Effects of Combine EMS and Mirror Therapy in Upper Limb Stroke Patients

Nouman Khan

Status: Completed

Conditions: Stroke

Treatments: Other: CIMT & exercises; Other: EMS, Mirror therapy & exercises; Other: Mirror therapy & exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05440175

Sabahat IRB #351-21

Details and patient eligibility

About

This study will be designed to evaluate the effectiveness mirror therapy combined with electrical muscle stimulations compared with constraint induced therapy in upper limb stroke patients. The aim of the study is to investigate the therapeutic effectiveness of mirror therapy and EMS in stroke patients and compare the outcomes with CIMT.

Full description

Stroke or CVA is the sudden death of the brain cells due to inadequate blood flow, it's a focal disturbance of cerebral function, with symptoms lasting for 24hrs or longer or leading to death, with no apparent cause other than of vascular origin. The commonest consequence of stroke is loss of upper limb function. The protocol planned for improving the function of the upper limb is mirror therapy combined with EMS and compare with constraint-induced movement therapy (CIMT) treatment in stroke patients Many works done on CIMT and mirror therapy in rehabilitation prove to be powerful tools for upper limbs in people with stroke. Different studies concluded that CIMT is more effective than Mirror Therapy (MT) in the upper extremity in stroke patients. An RCT was published in 2019 in which mirror therapy combined with electrical stimulation proves to be effective in stroke patients. However, I have not found a study comparing EMS combined with Mirror therapy compared to CIMT treatment in stroke patients. According to the Alternate hypothesis mirror therapy combined with EMS has beneficial effects on clinical outcomes in upper limb stroke patients. According to the null hypothesis, CIMT has better results in stroke patients as compared to EMS combined with Mirror therapy.

Enrollment: 45 patients

Sex: All

Ages: 45 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both male and female stroke patients above 45 years
• Ischemic and Haemorrhagic chronic stroke patients
• Participants should be able to do 100 wrist extension

Exclusion criteria

• Patients with an implanted electrical device
• Patients with paresis
• Patients of hemiplegia caused due to other brain injuries (TBI, tumour), Coordination problem
• Individuals with impaired sensory perception

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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45 participants in 3 patient groups

Group A

Experimental group

Description:

The participants will be given Mirror therapy along with the electrical muscle stimulation and exercises.

Treatment:

Other: EMS, Mirror therapy & exercises

Group B

Experimental group

Description:

The participants will be given constraint induced movement therapy (CIMT) along with exercises.

Treatment:

Other: CIMT & exercises

Group C

Experimental group

Description:

The participants will be given mirror therapy and exercises.

Treatment:

Other: Mirror therapy & exercises