Task Oriented Training in Post Stroke Patients

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Task Oriented Training; Other: Conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05201196

REC/Lhr/21/0235 Tahreem Zaman

Details and patient eligibility

About

This study will be observe the effect of Task-oriented training on the dexterous movements of hands in hemiparetic post-stroke patients. Patient will be recruited that meet the inclusion criteria, with unilateral hemiplegia referred by Neurophysician having stroke for the first time, between age 47-70 year, both males and females, score of spasticity for upper extremity (shoulder, elbow) below and equal 2 based on the Modified Ashworth Scale (MAS), ability to comprehend simple instructions (Mini-Mental State Examination with a minimum score > 24), Brunnstrom stages ≥ 4, not submitted to other upper-limb rehabilitation programs during the participation in this study. The individuals with recurrent stroke episodes and transient ischemic attack, other neurological diseases (Parkinson's disease, multiple sclerosis,), hemineglect, no sitting balance and comorbidities are excluded. Outcome measures used are FuglMeyer assessment scale (wrist and hand) and Wolf motor function test for upper extremity while Barthel index to assess the activities of daily living. All procedures will perform by taking informed consent. All Ethical standards for both patient and institution will be followed. After collecting data, will apply Shapiro Wilk test to check the normal distribution of data. For analysis use SPSS version 25

Enrollment: 70 patients

Sex: All

Ages: 45 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Unilateral hemiplegic stroke patients referred by Neuro-physician (both ischemic and hemiplegic stroke patients).

• Patient with first time stroke (within 6month of onset).
• Age between 45-70 years of age.
• Gender both male & females.
• Ability to comprehend simple instructions (Mini-Mental State Examination with a score of >24 ).
• Score of spasticity for upper extremity (shoulder, elbow) below and equal 2 based on the Modified Ashworth Scale (MAS).
• Motor recovery of upper limb Brunnstrom stages ≥ 4.
• Not participated to other upper-limb rehabilitation programs during the participation in this study.

Exclusion criteria

Recurrent stroke attacks, Transient ischemic attacks(TIA).

• Previous injury, disease, or contracture of the upper extremity and no sitting balance.
• Any comorbid neurological disease or condition such as multiple sclerosis, Parkinson disease, spinal cord injury, traumatic brain lesions, brain tumor, epilepsy, or dementia,
• Had Hemineglect phenomena.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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70 participants in 2 patient groups

Conventional physical therapy

Active Comparator group

Description:

Conventional physical therapy Muscle strengthening and Muscle Stretching, TENS.

Treatment:

Other: Conventional physical therapy

Task Oriented Training

Experimental group

Description:

Experimental group was given Task Oriented protocol including different task specific functional activities

Treatment:

Other: Task Oriented Training