Circuit Class Training vs. Individual, Task Specific Training in Chronic Stroke Patient

NCT05059704 | Completed

• 1 other identifier: REC/01036 Farwa Azmat
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Due to minimal volitional activation of the impaired arm, these individuals are less able to engage in activities of daily living (ADL's). Moreover, simultaneous use of the hand and arm are needed throughout ADL's. The effects of these two approaches (circuit class training and individual task-specific training) on upper extremity function and activities of daily living (ADL's) have not yet been clearly identified, and studies on its effects on chronic stroke patients are limited.

Conditions

Stroke

Keywords

Spasticity; Motor function

Outcome Measures

Primary Outcomes (1)

• Fugl-Meyer Assessment Scale

  The Fugl-Meyer Assessment is the gold standard to assess motor function of post-stroke hemiparesis. The Fugl-Meyer Upper Extremity (FMUE) Scale is a widely used and highly recommended stroke-specific, performance-based measure of impairment. It is designed to assess reflex activity, movement control and muscle strength in the upper extremity of people with post-stroke hemiplegia.

  8 weeks

Secondary Outcomes (2)

• Modified Ashworth Scale

  8 weeks

• Stroke Specific-Quality of Life Urdu Version (SS-QOL)

  8 weeks

Study Arms (2)

Circuit Class Training

EXPERIMENTAL

Patients will participate in a total of 1.5hour/day for 8 weeks with a 1:3 (therapist to patient). The circuit will be divided into 5 specific stations, 5 to 10 minutes for warm-up tasks and 15 to 20 minutes on each station as tailored to the patient's activity level

Other: Circuit Class Training

Individual Task specific training

ACTIVE COMPARATOR

Patients will participate in a total of 1.5hour/day for 8 weeks with 1:1 (therapist to patient) ratio. During each session, all patients will perform 5 to 10 minutes warm-up tasks, then practiced the selected tasks for the rest of the time.

Other: Individual Task specific training

Interventions

Circuit Class Training OTHER

Station 1 will include tasks for warm-up specific for upper extremity, station 2 will include shoulder exercises, station 3 will include elbow exercises, station 4 will include wrist exercises and station 5 will include hand activities and functional training. Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Circuit Class Training

Individual Task specific training OTHER

Variables such as speed, or/and resistance will progressively increase in difficulty according to each patient's ability.

Individual Task specific training

Eligibility Criteria

• Age: 45 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Mini-Mental State Examination score more than 24
• Chronic stage (i.e. post-stroke duration of 6 months)
• Single episode of stroke
• MAS of 1 to 3 at upper extremity.
• MRS of ≤ 3 at lower extremity.
• MCA stroke
• Scores 32 to 47 on Fugl-Meyer Upper Extremity Scale (FMA-UE)

You may not qualify if:

• Orthopedic conditions that affect the UE function.
• Other neurological conditions, like PD, MS etc.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Al Mustafa Trust Medical and Physiotherapy Centre

Dhok Gujra, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Stroke; Muscle Spasticity

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Muscular Diseases; Musculoskeletal Diseases; Muscle Hypertonia; Neuromuscular Manifestations; Neurologic Manifestations; 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: September 17, 2021
• First Posted: September 28, 2021
• Study Start: June 26, 2021
• Primary Completion: July 31, 2022
• Study Completion: August 31, 2022
• Last Updated: January 17, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)