A Clinical Trial to Study the Effect of Imagined Progressive Movements in Patients With Paralysis of One Side of the Body.

Maharishi Markendeswar University (Deemed to be University)

Status: Completed

Conditions: Stroke

Treatments: Device: Recognise [TM]; Device: Mirror Box

Study type: Interventional

Funder types: Other

Identifiers

NCT02232295

M44-124

Details and patient eligibility

About

The aim of the Study to evaluate the effect of Graded motor imagery on upper limb motor functions and quality of life in patients with stroke that was conducted in two centers in india. The primary outcome measures were upper limb motor functions at 6 weeks and secondary outcome measure was quality of life at 6 weeks.

Research Hypothesis: There would be significant effect of GMI on Upper limb motor functions and quality of life in patients with stroke.

Full description

Graded Motor Imagery (GMI) is essentially a brain based treatment, targeting the activation of different brain regions in a graded manner. GMI is a three stage treatment programme comprising of Left Right discrimination training, Explicit Motor imagery and Mirror therapy.

In this Study, GMI approach is applied on the patients with Stroke to enhance their Upper limb motor functions and Quality of life.

Conventional treatment:

Patients of group A and group B had received conventional treatment for 6 weeks. Conventional treatment consists of Task oriented upper extremity functional exercises. Components of Task oriented training include weight bearing, supportive reactions, and reaching, grasping, holding and release activities. It was performed five days a week for six weeks of one hour duration.

Graded Motor Imagery:

Patients of group A had received GMI programme with conventional treatment for 6 weeks. It is a three stage process, was performed five days a week for six weeks of one hour duration. It comprises of:

• Left Right discrimination training (Implicit Motor Imagery) - 2 weeks
• Explicit Motor Imagery (Imagined movements) - 2 weeks
• Mirror Therapy - 2 weeks

Enrollment: 26 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age (between 45 to 65 years)
• Individuals who experienced one episode of stroke only.
• Both males and females were included in the study
• Both ischemic & haemorrhagic stroke individuals were included in the study
• Duration of stroke between 1 to 6 months
• Mini mental status examination (MMSE) (score > 23)
• Patients with Brunnstrom stage 1 & 2

Exclusion criteria

• Individuals having any musculoskeletal disorders
• Individuals having any neurological disorder other than stroke
• Individuals with any visual impairment
• Individuals having any systemic disease
• Non cooperative patients
• Patients suffering from psychological problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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26 participants in 2 patient groups

Conventional group

Active Comparator group

Description:

Conventional group consist of Upper extremity task oriented functional exercises. Components of Task oriented training include weight bearing, supportive reactions, and reaching, grasping, holding and release activities.

Treatment:

Device: Mirror Box

Graded Motor imagery group and Conventional group

Experimental group

Description:

Graded Motor imagery is a three stage process, was performed five days a week for six weeks of one hour duration. It comprises of: * Left Right discrimination training (Implicit Motor Imagery) - 2 weeks * Explicit Motor Imagery (Imagined movements) - 2 weeks * Mirror Therapy - 2 weeks

Treatment:

Device: Recognise [TM]