Effect of MRP With and Without EMS on Gait, Functional Independence and QOL in Stroke Patients

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: motor relearning programme; Other: electrical muscle stimulations with motor relearning programme

Study type: Interventional

Funder types: Other

Identifiers

NCT06407830

REC/RCR&AHS/23/0278

Details and patient eligibility

About

To determine the effects of motor relearning programme with and without electrical muscle stimulation on gait, functional independence and quality of life in hemiplegic stroke patients.

Full description

A study was performed a motor relearning program in stroke survivors. A clinically significant improvement was found in the motor relearning groups, and only in one study is this improvement significant compared to another intervention.

Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post-Stroke. While the potential for enhancing functional motor ability seems less clear, the current systematic review and meta analysis's results point to a significant positive impact of NMES on ADL function during the post stroke rehabilitation process.

People with hemiparesis who received both conventional treatment and interventions based on motor relearning showed a significant improvement in their level of disability. There were no appreciable gains in the HRQoL perception.

Many research investigations have been carried out to assess the effects of motor relearning programs with regard to specific functional aspects and physical deficiencies. Up to the researcher's knowledge, there is no data to assess the effects of electrical muscle stimulation along with motor relearning programs in stroke patients. Therefore, the purpose of this study is to compare how a motor relearning program with and without electrical muscle stimulation affects hemiplegic stroke patients' gait, level of functional independence, and quality of life.

Enrollment: 66 estimated patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed as hemiplegic stroke

  • Age between 45-65 years
  • Both males and females
  • Mini-Mental State Examination score ≥24
  • Able to stand independently for at least 1 min and (5) can ambulate 25 feet/10 m (with or without the assistive device)

Exclusion criteria

• Experiencing balance problems as a result of neurological conditions other than stroke (for instance cerebellar impairment, inner ear dysfunction, or Parkinson's disease)

  • Fixed ankle or foot contracture.
  • A serious cardiac disease (aorta stenosis, angina, hypertrophic cardiomyopathy, arrhythmia and pacemakers).
  • congenital limb deformities

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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66 participants in 2 patient groups

Intervention physical therapy

Active Comparator group

Description:

Motor Relearning programme training

Treatment:

Other: motor relearning programme

Electrical Muscle Stimulation

Experimental group

Description:

Electrical Muscle Stimulation with Motor Relearning programme

Treatment:

Other: electrical muscle stimulations with motor relearning programme

Other: motor relearning programme