Effects of Combine EMS and Mirror Therapy in Upper Limb Stroke Patients

NCT05440175 | Completed

• 1 other identifier: Sabahat IRB #351-21
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be designed to evaluate the effectiveness mirror therapy combined with electrical muscle stimulations compared with constraint induced therapy in upper limb stroke patients. The aim of the study is to investigate the therapeutic effectiveness of mirror therapy and EMS in stroke patients and compare the outcomes with CIMT.

Conditions

Stroke

Keywords

Electrical muscle stimulation; Constraint induced movement therapy; Mirror therapy

Outcome Measures

Primary Outcomes (1)

• Fugl- Meyer Assessment

  Fugl- Meyer Assessment scale is a stroke specific performance- based impairment index. it has 226 total score and has 5 domains to assess the motor functions, overall reliability of FMA scale was high overall intraclass correlation coefficient varies from 0.61 to 0.97 for the upper extremity and the validity coefficient ranged from 0.91 to 0.97.

  12 weeks

Secondary Outcomes (1)

• Motor assessment scale

  12 weeks

Study Arms (3)

Group A

EXPERIMENTAL

The participants will be given Mirror therapy along with the electrical muscle stimulation and exercises.

Other: EMS, Mirror therapy & exercises

Group B

EXPERIMENTAL

The participants will be given constraint induced movement therapy (CIMT) along with exercises.

Other: CIMT & exercises

Group C

EXPERIMENTAL

The participants will be given mirror therapy and exercises.

Other: Mirror therapy & exercises

Interventions

EMS, Mirror therapy & exercises OTHER

EMS will be applied with frequency between 20-100 Hz and pulse width between 20 to 450us and Mirror therapy for 30 minutes and four days per week for a total duration of 12 weeks. Exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.

Group A

CIMT & exercises OTHER

Constraint induced movement therapy will be applied for 30 minutes and four days per week for a total duration of 12 weeks, it is a form of rehabilitation therapy that improves upper limb movement, it claims to improve the arm motor ability and the functional use of a paretic arm- hand. Exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.

Group B

Mirror therapy & exercises OTHER

Mirror therapy will be given for 30 minutes and four days per week for a total duration of 12 weeks. The exercises include the flexion, extension of the wrist and elbow, ulnar and radial deviations , place any cylindrical object in patients palm and ask to lift the object off the table. other exercises includes external and internal rotations with different task orientations.

Group C

Eligibility Criteria

• Age: 45 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both male and female stroke patients above 45 years
• Ischemic and Haemorrhagic chronic stroke patients
• Participants should be able to do 100 wrist extension

You may not qualify if:

• Patients with an implanted electrical device
• Patients with paresis
• Patients of hemiplegia caused due to other brain injuries (TBI, tumour), Coordination problem
• Individuals with impaired sensory perception

Sponsors & Collaborators

• Nouman Khan: lead

Study Sites (1)

Shifa tameer e millat university

Islamabad, Federal, 44000, Pakistan

Location

Related Publications (1)

• Lee D, Lee G. Effect of afferent electrical stimulation with mirror therapy on motor function, balance, and gait in chronic stroke survivors: a randomized controlled trial. Eur J Phys Rehabil Med. 2019 Aug;55(4):442-449. doi: 10.23736/S1973-9087.19.05334-6. Epub 2019 Mar 22.

  PMID: 30916531 BACKGROUND

MeSH Terms

Conditions

Stroke

Interventions

Mirror Movement Therapy; Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Rehabilitation; Therapeutics; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• sabahat zahid chaudhary, DPT

  Students

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The participant were blinded about the treatment group in which they are enrolled.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: lecturer

Model Details: This is an randomized control trail in which the stroke patients are divided into three different treatment group.

Study Record Dates

• First Submitted: June 27, 2022
• First Posted: June 30, 2022
• Study Start: June 8, 2022
• Primary Completion: August 31, 2022
• Study Completion: September 5, 2022
• Last Updated: May 10, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)