Comparing Perceptual Motor Training and Repetitive Facilitation Exercises on UE in Stroke

NCT06688812 | Not Yet Recruiting DMC

• 1 other identifier: REC/RCR & AHS/24/0253
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to determine the comparative effects of perceptual motor training and repetitive facilitation exercises on upper limb quality of movement and motor function in Stroke patients.

Conditions

Stroke

Keywords

exercise; motor skills; rehabilitation; stroke; upper extremity

Outcome Measures

Primary Outcomes (2)

• 1. Motor Evaluation Scale For Upper Extremity In Stroke Patients (MESUPES)

  A 17-items into two sub scales ; MESUPES Arm function; 8 items(score 0-5) MESUPES-Hand function; 9 items (score0-2) objective evaluation scale designed to assess quality of movement of arm and hand function after stroke. MESUPES takes 5-15 min to complete. Total score 58. A higher score indicates the greater the quality of movement

  8 week

• 2. Fugl-Meyer Assessment (FMA):

  The Fugl-Meyer Assessment is used to assess motor function. It is a well-designed, feasible and efficient clinical examination method that has been tested widely in the stroke population. A three-level ordinal scale (0, can perform no part of the test; 1, performs test partially; 2, performs test normally) is applied to each item. A total possible score for the upper extremity is 66. The higher the score, the better the performance.

  8 weeks

Study Arms (2)

Group A Perceptual Motor Training with Routine Physical Therapy

EXPERIMENTAL

Group A will receive treatment session of 60 minutes including Perceptual motor training for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be given 4 days per week for 8 weeks. Effects will be measured at baseline, 4th week and post intervention.

Other: Perceptual Motor Training

Group B Repetitive Facilitation Exercises with Routine Physical Therapy

EXPERIMENTAL

Group B will receive treatment session of 60 minutes including Repetitive facilitation exercises for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be given 4 days per week for 8 weeks. Effects will be measured at baseline, 4th week and post intervention.

Other: Repetitive Facilitation Exercises

Interventions

Perceptual Motor Training OTHER

8 set of exercises 1. Balance training and related exercises 2. Tones of awareness training, body parts' role and related exercises 3. Space awareness training and related exercises 4. Perception of shape training and related exercises 5. Visual perception training and related exercise. 6. Kinesthetic-tactile perception training and related exercises 7. Auditory perception training and related exercises 8. Eye and hand coordination, fine motor movements and related Exercises

Group A Perceptual Motor Training with Routine Physical Therapy

Repetitive Facilitation Exercises OTHER

Eight set of exercises: 1. Shoulder Flexion with 90° Elbow Flexion (Supine). 2. Shoulder Horizontal Extension/Flexion with Elbow flexion (supine). 3. Complex Shoulder and Upper Limb Movements (Supine) 4. Shoulder Flexion/Abduction/External Rotation with Elbow and Forearm Supination (Supine) 5. Forearm Supination/Pronation with 90° Elbow Flexion (Sitting) 6. Wrist Extension and Forearm Pronation with Finger Extension (Supine) 7. Finger Extension with Wrist Flexion (Supine) 8. Finger Extension/Flexion with Wrist Flexion (Sitting) • Therapist facilitate the movement by rubbing, tapping and gentle stretching.

Group B Repetitive Facilitation Exercises with Routine Physical Therapy

Eligibility Criteria

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

You may qualify if:

• Both male and female patients.
• Age 40-65 years
• st ever stroke confirmed by MRI
• mild-to-moderate upper-limb motor paralysis
• sub-acute and chronic stroke patients
• ability to understand tasks such as evaluations in the intervention
• Modified Ashworth scale score \< 3
• Mini Mental State Examination Score should be\>24 out of 30

You may not qualify if:

• Participants who have a history of significant neurological or psychiatric disorders, other than stroke, that could interfere with upper limb motor recovery
• Patients with pain, contracture and profound atrophy in arm and fingers.
• Participants with severe cognitive dysfunction that would interfere with understanding instructions from the physician or therapist.
• Presence of any other musculoskeletal condition. e.g. (Frozen shoulder, any recent fractures of upper limb.
• Any accompanying diseases or disorders, other than stroke, that could interfere with upper extremity training.
• Uncontrolled health conditions for which exercise was contraindicated.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Dr. Faisal Masood Teaching Hospital

Sargodha, Punjab Province, 40100, Pakistan

Location

Related Publications (7)

• McGregor HR, Cashaback JGA, Gribble PL. Somatosensory perceptual training enhances motor learning by observing. J Neurophysiol. 2018 Dec 1;120(6):3017-3025. doi: 10.1152/jn.00313.2018. Epub 2018 Sep 19.

  PMID: 30230990 BACKGROUND

• Soltani Kouhbanani S, Arabi SM, Zarenezhad S, Khosrorad R. The Effect of Perceptual-Motor Training on Executive Functions in Children with Non-Verbal Learning Disorder. Neuropsychiatr Dis Treat. 2020 May 5;16:1129-1137. doi: 10.2147/NDT.S252662. eCollection 2020.

  PMID: 32440127 BACKGROUND

• Bergmann F, Gray R, Wachsmuth S, Honer O. Perceptual-Motor and Perceptual-Cognitive Skill Acquisition in Soccer: A Systematic Review on the Influence of Practice Design and Coaching Behavior. Front Psychol. 2021 Dec 2;12:772201. doi: 10.3389/fpsyg.2021.772201. eCollection 2021.

  PMID: 34925173 BACKGROUND

• Platzer WS. Effect of perceptual motor training on gross-motor skill and self-concept of young children. Am J Occup Ther. 1976 Aug;30(7):422-8.

  PMID: 941962 BACKGROUND

• Fujimoto K, Ueno M, Etoh S, Shimodozono M. Combined repetitive facilitative exercise under continuous neuromuscular electrical stimulation and task-oriented training for hemiplegic upper extremity during convalescent phase after stroke: before-and-after feasibility trial. Front Neurol. 2024 Feb 22;15:1356732. doi: 10.3389/fneur.2024.1356732. eCollection 2024.

  PMID: 38456153 BACKGROUND

• Purton J, Sim J, Hunter SM. Stroke survivors' views on their priorities for upper-limb recovery and the availability of therapy services after stroke: a longitudinal, phenomenological study. Disabil Rehabil. 2023 Sep;45(19):3059-3069. doi: 10.1080/09638288.2022.2120097. Epub 2022 Sep 15.

  PMID: 36111388 BACKGROUND

• Hokazono A, Etoh S, Jonoshita Y, Kawahira K, Shimodozono M. Combination therapy with repetitive facilitative exercise program and botulinum toxin type A to improve motor function for the upper-limb spastic paresis in chronic stroke: A randomized controlled trial. J Hand Ther. 2022 Oct-Dec;35(4):507-515. doi: 10.1016/j.jht.2021.01.005. Epub 2021 Jan 26.

  PMID: 33820711 BACKGROUND

MeSH Terms

Conditions

Stroke; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Hira Jabeen, MS-NMPT

  Riphah International University

  STUDY CHAIR

Central Study Contacts

Hira Jabeen, MS-NMPT

CONTACT

03234116506; hira.jabeen@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: November 12, 2024
• First Posted: November 14, 2024
• Study Start: November 25, 2024
• Primary Completion: July 30, 2025
• Study Completion: July 30, 2025
• Last Updated: November 14, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)