Title: The effect of proprioceptive neuromuscular facilitation on muscle strength and activities of daily living of client with cerebrovascular accident .
Objectives: Stroke is a common disorder of the nervous system as a big reason is failure. This disease is unpredictable and devastating effects on the lives of patients lining is a change in their lifestyle And satisfaction and quality of life that impressed. Thus, according to the different aspects of stroke patients and its impact on the lives, personal and social functioning in these patients, finding ways to improve and reduce the disabilities these people to be effective, especially in ways that do not require special tools and by everyone and in every where possible, can help reduce the consequences of disease. Thus, the aim of this study was to examine the effects of proprioceptive neuromuscular facilitation on muscle strength and activities of daily living of stroke patients admitted to hospital yasouj martyr beheshti is done.
Study Design: This study is a interventional and clinical trial study.The study population for this study, 60 patients with stroke admitted to shahid beheshti hospital yasouj that 4 months to 2 years of disorder had been formed.
Inclusion criteria: Over 4 months to 2 years of stroke; Over 60 years old; One catching of stroke; No active phase of the disease; The absence of spinal cord injury; Lack of PNF techniques from six months ago.
Exclusion criteria: Re CVA, The need for hospitalization; Physiotherapy at the same time; Leave practice over two sessions; Death; Impairment of cognitive function during the study.
Methods: The patients selected non probable sampling, then randomly assigned to two groups of 30 blocks were assigned to control and intervention.
Interventions:
First, muscle strength and daily activities of life in both groups using a questionnaire measuring the activities of daily living (ADL) and questionnaire to measure muscle strength (MMT) was measured. Interventional group will receive proprioceptive neuromuscular facilitation program for 8 weeks and each week for 30 to 45 minutes. Immediately and 4 weeks after the last training session, patients were evaluated muscle strength and activities of daily living (post test). The collected data using SPSS software through descriptive statistics and statistical tests were analyzed.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2016043027676N1
Registration date:2016-05-29, 1395/03/09
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2016-05-29, 1395/03/09
Registrant information
Name
Yaghoub Parandvar
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 74 3322 4721
Email address
yaghoub.parandvar@yums.ac.ir
Recruitment status
Recruitment complete
Funding source
Investigator
Expected recruitment start date
2016-05-21, 1395/03/01
Expected recruitment end date
2016-08-22, 1395/06/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of proprioceptive neuromuscular facilitation on muscle strength and activities of daily living of client with cerebrovascular accident .
Public title
The effect of proprioceptive neuromuscular facilitation on cerebrovascular accident.
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Personal and informed consent to participate in the study; Residence in Yasouj; Over 4 months to 2 years after stroke; The definitive diagnosis of stroke by neurologist; Age over 60 years; One catching of stroke; No active phase of the disease; The absence of spinal cord injury; Lack of PNF techniques from six months ago; No other chronic diseases such as neurological disorders and orthopedic and rheumatology; Ability to communicate and answer questions Persian; The third and less muscle strength; Daily life activities less than 60 .
Exclusion criteria:
The unwillingness or inability of the Company to continue reading; Exacerbation or re CVA; The need for hospitalization; Physiotherapy at the same time; The occurrence of other diseases; Leave practice over two sessions; Death; Impairment of cognitive function; Mental alertness and presence of cognitive impairment during the study.
