A Clinical Trial to Study the Effect of Imagined Progressive Movements in Patients With Paralysis of One Side of the Body.

NCT02232295 | Completed DMC

• 1 other identifier: M44-124
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the Study to evaluate the effect of Graded motor imagery on upper limb motor functions and quality of life in patients with stroke that was conducted in two centers in india. The primary outcome measures were upper limb motor functions at 6 weeks and secondary outcome measure was quality of life at 6 weeks. Research Hypothesis: There would be significant effect of GMI on Upper limb motor functions and quality of life in patients with stroke.

Conditions

Stroke

Keywords

Upper extremity, motor imagery, mirror therapy

Outcome Measures

Primary Outcomes (1)

• Upper limb motor functions

  Primary Outcome measures: FMA Scale and CAHAI scale FMA Scale: It is a stroke specific, performance based impairment index. This scale includes items related to movements of the shoulder, elbow, forearm, wrist, and hand in the upper extremity, as well as the hip, knee, and ankle in the lower extremity. For the present study, only the upper extremity was measured.The total score on the upper extremity part of the FMA ranged from 0 (hemiplegia) to a maximum of 66 points (normal motor performance). The scale was measured at baseline and post intervention. CAHAI Scale: The purpose of this measure is to evaluate the functional ability of the hemiplegic arm and hand to perform tasks. It is designed to encourage the bilateral hand to complete the task.Each task was demonstrated once before performance, then the Score was evaluated of the affected upper extremity using the 7 point activity scale from total assistance (1) to complete

  six weeks

Secondary Outcomes (1)

• Quality of life

  6 weeks

Study Arms (2)

Conventional group

ACTIVE COMPARATOR

Conventional group consist of Upper extremity task oriented functional exercises. Components of Task oriented training include weight bearing, supportive reactions, and reaching, grasping, holding and release activities.

Device: Mirror Box

Graded Motor imagery group and Conventional group

EXPERIMENTAL

Graded Motor imagery is a three stage process, was performed five days a week for six weeks of one hour duration. It comprises of: * Left Right discrimination training (Implicit Motor Imagery) - 2 weeks * Explicit Motor Imagery (Imagined movements) - 2 weeks * Mirror Therapy - 2 weeks

Device: Recognise [TM]

Interventions

Recognise [TM] DEVICE

Recognise accurately measures to identify left and right body parts and movements, and to train left/right discrimination as part of a comprehensive GMI rehabilitation process.

Also known as: Online Recognise software by the NOI group, Australia

Graded Motor imagery group and Conventional group

Mirror Box DEVICE

A resource used for many pain and disability states of the hands and feet.

Conventional group

Eligibility Criteria

• Age: 45 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age (between 45 to 65 years)
• Individuals who experienced one episode of stroke only.
• Both males and females were included in the study
• Both ischemic \& haemorrhagic stroke individuals were included in the study
• Duration of stroke between 1 to 6 months
• Mini mental status examination (MMSE) (score \> 23)
• Patients with Brunnstrom stage 1 \& 2

You may not qualify if:

• Individuals having any musculoskeletal disorders
• Individuals having any neurological disorder other than stroke
• Individuals with any visual impairment
• Individuals having any systemic disease
• Non cooperative patients
• Patients suffering from psychological problems

Sponsors & Collaborators

• Maharishi Markendeswar University (Deemed to be University): lead

Study Sites (1)

Maharishi Markandeshwar institute of Physiotherapy and rehabilitation, MMU, Mullana

Ambāla, Haryana, 133207, India

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Manisha Uttam, Masters in Physiotherapy

  Maharishi Markandeshwar University, Mullana-Ambala

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: August 29, 2014
• First Posted: September 5, 2014
• Study Start: April 1, 2013
• Primary Completion: March 1, 2014
• Study Completion: May 1, 2014
• Last Updated: September 5, 2014

Record last verified: 2014-09

Locations

IN (1)