PNF Strengthening and De-lorme and Watkins Exercises on Upper Extremity Function and Strength in Stroke Patients

NCT05904795 | Unknown

• 1 other identifier: REC/LHR/23/0215 ZAINAB TEHREEM
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the effects of proprioceptive neuromuscular facilitation strengthening exercises and de-Lorme and Watkins exercises program in stroke patients with upper limb weakness in chronic stroke patients. The randomized central trial will recruit patients according to consecutive sampling into two intervention groups. One group will receive proprioceptive neuromuscular facilitation strengthening exercises and other group will receive de-Lorme and Watkins exercises program.

Conditions

Upper Extremity Paresis

Keywords

Proprioceptive neuromuscular facilitation

Outcome Measures

Primary Outcomes (2)

• The barthel index scale

  The Barthel Index (BI) is a measure of independence in activities of daily living (ADL).It contains 10 components which has different scores.The total score is calculated by dividing 100.

  4th day

• Hand held dynamometer

  The hand held dynamometry is an objective method in detecting minimum muscle strength change, which has an impact on the physical function of ICU survivors. The minimum change in the fore can be measured in units of weight such as pounds or kilograms.

  4th day

Study Arms (2)

PNF strengthening exercises

ACTIVE COMPARATOR

Pnf strengthening exercises along with isometrics and range of motion exercises

Other: PNF strengthening exercises

de-lorme and watkins progressive resistance exercises

ACTIVE COMPARATOR

progressive resistance exercises along with isometrics and range of motion exercises

Other: de-lorme and watkins exercises

Interventions

PNF strengthening exercises OTHER

PNF strengthening exercises 10 repetitions, 1set , 4 days/week along with range of motion exercises total of 4 sessions were given consisting 40 minutes

PNF strengthening exercises

de-lorme and watkins exercises OTHER

The group was given de-lorme and watkins progressive resistance exercises along with range of motion exercises .10 repetitions, 1set, 4 days /week along with range of motion exercises. total of 4 sessions per week each consisting of 40 minutes.

de-lorme and watkins progressive resistance exercises

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Chronic stroke patients.
• Medically stable patients having a single stroke.
• History of stroke 6 to 24 months.
• A score greater than 24-30 in mini-mental test.
• Patients having consciousness with GC;10

You may not qualify if:

• Recurrent stroke
• Patients with gullian berrie syndrome, multiple sclerosis lesion osteoarthritis of shoulder.
• Manual muscle testing below grade II.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Shahida Islam teaching hospital Lodhran

Lodhran, Punjab Province, 47541, Pakistan

RECRUITING

Related Publications (7)

• Andrade SE, Harrold LR, Tjia J, Cutrona SL, Saczynski JS, Dodd KS, Goldberg RJ, Gurwitz JH. A systematic review of validated methods for identifying cerebrovascular accident or transient ischemic attack using administrative data. Pharmacoepidemiol Drug Saf. 2012 Jan;21 Suppl 1(Suppl 1):100-28. doi: 10.1002/pds.2312.

  PMID: 22262598 BACKGROUND

• Zuber M, Mas JL. [Epidemiology of cerebrovascular accidents]. Rev Neurol (Paris). 1992;148(4):243-55. French.

  PMID: 1439451 BACKGROUND

• Gillespie CD, Wigington C, Hong Y; Centers for Disease Control and Prevention (CDC). Coronary heart disease and stroke deaths - United States, 2009. MMWR Suppl. 2013 Nov 22;62(3):157-60.

  PMID: 24264507 BACKGROUND

• Mergenthaler P, Dirnagl U, Meisel A. Pathophysiology of stroke: lessons from animal models. Metab Brain Dis. 2004 Dec;19(3-4):151-67. doi: 10.1023/b:mebr.0000043966.46964.e6.

  PMID: 15554412 BACKGROUND

• Harris JE, Eng JJ. Paretic upper-limb strength best explains arm activity in people with stroke. Phys Ther. 2007 Jan;87(1):88-97. doi: 10.2522/ptj.20060065. Epub 2006 Dec 19.

  PMID: 17179441 BACKGROUND

• Hendricks HT, van Limbeek J, Geurts AC, Zwarts MJ. Motor recovery after stroke: a systematic review of the literature. Arch Phys Med Rehabil. 2002 Nov;83(11):1629-37. doi: 10.1053/apmr.2002.35473.

  PMID: 12422337 BACKGROUND

• Pak S, Patten C. Strengthening to promote functional recovery poststroke: an evidence-based review. Top Stroke Rehabil. 2008 May-Jun;15(3):177-99. doi: 10.1310/tsr1503-177.

  PMID: 18647724 BACKGROUND

MeSH Terms

Conditions

Paresis

Condition Hierarchy (Ancestors)

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

Study Officials

• Hira Jabeen, MSNMPT

  Riphah International Universiry

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hira Jabeen, MSNMPT

CONTACT

03234116506; hirajabeen@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 6, 2023
• First Posted: June 15, 2023
• Study Start: February 25, 2023
• Primary Completion: October 18, 2023
• Study Completion: October 30, 2023
• Last Updated: June 15, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)