Effects of mCIMT vs CT on Upper Extremity Motor Function and ADLs in Chronic Stroke Patients

NCT06548295 | Active Not Recruiting DMC

• 1 other identifier: MSRSW/Batch-Fall22/733
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

"Cerebral palsy (CP) affects gross motor function variably, with the spastic type notably impacting movement, coordination, and balance. Research highlights that spastic CP, characterized by muscle stiffness, can severely hinder activities like walking and running.

Conditions

Chronic Stroke

Outcome Measures

Primary Outcomes (2)

• Barthal index

  Barthel Index (BI) stands out as a widely utilized measure for assessing basic activities of daily living (ADL). Scores of 0-20 indicate "total" dependency. Scores of 21-60 indicate "severe" dependency. Scores of 61-90 indicate "moderate" dependency.

  12 Months

• The use of FMA-UE

  measureing comprising 30 items for motor function and 3 items for reflex function, provides a comprehensive evaluation of motor abilities . In regards to UE feature, 33 elements evaluate motor function, six items assess sensitivity and proprioception, while the last 24 points rate joint pain and mobility. Every item of the assessment scale is marked on an ordinal level, from 0 to 2; the 0 value corresponds with the impossibility to perform a movement, and 2 represents the ability to perform a complete and adequate movement

  12 months

Study Arms (2)

modified constraint induced movement therapy (mCIMT)

EXPERIMENTAL

Behavioral: modified constraint induced movement therapy (mCIMT)

conservative treatment

EXPERIMENTAL

Combination Product: conservative treatment

Interventions

modified constraint induced movement therapy (mCIMT) BEHAVIORAL

Restraint the involved extremity by using a mitten. Repetitive task practice i.e filling a glass, drinking a glass of water, and eating with a spoon , stacking cones and stacking blocks, grasping and releasing of an object, reaching forward and sideways, lifting and dropping of an object from the one end of table to the other end. The shaping exercises included cube stacking, card turning, throwing balls into a box, grasping/holding and placing objects of different sizes, and drawing and painting exercises. Intervention: 5 sessions per week for 50 minutes for 6 weeks

modified constraint induced movement therapy (mCIMT)

conservative treatment COMBINATION_PRODUCT

The conservative rehabilitation program consisted of upper-limb range of motion exercises, positioning, stretching, and strengthening exercises, Passive mobilization of the shoulder ,elbow , wrist and small joints of hand Stretching of the affected arm including biceps, triceps and muscles of forearm and hand. Strengthening exercises of upper arm and forearm muscles involved. Intervention: 5 sessions per week for six weeks and 50 mintues

conservative treatment

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants will be under the age of 40-75 years
• Diagnosis: stroke

You may not qualify if:

• patients suffering from motor dysfunction due to other diseases (e.g., cerebral palsy, traumatic brain injury, and Parkinson's disease
• Balance problem
• Rheumatic diseases
• High spasticity

Sponsors & Collaborators

• Superior University: lead

Study Sites (1)

Little angles home aziz bhati shaheed road opposit junior aps

Sialkot, Pakistan

Location

MeSH Terms

Interventions

Conservative Treatment

Intervention Hierarchy (Ancestors)

Therapeutics

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: August 7, 2024
• First Posted: August 12, 2024
• Study Start: October 1, 2023
• Primary Completion: May 1, 2024
• Study Completion: September 30, 2024
• Last Updated: August 12, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)