Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

Quality of Life Clinical Trial

Official title:

Effects of Motor Imagery Technique on Lower Limb Function Among Stroke Patients.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04707755
• Other study ID #: REC00664 Izharuddin
• Status: Completed
• Phase: N/A
• Start date: August 30, 2020
• Est. completion date: November 30, 2020

Study information

• Verified date: January 2021
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the effects of motor imagery technique on lower limb function among stroke patient. To determine the effects of motor imagery technique on lower limb spasticity among stroke patients. To determine the effects of motor imagery technique on gait among stroke patients. To determine the effects of motor imagery technique on quality of life among stroke patients

Description:

Stroke affected the functional capacities and the state of health thus altered quality of life.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: November 30, 2020
• Est. primary completion date: November 28, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 45 Years to 65 Years

Eligibility

Inclusion Criteria:

• Adult without ADHD by Adult ADHD Self-Report Scale score.
• History of no more than one stroke.
• Lower limb muscles spasticity with the grade 1+ or 2 on modified Ashworth in scale.
• Mini-mental status score more than 25.
• Patients who are less than 6 months post-stroke.
• Modified Rankin scale score is 4.

Exclusion Criteria:

• Lesion of frontal, parietal and basal ganglia
• Excessive spasticity that is score of>3 on modified Ashworth spasticity scale.
• Any musculoskeletal disorder impeding lower limb function.
• Participating in any experimental rehabilitation or drug studies.
• Bed ridden patient.
• Subjects psychiatric disorder or dementia.
• Any neglect of space on the affected side, or any other neurological disease or auditory or visual.

Related Conditions & MeSH terms

• Gait Disorders, Neurologic
• Gait, Hemiplegic
• Quality of Life
• Spasticity as Sequela of Stroke
• Stroke

Intervention

Other:
• Motor imagery technique
The patient will sit on chair in a quiet room. The patients will be observing motor performance in video, motor performance video will consist of (1) knee flexion and extension movement, (2) sitting to standing movement, (3) stepping movement, (4) walking, (5) climbing and descending stairs. Addition to motor imagery, the patients will be provided the passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.
• Conventional Physical Therapy
It includes passive stretching, ROM exercises, sitting to standing, anteroposterior step, climbing and descending stairs.

Locations

Country	Name	City	State
Pakistan	Bibi Zahida Memorial Teaching Hospital	Peshawar	KPK

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Gul I, Malik MS, Halim A, Rauf S. POST STROKE DEPRESSION: EXPERIENCE AT A TERTIARY CARE HOSPITAL OF PAKISTAN. Pakistan Armed Forces Medical Journal. 2019 Aug 27;69(4):779-83.

Paravlic AH, Pisot R, Marusic U. Specific and general adaptations following motor imagery practice focused on muscle strength in total knee arthroplasty rehabilitation: A randomized controlled trial. PLoS One. 2019 Aug 14;14(8):e0221089. doi: 10.1371/journal.pone.0221089. eCollection 2019. — View Citation

Pedersen SG, Heiberg GA, Nielsen JF, Friborg O, Stabel HH, Anke A, Arntzen C. Validity, reliability and Norwegian adaptation of the Stroke-Specific Quality of Life (SS-QOL) scale. SAGE Open Med. 2018 Jan 8;6:2050312117752031. doi: 10.1177/2050312117752031. eCollection 2018. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Lower Extremity Function scale	It is 20 items questionnaire, measure the lower extremity function scoring from 1 to 4 for each items, in which minimum score is 0 and maximum score of 80 shows the maximum functional status. It has a valid and reliable tool to measure the lower extremity functional status.	8 weeks
Primary	Dynamic Gait Index	It assess gait, balance and fall risk, with 24 is the maximum score, in which 19 or less have been related to increase incidence of falls. It has high reliability and validity in the stroke population.	8 weeks
Primary	Time Up and Go test	It assess a person's mobility and requires both static and dynamic balance. Score of less than 10 seconds indicate freely mobile,<20 seconds mostly independent, 20-29 seconds variable mobility, >30 seconds Impaired mobility. It is reliable, valid, and easy to administer clinical tool in stroke patients.	8 weeks
Primary	Stroke Specific Quality of Life Scale	It is a self-report questionnaire, measure the quality of life in stroke patients consisting of 49 items in the 12 domains. Scoring from 1 to 5 , in which 1 shows strongly agreement and 5 shows strongly disagreement. It is a reliable and valid tool for measuring the quality of life for stroke patients.	8 Weeks
Primary	Modified Ashworth scale	It measures the spasticity, ranging from 0 means normal tone to 4 shows increased tone to such extent where passive movement is not possible. It has good intra-rater reliability and validity in stroke patients .	8 Weeks