Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

NCT04707755 | Completed DMC

• 1 other identifier: REC00664 Izharuddin
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

To determine the effects of motor imagery technique on lower limb function among stroke patient. To determine the effects of motor imagery technique on lower limb spasticity among stroke patients. To determine the effects of motor imagery technique on gait among stroke patients. To determine the effects of motor imagery technique on quality of life among stroke patients

Conditions

Spasticity as Sequela of Stroke; Gait, Hemiplegic; Quality of Life

Keywords

Gait; Lower Limb function; Motor imagery

Outcome Measures

Primary Outcomes (5)

• Lower Extremity Function scale

  It is 20 items questionnaire, measure the lower extremity function scoring from 1 to 4 for each items, in which minimum score is 0 and maximum score of 80 shows the maximum functional status. It has a valid and reliable tool to measure the lower extremity functional status.

  8 weeks

• Dynamic Gait Index

  It assess gait, balance and fall risk, with 24 is the maximum score, in which 19 or less have been related to increase incidence of falls. It has high reliability and validity in the stroke population.

  8 weeks

• Time Up and Go test

  It assess a person's mobility and requires both static and dynamic balance. Score of less than 10 seconds indicate freely mobile,\<20 seconds mostly independent, 20-29 seconds variable mobility, \>30 seconds Impaired mobility. It is reliable, valid, and easy to administer clinical tool in stroke patients.

  8 weeks

• Stroke Specific Quality of Life Scale

  It is a self-report questionnaire, measure the quality of life in stroke patients consisting of 49 items in the 12 domains. Scoring from 1 to 5 , in which 1 shows strongly agreement and 5 shows strongly disagreement. It is a reliable and valid tool for measuring the quality of life for stroke patients.

  8 Weeks

• Modified Ashworth scale

  It measures the spasticity, ranging from 0 means normal tone to 4 shows increased tone to such extent where passive movement is not possible. It has good intra-rater reliability and validity in stroke patients .

  8 Weeks

Study Arms (2)

Motor imagery technique

EXPERIMENTAL

Motor Imagery technique Plus Conventional Physical therapy

Other: Motor imagery technique

Conventional Physical therapy

ACTIVE COMPARATOR

passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Other: Conventional Physical Therapy

Interventions

Motor imagery technique OTHER

The patient will sit on chair in a quiet room. The patients will be observing motor performance in video, motor performance video will consist of (1) knee flexion and extension movement, (2) sitting to standing movement, (3) stepping movement, (4) walking, (5) climbing and descending stairs. Addition to motor imagery, the patients will be provided the passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Motor imagery technique

Conventional Physical Therapy OTHER

It includes passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Conventional Physical therapy

Eligibility Criteria

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

You may qualify if:

• Adult without ADHD by Adult ADHD Self-Report Scale score.
• History of no more than one stroke.
• Lower limb muscles spasticity with the grade 1+ or 2 on modified Ashworth in scale.
• Mini-mental status score more than 25.
• Patients who are less than 6 months post-stroke.
• Modified Rankin scale score is 4.

You may not qualify if:

• Lesion of frontal, parietal and basal ganglia
• Excessive spasticity that is score of\>3 on modified Ashworth spasticity scale.
• Any musculoskeletal disorder impeding lower limb function.
• Participating in any experimental rehabilitation or drug studies.
• Bed ridden patient.
• Subjects psychiatric disorder or dementia.
• Any neglect of space on the affected side, or any other neurological disease or auditory or visual.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bibi Zahida Memorial Teaching Hospital

Peshawar, KPK, 251900, Pakistan

Location

Related Publications (3)

• Gul I, Malik MS, Halim A, Rauf S. POST STROKE DEPRESSION: EXPERIENCE AT A TERTIARY CARE HOSPITAL OF PAKISTAN. Pakistan Armed Forces Medical Journal. 2019 Aug 27;69(4):779-83.

  BACKGROUND

• Paravlic AH, Pisot R, Marusic U. Specific and general adaptations following motor imagery practice focused on muscle strength in total knee arthroplasty rehabilitation: A randomized controlled trial. PLoS One. 2019 Aug 14;14(8):e0221089. doi: 10.1371/journal.pone.0221089. eCollection 2019.

  PMID: 31412056 BACKGROUND

• Pedersen SG, Heiberg GA, Nielsen JF, Friborg O, Stabel HH, Anke A, Arntzen C. Validity, reliability and Norwegian adaptation of the Stroke-Specific Quality of Life (SS-QOL) scale. SAGE Open Med. 2018 Jan 8;6:2050312117752031. doi: 10.1177/2050312117752031. eCollection 2018.

  PMID: 29344360 BACKGROUND

MeSH Terms

Conditions

Gait Disorders, Neurologic

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Mirza Obaid Baig, MSPT(NMR)

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 12, 2021
• First Posted: January 13, 2021
• Study Start: August 30, 2020
• Primary Completion: November 28, 2020
• Study Completion: November 30, 2020
• Last Updated: January 13, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)