Outcome Measures of Modified Constraint Induced Movement Therapy Versus Dual Task Training on Upper Extremity and Cognitive Functions in Patients With Hemiparesis

NCT06457022 | Completed

• 1 other identifier: P.T.REC/012/005007
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.

Conditions

Hemiparesis

Keywords

Modified constraint induced movement therapy; Hemiparesis; Dual task training; Upper extremity; Cognitive functions

Outcome Measures

Primary Outcomes (3)

• Biodex isokinetic dynamometer

  Used to assess muscle strength and function

  4 weeks

• Montreal cognitive assessment

  a quick test that is used to examine mild cognitive impairment and early dementia.

  4 weeks

• Fugl Myer upper extremity

  a scale used to measure the functional impairment of stroke

  4 weeks

Study Arms (3)

Group A

EXPERIMENTAL

Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.

Other: Modified Constraint Induced Movement therapy; Other: Conventional physiotherapy rehabilitation program

Group B

EXPERIMENTAL

Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.

Other: Dual task training in the form of cognitive - motor task; Other: Conventional physiotherapy rehabilitation program

Group C

OTHER

Receiving only conventional physiotherapy program for 60 minutes.

Other: Conventional physiotherapy rehabilitation program

Interventions

Modified Constraint Induced Movement therapy OTHER

patient wears a restraint instrument in his unaffected hand, then applying massed practice to his affected upper extremity. The patient wears padded glove in his unaffected upper extremity for restraining the patient from using his unaffected upper extremity for about 3 hours per day including the treatment session and the home program. So, by this way the patient is reinforced to use his affected upper extremity during this period of time to achieve his activities of daily living. Finally, the total time, the patient spends it during the day wearing the glove should be recorded each day.

Group A

Dual task training in the form of cognitive - motor task OTHER

Verbal fluency: Ask the hemiparetic patient to title many words of specific type as fruits, vegetable or animals. Mental tracking: as the hemiparetic patient to subtract serial 3 between number 90 and 100.

Group B

Conventional physiotherapy rehabilitation program OTHER

Ultrasound on shoulder. Graduated active exercises for shoulder. Prolonged stretching for spastic muscles

Group A; Group B; Group C

Eligibility Criteria

• Age: 55 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with age range between 55 and 65 years old.
• The patients were from both genders (males \&females).
• Patients were of duration of illness between 6 and 12 months.
• The patients were scoring 1 \&1+ on modified Ashworth scale (mild spasticity).
• The patients were of good ability to see and hear.
• Consent form was obtained from all participants to approve the study and follow the commands.
• All patients were scoring more than 26 on MMSE. All patients were medically stable.

You may not qualify if:

• patients with moderate and sever spasticity.
• patients with cognitive disorder due to other cause rather than spasticity.
• patients with unstable medical conditions.
• patients with previous or recurrent stroke.
• patients with respiratory problems.
• patients with shoulder dislocation or subluxation or frozen shoulder.
• patients with uncontrolled hypertension, diabetes mellitus, unstable angina or heart failure.

Sponsors & Collaborators

• Ahmed Alshimy: lead

Study Sites (1)

Al Ryada University for Science and Technology

Sadat, Menoufia, Egypt

Location

MeSH Terms

Conditions

Paresis

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Double
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer of Physical Therapy for Neurology and it's Surgery

Study Record Dates

• First Submitted: June 8, 2024
• First Posted: June 13, 2024
• Study Start: June 10, 2024
• Primary Completion: July 5, 2024
• Study Completion: July 10, 2024
• Last Updated: July 19, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)