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IRCT20230706058687N1 IRCT 2023-10-10 The University of Faisalabad Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke 2023-09-19 anticipated 46 Complete https://irct.ir/trial/71161 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: Purposive Sampling Technique, Randomization description: Consecutive allocation through lottery method a number of chits was first placed in a container. In this course chits were drawn randomly out of the container and according to chit subject was allocated to that group and treated. N/A Sub-acute stage of stroke ( 3weeks to 6months). Intervention 1: Patients of group 1 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D1 flexion pattern. The antagonistic pattern in Diagonal 1 is flexion-adduction-external rotation that included 2 sets of 20 repitations were performed with a 20 second rest period between the sets. Patient was lie on unaffected side while therapist was stand in line of desired motion. First therapist was give preparatory instructions to patients. In this exercise, the therapist's proximal hand grasps the patient's upper arm on the anteromedial surface, exerting resistance in the opposite direction of the movement. Simultaneously, the distal hand holds the patient's hand with the fingers positioned on the ulnar side and the thumb on the radial side, allowing the patient's wrist to flex towards the radial side. This particular hand positioning technique was referred to as the lumbrical grip. The total time for baseline treatment and D1 flexion exercise was at least 50 minutes. Intervention 2: Patients of group 2 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D2 flexion pattern. The antagonistic pattern in Diagonal 2 is flexion abduction-external rotation that included 2 sets of 20 repitations was performed with 20 second rest period between sets. Patient was lie on unaffected side as therapist makes desired motion while standing in line. First therapist was give preparatory instructions to patients. The patient's hand's dorsal-radial surface held in the therapist's distal hand. In order to provide pressure in the opposite direction of movement, the proximal hand grasps the anterior-lateral surface of the upper arm from below. The total time for baseline treatment and D2 flexion exercise was at least 50 minutes. Yes - There is a plan to make this available What will be shared: Effects of Proprioceptive Neuromuscular Facilitation Technique on Scapular Dyskinesis in Patients with Subacute Stroke When: Data will be available for other people almost 6 months after the completion of study To whom: Data will be available for other people almost 6 months after the completion of study Conditions: The data/document could be used by communicating with the principle investigator Rafia Abdul Rehman; email rafiarehman096@gmail.com Where to obtain: Rafia Abdul Rehman; Gmail rafiarehman096@gmail.com How to obtain: The data/document could be used by communicating with the principle investigator Rafia Abdul Rehman; Gmail rafiarehman096@gmail.com Comments: NO
public Rafia Abdul Rehman
Chungi No #6 Itfaq Colony Rajpoot Street House No16 Boasan Road Multan
Multan Pakistan 60700 +92 307 7136100 rafiarehman096@gmail.com The University of Faisalabad scientific Prof. Dr. Sajid Rashid, PT
6HC8+P2H, Northern Bypass, Block A Model Town, Multan, Punjab
Multan Pakistan 60700 +92 300 6309825 sajid.rashid@mcpm.edu.pk Multan College of Physiotherapy, Multan Pakistan Patients developing unilateral scapular dyskinesis due to stroke assessed by lateral scapular slide test Type 1 scapular dyskinesia prominent infero-medial border of scapula The 40-60 years of age, included both Male and Female Stroke with onset at least 05 months 40 years 60 years Both Neurological deficit of the upper extremity Any surgery of upper extremity Active Infections, Hyper mobility, Calcification of the soft tissues, fragile skin Other illnesses such supraspinatus, bicep tendinitis, fibromyalgia, frozen shoulder and arthritis that produced discomfort in the upper extremities, etc Severe depression or other post-stroke symptoms, etc I60-I69 Cerebrovascular diseases Rehabilitation Rehabilitation Patients of group 1 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D1 flexion pattern. The antagonistic pattern in Diagonal 1 is flexion-adduction-external rotation that included 2 sets of 20 repitations were performed with a 20 second rest period between the sets. Patient was lie on unaffected side while therapist was stand in line of desired motion. First therapist was give preparatory instructions to patients. In this exercise, the therapist's proximal hand grasps the patient's upper arm on the anteromedial surface, exerting resistance in the opposite direction of the movement. Simultaneously, the distal hand holds the patient's hand with the fingers positioned on the ulnar side and the thumb on the radial side, allowing the patient's wrist to flex towards the radial side. This particular hand positioning technique was referred to as the lumbrical grip. The total time for baseline treatment and D1 flexion exercise was at least 50 minutes. Patients of group 2 after the baseline treatment were receiving scapular hold-relax technique applied in upper limb D2 flexion pattern. The antagonistic pattern in Diagonal 2 is flexion abduction-external rotation that included 2 sets of 20 repitations was performed with 20 second rest period between sets. Patient was lie on unaffected side as therapist makes desired motion while standing in line. First therapist was give preparatory instructions to patients. The patient's hand's dorsal-radial surface held in the therapist's distal hand. In order to provide pressure in the opposite direction of movement, the proximal hand grasps the anterior-lateral surface of the upper arm from below. The total time for baseline treatment and D2 flexion exercise was at least 50 minutes. Visual Analogous Scale (VAS) was used instrument for assessing the characteristics of pain that a patient is experiencing. Timepoint: 1, 2, 4 week. Method of measurement: This is gold standerd test having 0-10 measurement for mild, moderate, severe pain. The patients shoulder's range of motion were measured. Timepoint: 1, 2, 4 week. Method of measurement: Flexion, Extension, Abduction, Internal Rotation, and External Rotation measured by using goniometer. Shoulder Pain and Disability evaluates pain as well as the other upper extremity functional activities shoulder pain and disability index had high reliability and validity values. Timepoint: 1, 2, 4 week. Method of measurement: Shoulder Pain and Disability Index was measured it. Self funding Approved 2023-03-24 Ethics Committee of the University of Faisalabad No.P-11,Zeenat Block;Muslim Town1; Faisalabad, Pakistan Faisalabad Punjab Pakistan