Comparison of TSTVs NT Along With Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

NCT05397366 | Unknown

• 1 other identifier: DPT/Batch-Fall17/510
• Study Type: interventional
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of Task Specific Training Vs Neurodevelopmental Training Along with Conventional Therapy for Upper Limb Motor Function Among Chronic Stroke Patients

Conditions

Stroke

Outcome Measures

Primary Outcomes (1)

• Neurodevelopmental Training

  37 will receive Neurodevelopmental treatment is based on the premise that the presence of normal postural reflex mechanisms is fundamental to a motor skill's performance. Mini mental state examination test

  6 Months

Secondary Outcomes (1)

• Task Specific Training

  6 Months

Study Arms (2)

Task Specific Training

EXPERIMENTAL

Using Task Specific Training

Diagnostic Test: Task Specific Training

Neurodevelopmental Training

EXPERIMENTAL

Using Neurodevelopmental Training

Diagnostic Test: Neurodevelopmental Training

Interventions

Task Specific Training DIAGNOSTIC_TEST

Group A will be given Task Specific protocol with routine physical therapy treatment for 45 mins on the upper limb for 3 days a week for a period of 12 weeks. This Task Specific protocol will include different exercises like, do the polishing of the table top , can perform arm cradling, can supinate and pronate the cylindrical object with arm , while pushing the cylindrical object can extend the wrist , can reach forward to touch or to pick an object , can bend side ways to pick the object and place it on the table in front , can pour the 1/2cup of water to the wide jar that is held by the patient in other hand , patient can comb his hair , patient can drink and eat independently , can lift the jar and bring it close to lips , can pick up pen by using thumb and two fingers , can do the stacking checkers , can throw a ball into the basket , can push the ball on wall from front and side.

Task Specific Training

Neurodevelopmental Training DIAGNOSTIC_TEST

Group B will receive the Neurodevelopmental protocol with the routine physical therapy for 45 mins on the upper limb 3 times a week for period of 12 weeks. The intervention will be performed by the trained physical therapist. This Neurodevelopmental protocol will include different exercises like , patient should sit while bearing weight , patient can do self-overhead movements with hand clasped , while holding the gymnastic ball reach forward and overhead position while sitting , weight bearing while plantigrade or quadruped position , while sitting or standing can move the ball in forward , backward and sideways.

Neurodevelopmental Training

Eligibility Criteria

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

You may qualify if:

• Chronic ischemic stroke patients( after 3 months of stroke ).(41)
• Patients from both gender.(42)
• Patients of around age of 45-65.(43)
• Patient with limb spasticity equal to 2 or less than 2 on modified ash worth scale.(44)
• Patient with good cognitive function minimum 20 or more on Mini Mental State Examination (MMSE).(45)

You may not qualify if:

• Patients with history of the recurrent stroke.(41)
• Patient with fracture or dislocation of upper limb.(46)
• Patient with any peripheral vascular disease (47)
• Patient with any comorbid neurological disease like Parkinsonism, epilepsy, multiple sclerosis and spinal cord injury.(21)
• Patient with skin discoloration, skin ulcers and skin allergy.(48)

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Shadman Medical Centre Chaudhry Muhammad Akram Teaching and Research Hospital University of Lahore Teaching Hospital Services Hospital Lahore General Hospital Bashir Neuro Supine Institute

Lahore, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 10, 2022
• First Posted: May 31, 2022
• Study Start: May 31, 2022
• Primary Completion: July 1, 2022
• Study Completion: October 1, 2022
• Last Updated: June 9, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)