Circuit Class Training vs. Individual, Task Specific Training in Chronic Stroke Patient

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Individual Task specific training; Other: Circuit Class Training

Study type: Interventional

Funder types: Other

Identifiers

NCT05059704

REC/01036 Farwa Azmat

Details and patient eligibility

About

Due to minimal volitional activation of the impaired arm, these individuals are less able to engage in activities of daily living (ADL's). Moreover, simultaneous use of the hand and arm are needed throughout ADL's. The effects of these two approaches (circuit class training and individual task-specific training) on upper extremity function and activities of daily living (ADL's) have not yet been clearly identified, and studies on its effects on chronic stroke patients are limited.

Full description

several research found that circuit training improved various functional parameters after stroke. And most of the circuit based tasks from the published studies were focused on the leg strength, walking speed, distance and balance etc. Previous literature found that circuit class training is effective in improving upper extremity function in chronic stroke patients disregarding the type of stroke and the results of that study are not generalized for chronic stroke patients with upper extremity deficit. Secondly, circuit class training and task-specific training are effective for improving upper limb function following a stroke but in the acute stage. In fact, there is no evidence in which comparison of these two approaches has been done in chronic stroke patients and thirdly, between these two approaches which approach is more effective towards improving upper limb function in chronic stage.

Enrollment: 36 patients

Sex: All

Ages: 45 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Mini-Mental State Examination score more than 24
• Chronic stage (i.e. post-stroke duration of 6 months)
• Single episode of stroke
• MAS of 1 to 3 at upper extremity.
• MRS of ≤ 3 at lower extremity.
• MCA stroke
• Scores 32 to 47 on Fugl-Meyer Upper Extremity Scale (FMA-UE)

Exclusion criteria

• Orthopedic conditions that affect the UE function.
• Other neurological conditions, like PD, MS etc.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

Circuit Class Training

Experimental group

Description:

Patients will participate in a total of 1.5hour/day for 8 weeks with a 1:3 (therapist to patient). The circuit will be divided into 5 specific stations, 5 to 10 minutes for warm-up tasks and 15 to 20 minutes on each station as tailored to the patient's activity level

Treatment:

Other: Circuit Class Training

Individual Task specific training

Active Comparator group

Description:

Patients will participate in a total of 1.5hour/day for 8 weeks with 1:1 (therapist to patient) ratio. During each session, all patients will perform 5 to 10 minutes warm-up tasks, then practiced the selected tasks for the rest of the time.

Treatment:

Other: Individual Task specific training