Combine Effects of Brunnstorm Movement Therapy and LLLT in Chronic Stroke Patient

NCT06292481 | Completed

• 1 other identifier: REC/RCR&AHS/23/0240
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this study is to determine the combined effects of Brunnstorm movement therapy and low level laser therapy on upper limb function in chronic stroke patient.

Conditions

Chronic Stroke

Keywords

Brunnstorm movement therapy; Hand dexterity; Low-level laser therapy; Stroke

Outcome Measures

Primary Outcomes (5)

• Fugle meyer Assessment test

  6th week

• Box and block test

  6th week

• Nine peg hole test

  6th week

• to check Muscle tone

  Modified Ashworth Scale

  6th week

• to measure grip Strength

  Hand handled dynamometer

  6th week

Study Arms (2)

Brunnstorm Movement therapy

EXPERIMENTAL

this group received Brunnstorm Movement therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks

Other: Brunnstorm movement therapy

Combined Brunnstorm Movement therapy and low level laser therapy

EXPERIMENTAL

this group received Combined Brunnstorm Movement therapy and low level laser therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks

Other: Combined Brunnstorm Movement therapy and low level laser therapy

Interventions

Brunnstorm movement therapy OTHER

this group received Brunnstorm Movement therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks

Brunnstorm Movement therapy

Combined Brunnstorm Movement therapy and low level laser therapy OTHER

this group received Combined Brunnstorm Movement therapy and low level laser therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks

Combined Brunnstorm Movement therapy and low level laser therapy

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age range between 40 \& 60 years (16)
• Both males and females.
• Combined Effects of Brunnstorm movement therapy and LLLT on Upper limb function Hand dexterity in stroke
• Patient with maximum Grade 1 and 1+ spasticity according to Modified
• Ashworth scale and minimum muscle strength of 1 in the biceps brachii muscle.
• Onset of injury : (1 to 2 years)

You may not qualify if:

• Any comorbidity such as malignancy, inflammatory rheumatologic disease, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus erythematosus, etc.
• Have a pacemaker or a history of serious cardiac events or of cardiorespiratory dysfunction.
• Visual impairment
• Any other musculoskeletal disorders of extremity
• Severe cognitive impairment or aphasia leading to difficulty in communication, Participants unwilling to comply with the protocol.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Govt. Mian Munshi DHQ Teaching hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• das Neves MF, Aleixo DC, Mendes IS, Lima FPS, Nicolau RA, Arisawa EAL, Lopes-Martins RAB, Lima MO. Long-term analyses of spastic muscle behavior in chronic poststroke patients after near-infrared low-level laser therapy (808 nm): a double-blinded placebo-controlled clinical trial. Lasers Med Sci. 2020 Sep;35(7):1459-1467. doi: 10.1007/s10103-019-02920-3. Epub 2019 Dec 10.

  PMID: 31823135 BACKGROUND

• da Silva BP, Souza GADS, Filho AADN, Pinto AP, Guimaraes CL, Pereira APC, Neves MFD, Martins PSLL, Lima FPS, Lopes-Martins RAB, Lima MO. Analysis of the effects of low-level laser therapy on muscle fatigue of the biceps brachii muscle of healthy individuals and spastic individuals: Study protocol for a single-center, randomized, double-blind, and controlled clinical trial. Medicine (Baltimore). 2019 Sep;98(39):e17166. doi: 10.1097/MD.0000000000017166.

  PMID: 31574822 BACKGROUND

• Azuma RHE, Merlo JK, Jacinto JL, Borim JM, da Silva RA, Pacagnelli FL, Nunes JP, Ribeiro AS, Aguiar AF. Photobiomodulation Therapy at 808 nm Does Not Improve Biceps Brachii Performance to Exhaustion and Delayed-Onset Muscle Soreness in Young Adult Women: A Randomized, Controlled, Crossover Trial. Front Physiol. 2021 Jun 10;12:664582. doi: 10.3389/fphys.2021.664582. eCollection 2021.

  PMID: 34177615 BACKGROUND

• Stamborowski SF, de Oliveira Spinelli BM, Lima FPS, Costa DR, de Silveira Souza GA, Lima MO, Lopes Martins RAB. The influence of photobiomodulation on the temperature of the brachial biceps during muscle fatigue protocol. Lasers Med Sci. 2021 Oct;36(8):1741-1749. doi: 10.1007/s10103-021-03360-8. Epub 2021 Jul 13.

  PMID: 34255219 BACKGROUND

• Vassao PG, Baldini GS, Vieira KVSG, Balao AB, Pinfildi CE, Campos RMDS, Tucci HT, Renno ACM. Acute Photobiomodulation Effects Through a Cluster Device on Skeletal Muscle Fatigue of Biceps Brachii in Young and Healthy Males: A Randomized Double-Blind Session. Photobiomodul Photomed Laser Surg. 2020 Dec;38(12):773-779. doi: 10.1089/photob.2019.4786.

  PMID: 33332234 BACKGROUND

• Harada T, Miyagi M, Izukura H, Endou G, Ushigome N, Tsuruoka H, Mizutani A, Ohshiro T, Ebihara S. The effect of low level laser therapy for pain in major muscles controlling two joints. Laser Ther. 2019 Jun 30;28(2):111-115. doi: 10.5978/islsm.19-OR-07.

  PMID: 32921909 BACKGROUND

MeSH Terms

Conditions

Stroke

Interventions

Low-Level Light Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Laser Therapy; Therapeutics; Phototherapy

Study Officials

• Binash Afzal, PHD*

  Riphah international university lahore campus

  PRINCIPAL INVESTIGATOR

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: January 28, 2024
• First Posted: March 5, 2024
• Study Start: August 1, 2023
• Primary Completion: September 30, 2023
• Study Completion: October 10, 2023
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)