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IRCT20210814052177N1 IRCT 2021-09-16 The University of Faisalabad Effect of task specific training & Rood’s approach on stroke patients. Combined effect of Task specific training and Rood’s approach to improve motor and sensory arm function in patients with stroke. 2021-05-26 anticipated 45 Complete https://irct.ir/trial/58193 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: Non probability purposive sampling technique will be done on the patients on individual basis. Simple randomization will be done and patients will be allocated to three different groups by lottery method with sealed envelopes and identical slips of paper, Blinding description: Participants will be blind in the study because treatment will be provided individually and alone. Participants will not know which group they belong to because treatment will be performed by the therapist and will not be explained in detail to the patients. Both techniques will be performed manually and patient will be unaware of the treatment techniques. As both are manual techniques performance of these intervention will be made similar to patients. 3 Sensory and motor function of arm in Stroke patients. Intervention 1: Intervention group: Intervention group 1 will receive common treatment and Rood’s treatment approach for three times a week on alternate days, for six weeks. Rood's approach include: Tapping (over the arm muscle to be facilitated,3-5 times per repetition, 10 repetitions per day, 3days/ week) • Icing (3-5 sec/ repetition, 10 repetitions/day, 3days/week).• Fast brushing (Apply for 3 to 5seconds & repeated after 30 sec, 10 repetitions/day).• Light touch (3-5 strokes/repetition, 30 sec rest period between strokes, 10 repetitions/day).• Heavy joint compression (Joint Compression >body wt. applied through the longitudinal axis of the bone.). Intervention 2: Intervention group: Intervention group 2 will be subjected to task specific training along with common treatment for 45 minutes, three times a week for six weeks. Task specific training involve 20-30 trials of each activity. Touch a wall at shoulder level• Touch his cheeks and hair• Slide a ball with extensor effect of forearm• Reach activities• Reaching out toward a jar• Driving the wrist/finger extensors to open the paretic hand.• Grabbing the jar• Grasp a ball. Intervention 3: Intervention group: Intervention group 3 will receive combination of both Rood’s approach and Task specific training along with common treatment. Rood's approach include: Tapping (over the arm muscle to be facilitated,3-5 times per repetition, 10 repetitions per day, 3days/ week) • Icing (3-5 sec/ repetition, 10 repetitions/day, 3days/week).• Fast brushing (Apply for 3 to 5seconds & repeated after 30 sec, 10 repetitions/day).• Light touch (3-5 strokes/repetition, 30 sec rest period between strokes, 10 repetitions/day).• Heavy joint compression (Joint Compression >body wt. applied through the longitudinal axis of the bone). Task specific training involve 20-30 trials of each activity. Touch a wall at shoulder level• Touch his cheeks and hair• Slide a ball with extensor effect of forearm• Reach activities• Reaching out toward a jar• Driving the wrist/finger extensors to open the paretic hand.• Grabbing the jar• Grasp a ball. No - There is not a plan to make this available Justification or reason for not sharing IPD is I take consent from patients that i will not share their information
public Maham Saleem
P720 neelam street green view colony Faisalabad
Faisalabad Pakistan 38000 +92 320 7033581 mahamsaleem114@gmail.com Faisalabad institute of management and Sciences scientific Maham Saleem
P720 neelam street green view colony Faisalabad
Faisalabad Pakistan 38000 +92 320 7033581 mahamsaleem114@gmail.com Faisalabad institute of management and Sciences Pakistan Pakistan Age between 45-65 Acute <6 months upper extremity paresis after stroke. Muscle power 0-3 muscle grade of all muscle of upper limb by MMT according to oxford scale Time since stroke < 6months. Sufficient cognitive ability to participate Both genders Before stroke they were able to wash their hands and feed themselves. Had no premorbid severe arm condition before stroke 45 years 65 years Both Uncontrolled Hypertension. Severe dysphasia Occipital/ cerebellar lesion Other neurological, neuromuscular or orthopedic lesion. Concurrent participation in other upper extremity stroke treatment Perceptual, apraxic or major cognitive defects. Arm contracture Severe comorbidity. I63 Cerebral infarction Rehabilitation Rehabilitation Rehabilitation Intervention group: Intervention group 1 will receive common treatment and Rood’s treatment approach for three times a week on alternate days, for six weeks. Rood's approach include: Tapping (over the arm muscle to be facilitated,3-5 times per repetition, 10 repetitions per day, 3days/ week) • Icing (3-5 sec/ repetition, 10 repetitions/day, 3days/week).• Fast brushing (Apply for 3 to 5seconds & repeated after 30 sec, 10 repetitions/day).• Light touch (3-5 strokes/repetition, 30 sec rest period between strokes, 10 repetitions/day).• Heavy joint compression (Joint Compression >body wt. applied through the longitudinal axis of the bone.) Intervention group: Intervention group 2 will be subjected to task specific training along with common treatment for 45 minutes, three times a week for six weeks. Task specific training involve 20-30 trials of each activity. Touch a wall at shoulder level• Touch his cheeks and hair• Slide a ball with extensor effect of forearm• Reach activities• Reaching out toward a jar• Driving the wrist/finger extensors to open the paretic hand.• Grabbing the jar• Grasp a ball Intervention group: Intervention group 3 will receive combination of both Rood’s approach and Task specific training along with common treatment. Rood's approach include: Tapping (over the arm muscle to be facilitated,3-5 times per repetition, 10 repetitions per day, 3days/ week) • Icing (3-5 sec/ repetition, 10 repetitions/day, 3days/week).• Fast brushing (Apply for 3 to 5seconds & repeated after 30 sec, 10 repetitions/day).• Light touch (3-5 strokes/repetition, 30 sec rest period between strokes, 10 repetitions/day).• Heavy joint compression (Joint Compression >body wt. applied through the longitudinal axis of the bone). Task specific training involve 20-30 trials of each activity. Touch a wall at shoulder level• Touch his cheeks and hair• Slide a ball with extensor effect of forearm• Reach activities• Reaching out toward a jar• Driving the wrist/finger extensors to open the paretic hand.• Grabbing the jar• Grasp a ball Sensory function of arm. Timepoint: Before intervention and after six week of intervention. Method of measurement: Fugl meyer assessment scale. Motor function of arm. Timepoint: Before intervention and after six week of intervention. Method of measurement: Fugl meyer assessment scale. Spasticity of arm muscle. Timepoint: Before intervention and after six week of intervention. Method of measurement: Modified ashworth scale. The University of Faisalabad Approved 2021-05-25 Ethics committee of The University of Faisalabad P720 neelam street green view colony Faisalabad Faisalabad Punjab Pakistan