Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients

Stroke Clinical Trial

Official title:

Effects of Proprioceptive Activities on Hand Function in Chronic Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05087719
• Other study ID #: REC/RCR & AHS/20/0208
• Status: Completed
• Phase: N/A
• Start date: October 15, 2020
• Est. completion date: August 15, 2021

Study information

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

Clinical Trial Summary

To determine effects of proprioceptive activities on hand function in chronic stroke patients

Description:

Stroke is causing the long term disability worldwide. The patient in the chronic phase of stroke may suffer from long term hand disability along with both motor and sensory dysfunction. That causes hindrance in performing the ADLs. As the hand is the important organ performing major functions of daily living .So the early restoration of the motor as well as sensory function is necessary. The motive of this study IS to determine effects of proprioceptive activities on hand function in chronic stroke patients. Total 40 chronic stroke patients will be included in the study. They will be randomly allocated in two groups by lottery method that fulfills the inclusion criteria of the study. In group A patients will be recruited and proprioceptive activities will be given to the affected hand for 3 days /week for 2 months. On the other hand in group B conventional therapy will be given for 3 days /week for 2 months. In sensory training graphesthesia and stereognosis will be checked by modified subtest of sensory integration praxis test and Byl-Cheney-Boczai Sensory Discriminator Test respectively. The motor task will be assessed by the wolf motor test. As a baseline treatment hot pack for 15 min will be given to both of the groups

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: August 15, 2021
• Est. primary completion date: July 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• Either right or left sided hemiplegic patients post stroke 6 months to 4 years
• Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.

Exclusion Criteria:

• Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand
• Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.

Related Conditions & MeSH terms

• Proprioceptive Disorders
• Somatosensory Disorders
• Stroke

Intervention

Combination Product:
• experimental group
patients will receive the hot pack initially for 15 minutes .Then for proprioception training of graphesthesia for 15 mints,stereognosis will be of 15 minutes. For motor training patients will practice 15 mints motor tasks
• conventional treatment
patients will receive the baseline treatment of hot pack for 15 minutes. The patients in this group will get muscle strengthening exercise of the hand, Range of motion, and stretching of the hand muscles, 3 sets of 8 repetitions were given to the patient, gap of 2 minutes will be given between regimes. For 20 minutes this session will be given to patient by the therapist.

Locations

Country	Name	City	State
Pakistan	Riphah International University	Islamabad	Fedral

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Hatem SM, Saussez G, Della Faille M, Prist V, Zhang X, Dispa D, Bleyenheuft Y. Rehabilitation of Motor Function after Stroke: A Multiple Systematic Review Focused on Techniques to Stimulate Upper Extremity Recovery. Front Hum Neurosci. 2016 Sep 13;10:442. doi: 10.3389/fnhum.2016.00442. eCollection 2016. Review. — View Citation

Turville ML, Cahill LS, Matyas TA, Blennerhassett JM, Carey LM. The effectiveness of somatosensory retraining for improving sensory function in the arm following stroke: a systematic review. Clin Rehabil. 2019 May;33(5):834-846. doi: 10.1177/0269215519829795. Epub 2019 Feb 25. — View Citation

Wu CY, Fu T, Lin KC, Feng CT, Hsieh KP, Yu HW, Lin CH, Hsieh CJ, Ota H. Assessing the streamlined Wolf motor function test as an outcome measure for stroke rehabilitation. Neurorehabil Neural Repair. 2011 Feb;25(2):194-9. doi: 10.1177/1545968310381249. Epub 2010 Oct 14. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	wolf motor assessment scale	The scale was categorized from 0-5.0 represents that UE doesn't attempt tested.1 represents that the UE being tested does not participate functionally.2 represents that UE does movements minor readjustment or change in position, but requires assistance.3 represents UE does movement but movements is effected to certain degree by synergy or performance gradually or with effort.4 represents that movement was close to normal slight slower lack accuracy.5 represents that movement seems to be accurate	15 minutes
Primary	Byl-Cheney-Boczai Sensory Discriminator Test	For the stereognosis	15 minutes
Primary	Graphesthesia (modified sub test of sensory integration praxis test)	to assess Graphesthesia	15 minutes