Outcome Measures of Modified Constraint Induced Movement Therapy Versus Dual Task Training on Upper Extremity and Cognitive Functions in Patients With Hemiparesis

Ahmed Alshimy

Status: Completed

Conditions: Hemiparesis

Treatments: Other: Dual task training in the form of cognitive - motor task; Other: Conventional physiotherapy rehabilitation program; Other: Modified Constraint Induced Movement therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06457022

P.T.REC/012/005007

Details and patient eligibility

About

All stroke patients were assessed via isokinetic dynamometer, Montreal cognitive assessment scale (MOCA) and Fugl Myer Upper extremity (FMUE) before and after the treatment program.

Full description

The patients were classified randomly into three equal groups, Study group A (GA) receiving modified constraint induced movement therapy in addition to conventional physical therapy program, Study group B (GB) receiving dual task training in addition to conventional physical therapy program and control group C (GC) receiving only conventional physiotherapy program.

Enrollment: 45 patients

Sex: All

Ages: 55 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with age range between 55 and 65 years old.
• The patients were from both genders (males &females).
• Patients were of duration of illness between 6 and 12 months.
• The patients were scoring 1 &1+ on modified Ashworth scale (mild spasticity).
• The patients were of good ability to see and hear.
• Consent form was obtained from all participants to approve the study and follow the commands.
• All patients were scoring more than 26 on MMSE. All patients were medically stable.

Exclusion criteria

• patients with moderate and sever spasticity.
• patients with cognitive disorder due to other cause rather than spasticity.
• patients with unstable medical conditions.
• patients with previous or recurrent stroke.
• patients with respiratory problems.
• patients with shoulder dislocation or subluxation or frozen shoulder.
• patients with uncontrolled hypertension, diabetes mellitus, unstable angina or heart failure.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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45 participants in 3 patient groups

Group A

Experimental group

Description:

Receiving modified constraint induced movement therapy , for 30 minutes , in addition to conventional physiotherapy program for the other 30 minutes.

Treatment:

Other: Conventional physiotherapy rehabilitation program

Other: Modified Constraint Induced Movement therapy

Group B

Experimental group

Description:

Receiving dual task training (Cognitive-Motor) for 30 minutes, in addition to conventional physiotherapy program for the other 30 minutes.

Treatment:

Other: Conventional physiotherapy rehabilitation program

Other: Dual task training in the form of cognitive - motor task

Group C

Other group

Description:

Receiving only conventional physiotherapy program for 60 minutes.

Treatment:

Other: Conventional physiotherapy rehabilitation program