Use of Rhythmic Auditory Cueing During Bilateral Training of the Upper Extremities in Stroke Patients

NCT04939493 | Completed DMC

• 1 other identifier: Reem_MSc
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to determine the effect of rhythmic auditory cueing with bilateral arm training on upper limb functions in stroke patients.

Conditions

Hemiplegia, Spastic

Outcome Measures

Primary Outcomes (3)

• Assessing the change in Upper Extremity Motor Performance

  Assessment via using Upper Extremity Motor Performance scale. This scale has been shown to be valid and reliable, and it correlates well with inter joint upper extremity coordination. It has a maximum score of 66

  Baseline and 6 weeks post-intervention

• Assessing the change in upper limb Motor Function

  Assessment via using Wolf Motor Function Test (WMFT) The final time score will be the median time required for all timed tasks executed. One hundred twenty seconds is the maximum time allowed for each task attempted Timing is carried out using a stopwatch.

  Baseline and 6 weeks post-intervention

• Assessing the change in gross manual dexterity

  Assessment via using Box and Block Test Involves moving 1-inch cube blocks from a rectangular box container to another container, and the number of blocks moved by each hand in 60 seconds is determined using stop watch

  Baseline and 6 weeks post-intervention

Study Arms (2)

Rhythmic Auditory Cueing

EXPERIMENTAL

Group (B): Patients in this group will receive the same designed physical therapy program given to the control group in addition to auditory cueing during bilateral arm training using the metronome.

Other: Rhythmic Auditory Cueing; Other: Bilateral arm training; Other: Conventional physical therapy program

Bilateral arm training

ACTIVE COMPARATOR

Patients in this group will receive a standard physical therapy program in addition to Bilateral arm training.

Other: Bilateral arm training; Other: Conventional physical therapy program

Interventions

Rhythmic Auditory Cueing OTHER

Patients will perform the same movement sequence in time with the metronome beat. The frequency of the rhythmic auditory stimulation will be matched to the participant"s preferred movement speed, which will be assessed prior to the start of the trial, and participants typically started moving after they had heard the metronome beat two to three times. Participants will be given sufficient practice trials to ensure full understanding before the actual recording of data, and will be given 3-minutes break between trials. On the 3rd and 5th week, the rhythm frequency was increased by 5%.

Rhythmic Auditory Cueing

Bilateral arm training OTHER

Training will consist of 20 minutes of bilateral arm training In each session, patients will be seated comfortably at a table in the following limb positions: ankles in neutral dorsiflexion, knees and hips placed at 90°, shoulders in 0° flexion, elbows in 60° flexion, and wrists in neutral position of flexion/extension

Bilateral arm training; Rhythmic Auditory Cueing

Conventional physical therapy program OTHER

Scapular mobilization. Thoracic spine mobilization. Mechanical assisted (active and passive) exercises. Therapeutic positioning as weight bearing on the paretic arm. Opening and closing closed fist. Strengthening exercise. Stretching of spastic muscles.

Bilateral arm training; Rhythmic Auditory Cueing

Eligibility Criteria

• Age: 45 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Thirty patients with ischemic stroke from both sexes will be included.
• Patients will have stroke for the first time.
• The age of patients will range from 45 to 60 years.
• Duration of illness will be from six months to eighteen months.
• The degree of spasticity will ranged from 1 to 1 + grade according to the modified Ashworth scale.
• Patients will have moderate arm motor impairment (between 30 and 49 scores) according to Fugl-Meyer (FM) arm section scale.
• The affected upper extremity will be the dominant side.
• Patients will be able to sit and maintain balance in a sitting position.

You may not qualify if:

• The patients will be excluded if they have:
• Visual or auditory deficits.
• Perceptual disorders.
• Any surgical interventions in the upper extremities limiting the range of motion.
• Aphasia or apraxia.
• Musculoskeletal or neurological impairment of the unaffected upper extremity.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Outpatient clinic - Faculty of Physical Therapy - Cairo University

Dokki, Egypt

Location

MeSH Terms

Conditions

Hemiplegia

Condition Hierarchy (Ancestors)

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

Study Officials

• Reem Abdelhady

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 17, 2021
• First Posted: June 25, 2021
• Study Start: January 1, 2021
• Primary Completion: May 30, 2021
• Study Completion: June 15, 2021
• Last Updated: June 25, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)