Age
From 60 years old to 100 years old
Gender
Both
Phase
2-3
Groups that have been masked
No information
Sample size
Target sample size:
60
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Does not
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee Yasuj University of Medical Sciences and Health Services
Street address
Yasuj University of Medical Sciences and Health Services, Mottahari BLvd, Yasuj
City
Yasuj
Postal code
7591741417
Approval date
2016-04-16, 1395/01/28
Ethics committee reference number
IR.YUMS.REC.1395.9
Health conditions studied
1
Description of health condition studied
Cerebrovascular Accident
ICD-10 code
sequelae o
ICD-10 code description
Stroke, not specified as haemorrhage or infarction
Primary outcomes
1
Description
Muscle strength
Timepoint
Before the intervention, Immediately after the intervention, One month after the intervention
Method of measurement
Manual Muscle Testing grading scale
2
Description
Activities of Daily living
Timepoint
Before the intervention, Immediately after the intervention, One month after the intervention
Method of measurement
Activities of Daily living Questionnaire
Secondary outcomes
1
Description
Quality of Life
Timepoint
Before the intervention, Immediately after the intervention, One month after the intervention
Method of measurement
The World Health Organization Quality of Life Questionnaire of 26 questions
2
Description
Muscle Strength
Timepoint
Before the intervention, Immediately after the intervention, One month after the intervention
Method of measurement
Digital Balance/Kg
Intervention groups
1
Description
Control group:
First, while the experimental group, muscle strength and activities of daily living will be measured using the relevant protocol. Next any specific action on the control, proprioceptive neuromuscular facilitation exercise will be done in experimental group.Immediately and four weeks after the intervention in the experimental group, muscle strength and activity of daily living in both groups was measured using the relevant protocol.
Category
Rehabilitation
2
Description
The intervention groups:
First samples are available as a convenient choice then randomly allocated to two groups of test and control blocks would be allocated. Then the patients eligible for inclusion in the control groups, before exercise, muscle strength and activities of daily living will be measured. Then proprioceptive neuromuscular facilitation exercise program for 8 weeks, each session lasting 30 to 45 minutes (16 sessions during 2 months) based on the protocol will be implemented following the intervention group. In this study, the pattern of motion of the arm (Upper Extremity ) and hip movement patterns (lower Extremity) is used.
Patterns of the arm joint (upper extremity):
D1 flexion pattern: Flexion, abduction, External rotation (elbow flexed and elbow extended).
D1 extension pattern: Extension, adduction, internal rotation (elbow flexed and elbow extended).
D2 flexion pattern: flexion, adduction, external rotation (elbow flexed and elbow extended).
D2 extension pattern: extension, abduction, internal rotation (elbow flexed and elbow extended).
Patterns of knee joint(lower extremity):
D1 flexion pattern:
Flexion, abduction, internal rotation (knee flexed and knee extended).
D1 extension pattern: Extension, adduction, external rotation (knee flexed and knee extended).
D2 flexion pattern: Flexion, adduction, external rotation (knee flexed and knee extended).
D2 extension pattern: Extension, abduction, internal rotation (knee flexed and knee extended).
The therapist first member to be balanced with respect to the three axes of motion in the desired position and in this case the muscles as much as possible not to limit your range of motion dragged.
The first step: A passive stretching or active within 10 to 20 seconds actions and target muscle or muscles gently used gradually the end range of motion.This situation is maintained for a while.
Second stage: Immediately or after a break of about 2 to 3 seconds of contraction unlike the therapist takes place. The contract period is typically 3 to 6 seconds.
Third stage: Immediately or after a pause of about 2 to 3 seconds again to reach the target muscle or muscle twitching find a new point of range of motion.
Immediately and 4 weeks after the last training session, muscle strength and activities of daily living of the patient is measured (post test) will be.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Martyr Dr.Beheshti Hospital of Yasuj
Full name of responsible person
Dr.Hosseini Motlagh Amin, Health Ph.D., Assistant Professor, Responsible for clinical research devel
Street address
Martyr Dr.Beheshti Hospital, martyr Mohammad Montazeri street, Yasuj
City
Yasuj
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Yasouj University of Medical Sciences and Health Services
Full name of responsible person
Yasouj University of Medical Sciences,Vice chancellor for research, Abd Mohammad Mousavi
Street address
Yasouj University of Medical Sciences,Vice chancellor for research, motahari BLvd, Yasuj
City
Yasuj
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Yasouj University of Medical Sciences and Health Services
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Martyr Dr.Beheshti hospital, Yasouj University of Medical Sciences and Health Services
Full name of responsible person
Parandvar Yaghoub
Position
Responsible of Department of General Surgery, Masters science nursing Student
Other areas of specialty/work
Street address
Department of General Surgery, Martyr Dr.Beheshti hospital , Martyr mohammad montazeri street, Yasuj