]>
IRCT20211022052835N2 IRCT 2022-01-10 Shifa Tameer-e-Millat University Comparison of modified Constraint Induced Movement Therapy (mCIMT) and mirror therapy (MT) in addition to neuromuscular electrical stimulation (NMES) on upper extremity function of chronic stroke patients Nill Comparison of modified Constraint Induced Movement Therapy (mCIMT) and mirror therapy (MT) in addition to neuromuscular electrical stimulation (NMES) on upper extremity function of chronic stroke patients. 2021-07-19 anticipated 34 Complete https://irct.ir/trial/59579 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study simple random sampling technique is used by sealed envelop method by using a computerized random number generator. The sequence of random allocation is done by an individual who has not directly involved in the study. Random numbers is written on index cards and placed in thick and opaque sealed envelops before the study. After taking consent from the patient for their participation in the study, the therapist opens the envelop and give the respective treatments to the patients . The study is single blinded as participants is not aware of the intervention group they are placed in, Blinding description: Participants are single blinded as they don't know which treatment plan or intervention is given to them. N/A Only diagnosed hemiplegic stroke patients past 6 months who do have minimal function of hand thumb and fingers.. Intervention 1: Intervention group A is given mCIMT treatment. This group received modified constraint-Induced therapy for 4 sessions per week for 4 weeks, applied for 30 minutes. Patient wore a mitt on his/her unaffected arm.Patient performed repetitive task training with his/her affected arm such as picking up the ball from the basket and placing it back, picking up the coins, counting numbers on finger, slowly opening and closing of fist, turning of palm. Patient was also advised to keep performing activities with his/her paretic arm while wearing the mitt on less affected arm at home as well. Intervention 2: Intervention group B. This group received mirror therapy (MT) in addition to NMES.Mirror therapy 4 sessions per week for 4 weeks applied for 30 minutes. Activity based therapy was done like opening and closing of fist, touching thumb with the tip of each finger, wipe the table with washcloth in circular motion, back and forth, up and down, picking up the coins. Along with this, NMES was applied on extensor muscles of wrist and hand for 20 minutes for which frequency was set between 20-50 Hz, with 30-70 mA intensity lasted for 8 seconds and then stopped for 8 seconds. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Fouzia Batool
Pitras Bukhari Road, Shifa Tameer-e-Millat University, H-8/4, Islamabad
Islamabad Pakistan 44000 +92 332 7120385 fouzia_dpt.ahs@stmu.edu.pk Shifa Tameer-e-Millat University scientific Aqsa Siddique
House no. 274, Street no. 11 Block-I Gulberg Residencia
Islamabad Pakistan 44000 +92 340 3789675 saqsa567@gmail.com Shifa tameer-e- millat university islamabad Pakistan Age 40 to 65 years Both gender Hemiplegic stroke patients past 6 months Minimal function of hand includes 10° wrist extension, 10° thumb extension, 10° finger extension Absence of severe attentive deficit Will able to understand and follow simple verbal instructions Have no severe cognitive disorder that interferes with the study. 40 years 65 years Both Upper limb fracture Peripheral nerve injury Apraxia Visual field defect A serious cardiac disease ( arrhythmias and pacemakers) Skin or peripheral circulation disorder Those who participate in other studies or rehabilitation program. Chronic synergies G81.90 Hemiplegia, unspecified affecting unspecified side Rehabilitation Rehabilitation Intervention group A is given mCIMT treatment. This group received modified constraint-Induced therapy for 4 sessions per week for 4 weeks, applied for 30 minutes. Patient wore a mitt on his/her unaffected arm.Patient performed repetitive task training with his/her affected arm such as picking up the ball from the basket and placing it back, picking up the coins, counting numbers on finger, slowly opening and closing of fist, turning of palm. Patient was also advised to keep performing activities with his/her paretic arm while wearing the mitt on less affected arm at home as well. Intervention group B. This group received mirror therapy (MT) in addition to NMES.Mirror therapy 4 sessions per week for 4 weeks applied for 30 minutes. Activity based therapy was done like opening and closing of fist, touching thumb with the tip of each finger, wipe the table with washcloth in circular motion, back and forth, up and down, picking up the coins. Along with this, NMES was applied on extensor muscles of wrist and hand for 20 minutes for which frequency was set between 20-50 Hz, with 30-70 mA intensity lasted for 8 seconds and then stopped for 8 seconds. To compare the effect of modified constraint induced movement therapy with mirror therapy in addition to neuromuscular electrical stimulation on upper extremity of chronic stroke patients. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Modified barthel index , Wolf motor scale and Upper limb Motor assessment scale. Shifa Tameer-e-Millat University Approved 2021-07-16 Institutional review board and ethical committee shifa tameer-e-millat and shifa international hospi Pitras Bukhari Road, Shifa international hospital Ltd. sector h-8/4 Islamabad Islamabad Pakistan