Motor Imagery Training for Upper Limb Functional Strength in Chronic Stroke Patients
1 other identifier
interventional
26
1 country
1
Brief Summary
Stroke is a leading cause of upper extremity deficits worldwide. Persistent upper extremity dysfunction affects many post stroke patients and is strongly associated with decreased activities of daily living and poor quality of life. There is accumulating evidence of a cross-over effect with training of one limb that slightly increase strength and coordination in contralateral untrained limb through neurological adaptations. One of rehabilitation that is beneficial for stroke patient is motor imagery, a mental rehearsal of a movement that does not include physical movement has been shown to enhance upper limb function. Evidence demonstrate that MI not only activates motor cortical and subcortical regions but also induces plastic change in motor networks and modulates synaptic activity at spinal level.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 10, 2024
CompletedFirst Submitted
Initial submission to the registry
April 18, 2025
CompletedFirst Posted
Study publicly available on registry
April 25, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2025
CompletedApril 25, 2025
April 1, 2025
8 months
April 18, 2025
April 24, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
FUNCTIONAL STRENGTH
FUNCTONAL STRENGTH WILL BE ASSESSED USING WOLF MOTOR FUNCTION TEST
8 weeks
Coordination
The Action Research Arm Test (ARAT) will be used to assess upper extremity performance
8 weeks
Study Arms (2)
CONTROL GROUP A- CONVENTIONAL PHYSICAL THERAPY
ACTIVE COMPARATORThe participants will receive conventional physical therapy focusing on active range of motion, strengthing and coordination exercises. Subjects will receive protocol of 45 min thrice a week for 8 weeks with 2 min rest in between. The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination.
INTERVENTION GROUP B- MOTOR IMAGERY WITH CONVENTIONAL PHYSICAL
EXPERIMENTALThe participants will recieve conventional physical therapy focusing on active range of motion, strengthing and coordination exercises. Subjects will recieve protocal of 45 min thrice a week for 8 weeks with 2 min rest in between. The exercises will focus on active range of motion, weight exercises to increase strength and coordination exercises to improve movement coordination.
Interventions
Active Range of Motion Exercises: (5-10 reps with 2 sets) Finger bends, finger spreads, finger to thumb opposition, thumb to palm stretches, palm up and down, wrist rotation, wrist bends, elbow bends, shoulder shrugging and shoulder rotation. Strengthening Exercises: (10-15 reps 2 sets weight 500 ml to 1L water bottle). Finger pinch, power grip, finger spread, pushing movement, wrist curls, roll and squeeze, bicep curls, side arm raise, lifting objects to a height, pulling resistance band. Coordination Exercises: (10-15 reps 2 sets) finger to finger, finger to doctor's finger, finger to nose, holding and lifting coins, buttoning, holding and lifting coins, alternate hand movement, closing and opening hand.
1. Subjects will be asked to sit comfortably on a chair with a backrest. A Quiet environment is ensured for proper concentration of subject .Take deep breaths for 2-3 min to relax. 2. Subjects will be asked to close their eyes and imagine the training scene for each task for 5 min while listening to the therapist 's voice describing the motion. 3. The non-paralysis part of the body's movement was imagined first and then the movement of the paralysis part was imagined. 4. Upon completion of the mental practice for the first activity, the subject will be given a comfortable break. Motor Imagery Training: Week 1-2: Approaching and holding a cup, turning book pages and grasping pencil to write. Week 3-4: wiping desk, turning door handle and drinking water from cup. Week 5-6: pressing light switch on and off, turning faucet and putting card in wallet. Week 7-8: folding towel, brushing teeth and brushing hair. Imagine for 30 sec 2-3 repetitions.
Eligibility Criteria
You may qualify if:
- Stroke duration 6 months onwards (chronic stroke).
- age 45 years and above.
- Both genders.
- Access cognitive function score \> 24 on MoCA.
You may not qualify if:
- Patients with any comorbidity, previous surgery and congenital anomly.
- Patient with any fracture/ MSK disorders.
- Score 3 or more on Modified Ashworth scale.
- Patients with hearing impairments
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Foundation University College of Physical Thrapy
Islamabad, 44000, Pakistan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 18, 2025
First Posted
April 25, 2025
Study Start
September 10, 2024
Primary Completion
May 15, 2025
Study Completion
May 30, 2025
Last Updated
April 25, 2025
Record last verified: 2025-04