Isolated Versus Synergetic Muscle Facilitation on Upper Limb Functional Performance in Acute Stroke

Cairo University (CU)

Status: Enrolling

Conditions: Acute Stroke

Treatments: Other: isolated muscle facilitation; Other: standard physical therapy program; Other: synergetic muscle facilitation program

Study type: Interventional

Funder types: Other

Identifiers

NCT07273201

P.T.REC/012/005625

Details and patient eligibility

About

This study is a randomized controlled clinical trial that will be carried out to investigate the effect of isolated versus synergetic muscle facilitation on upper limb functional performance in patients with acute stroke.

RESEARCH QUESTION:

Is there a difference between isolated and synergetic muscle facilitation on upper limb functional performance in patients with acute stroke?

It will be hypothesized that:

There will be no difference between isolated and synergetic muscle facilitation on upper limb task-oriented training in patients with acute stroke.

Treatment procedures:

Study group (A): patients will receive a physical therapy program in the form of a range of motion exercise, electrical muscle stimulation, stretching exercise, mental practice with motor imagery, and isolated muscle facilitation using electromyography (EMG) biofeedback for six weeks and followed by task-oriented training of the upper limb for six weeks control group (B): will receive a standard physical therapy program including range of motion exercise, electrical muscle stimulation, Mental practice with motor imagery and stretching exercise, synergetic muscle facilitation for six weeks, and followed by task-oriented training of the upper limb for six weeks.

Enrollment: 40 estimated patients

Sex: All

Ages: 50 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral Middle cerebral artery (MCA) stroke patients
• Brunnstrom stage of recovery 1& 2
• Normal body mass index (18.5 - 24.99 kg/m2)
• Dominant handedness

Exclusion criteria

• Perceptual, apraxia, major cognitive deficits
• Recurrent stroke
• Subjects with cerebellar lesions, painful or subluxated shoulder, any contracture or deformity of the upper extremity

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

isolated muscle facilitation training

Experimental group

Description:

Participants in this group will receive a standard physical therapy program including range of motion exercise, electrical muscle stimulation, and Mental practice with motor imagery and stretching exercise, isolated muscle facilitation using electromyography (EMG) biofeedback for six weeks, followed by task-oriented training ofthe upper limb for six weeks

Treatment:

Other: standard physical therapy program

Other: isolated muscle facilitation

synergistic muscle facilitation training

Active Comparator group

Description:

Participants in this group will receive a standard physical therapy program, including a range of motion exercise, electrical muscle stimulation, Mental practice with motor imagery, and stretching exercise, synergetic muscle facilitation for six weeks, and followed by task-oriented training of the upper limb for six weeks

Treatment:

Other: synergetic muscle facilitation program

Other: standard physical therapy program