering from stroke. The study will compare unilateral and bilateral task-oriented training approaches to determine their relative effectiveness. Thirty-two medically stable participants with active shoulder movement and adequate cognition will be enrolled into two groups. Both groups will receive structured training for four weeks. Outcomes related to motor function and dexterity will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper extremity function after stroke.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unilateral task oriented training with Electrical Muscle Stimulation | Experimental |
| |
| Bilateral task oriented training with Electrical Muscle Stimulation | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unilateral task oriented training (UTOT) with baseline EMS | Procedure | Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Task oriented functional exercises performed only with affected arm. Task progress from simple to complex e.g. drinking form a cup, lifting a glass to 90° flexion of shoulder, polishing a table, and hair combing. Visual, verbal, or proprioceptive feedback provided to support motor learning. Sessions conducted 4 times/week for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Motor recovery and upper extremity function | Motor recovery and upper extremity performance will be assessed using Fugl-Meyer Assessment for Upper Extremity (FMA-UE). This scale assesses upper limb motor function by examining reflex activity, voluntary movements and movement synergy patterns. It allows systemic tracking of recovery over time. | Four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Hand dexterity | Modified Box and Block test, a customized adaptation of the original test, will assess hand dexterity. It has been validated for use in individuals with stroke and demonstrates high reliability. It supports excellent test-retest reliability meaning strong consistency. | Four weeks |
Not provided
Inclusion Criteria:
• Age between 40 and 75 years
Exclusion Criteria:
• Uncontrolled systemic conditions (e.g. Unstable cardiac conditions)
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr Izza Ayub Principal Investigator | Contact | (041) 8868326 | drizzaayub@gmail.com | |
| Dr Ayesha Principal Investigator | Contact | Ayeshaanwarulhaq12@gmail.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospitals | Recruiting | Kot Addu | Pakistan |
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Bilateral task oriented training (BTOT) with baseline EMS | Procedure | Baseline: EMS applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Same tasks previous group, but performed by both upper limbs, simultaneously in a coordinated manner. Intensity, duration and task complexity matched with UTOT group to ensure comparability. Therapist provides cueing and feedback to maintain proper movement and progression. Sessions conducted 4 times/week for 4 weeks. |
|
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided