Stroke Clinical Trial
Official title:
Effects of Neurodynamics on Spasticity in Upper Extremity of Stroke Patients.
Verified date | September 2019 |
Source | Riphah International University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Data will be collected from 40 patients with hemiplegia, caused by stroke from DHQ hospital
Jhelum. its an RCT Neurodynamics with conventional treatment to experimental group and
conventional treatment alone to control group will be applied for 6 weeks.
Simple random sampling will be done and randomization will be done through tossing a coin.
Intervention wil be applied and assesment will be done through fugl-meyer upper extremity
scale, Modified Aashwarth scale,goniometry and action research arm test at zero, 3rd and 6th
week.
Status | Completed |
Enrollment | 41 |
Est. completion date | July 31, 2019 |
Est. primary completion date | July 20, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years to 60 Years |
Eligibility |
Inclusion Criteria: - Modified Ashworth scale (MAS) of 1 to 3, chronic cases (6 -12 months) Exclusion Criteria: - Modified Ashworth scale (MAS) 0 and 4, painfull upper extremity, orthopedic problem (e.g fracture) - In upper extremity, UMNL other than stroke, - Any signs of inflammation, infection or malignancy |
Country | Name | City | State |
---|---|---|---|
Pakistan | Riphah International University | Islamabad | Federal |
Lead Sponsor | Collaborator |
---|---|
Riphah International University |
Pakistan,
Alan Carlos Nery dos Santos et al, The effects of neural mobilization as a therapeutic option in the treatment of stroke, MTP and Rehab journal 2017, ISSN 2236-5435.
Jeong Kang et al, The Effects of Rhythmic Neurodynamic on the Upper Extremity Nerve Conduction Velocity and the Function for Stroke Patients, JKPT 2017, Volume 29 No. 4.
Raid Saleem Al Baradie et al, The effects of Neurodynamics and mobilization in Stroke Rehabilitation- a Systematic Review, Majmaah Journal of Health Sciences 2017, Vol.5, issue 2.
Santana AL. Efeito da mobilização neural na amplitude articular do ombro em pacientes acometidos com acidente vascular encefálico. Revista Inspirar: movimento & saúde. 2013; (5)6:7-10.
Villafañe JH, Silva GB, Chiarotto A, Ragusa OL. Botulinum toxin type A combined with neurodynamic mobilization for upper limb spasticity after stroke: a case report. J Chiropr Med. 2012 Sep;11(3):186-91. doi: 10.1016/j.jcm.2012.05.009. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Modified Ashwarth Scale | Effects of neurodynamics to reduce spasticity in uppper extremity will be assesed through Modified Ashwarth Scale changes from Baseline. Modified Ashwarth Scale is a specific scale to asses spasticity. Scoring is done from 0 (no increase in muscle tone) to 4 (affected part rigid in flexion or extension). | 6th weeks | |
Secondary | Range of motion Shoulder Joint (Flexion, Extension, abduction, internal rotation, external rotation ) | Changes from the baseline. Range of Motion of Shoulder will be Assess through Goniometer. | 6th weeks | |
Secondary | Fugl Meyer upper extremity scale | Changes from the Baseline. Fugl Meyer is a stroke specific, performance based impairment index designed to assess motor functioning, sensation and joint functioning. The FMUE Scale comprises 33 items, each scored on a scale of 0 to 2, where 0 = cannot perform, 1 = performs partially and 2 = performs fully. FMUE Scale scores < 31 corresponded with 'no to poor' upper extremity capacity, while 32 to 47 represented 'limited capacity', 48 to 52 represented 'notable capacity' and 53 to 66 represented 'full' upper extremity capacity. | 6th weeks | |
Secondary | Action research arm test (ARAT) | Changes from the baseline. Action research arm test is highly reliable and valid 19 items tool (grasp (6 items), grip(4 items), pinch (6 items) and gross movement (3 items) which is used to asses upper extremity performance (coordination, dexterity and functioning). In ARAT scoring is done from 0 (unable to complete) to 3 (complete with normal movement). Scores on the ARAT range from 0-57 points, with a maximum score of 57 points indicating better performance. The ARAT can be used to predict the functional recovery of the upper extremity in stroke rehabilitation. Scores of less than 10 points, between 10-56 points, and 57 points correlate with poor, moderate, and good recovery respectively. | 6th week | |
Secondary | Range of motion of elbow joint ( flexion, extension, forearm Supination , Pronation) | Changes from the baseline. Range of Motion of Elbow joint will be Assess through Goniometer. | 6th week | |
Secondary | Range of motion of Wrist joint (flexion, extension , ulnar deviation , thumb abduction ) | Changes from the baseline Range of Motion of wrist joint will be Assess through Goniometer. | 6th Week |
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