Combine Effects of Brunnstorm Movement Therapy and LLLT in Chronic Stroke Patient

Chronic Stroke Clinical Trial

Official title:

Combine Effects of Brunnstorm Movement Therapy and LLLT on Upper Limb Functioning and Hand Dexterity in Chronic Stroke Patient

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06292481
• Other study ID #: REC/RCR&AHS/23/0240
• Status: Completed
• Phase: N/A
• Start date: August 1, 2023
• Est. completion date: October 10, 2023

Study information

• Verified date: March 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary objective of this study is to determine the combined effects of Brunnstorm movement therapy and low level laser therapy on upper limb function in chronic stroke patient.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 48
• Est. completion date: October 10, 2023
• Est. primary completion date: September 30, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• Age range between 40 & 60 years (16)
• Both males and females.
• Combined Effects of Brunnstorm movement therapy and LLLT on Upper limb function Hand dexterity in stroke
• Patient with maximum Grade 1 and 1+ spasticity according to Modified
• Ashworth scale and minimum muscle strength of 1 in the biceps brachii muscle.
• Onset of injury : (1 to 2 years)

Exclusion Criteria:

• Any comorbidity such as malignancy, inflammatory rheumatologic disease, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus erythematosus, etc.
• Have a pacemaker or a history of serious cardiac events or of cardiorespiratory dysfunction.
• Visual impairment
• Any other musculoskeletal disorders of extremity
• Severe cognitive impairment or aphasia leading to difficulty in communication, Participants unwilling to comply with the protocol.

Related Conditions & MeSH terms

• Chronic Stroke
• Stroke

Intervention

Other:
• Brunnstorm movement therapy
this group received Brunnstorm Movement therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks
• Combined Brunnstorm Movement therapy and low level laser therapy
this group received Combined Brunnstorm Movement therapy and low level laser therapy for 3 to 5 sessions per week, each lasting approximately 30 to 60 minutes for 6 weeks

Locations

Country	Name	City	State
Pakistan	Govt. Mian Munshi DHQ Teaching hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (6)

Azuma RHE, Merlo JK, Jacinto JL, Borim JM, da Silva RA, Pacagnelli FL, Nunes JP, Ribeiro AS, Aguiar AF. Photobiomodulation Therapy at 808 nm Does Not Improve Biceps Brachii Performance to Exhaustion and Delayed-Onset Muscle Soreness in Young Adult Women: A Randomized, Controlled, Crossover Trial. Front Physiol. 2021 Jun 10;12:664582. doi: 10.3389/fphys.2021.664582. eCollection 2021. — View Citation

da Silva BP, Souza GADS, Filho AADN, Pinto AP, Guimaraes CL, Pereira APC, Neves MFD, Martins PSLL, Lima FPS, Lopes-Martins RAB, Lima MO. Analysis of the effects of low-level laser therapy on muscle fatigue of the biceps brachii muscle of healthy individuals and spastic individuals: Study protocol for a single-center, randomized, double-blind, and controlled clinical trial. Medicine (Baltimore). 2019 Sep;98(39):e17166. doi: 10.1097/MD.0000000000017166. — View Citation

das Neves MF, Aleixo DC, Mendes IS, Lima FPS, Nicolau RA, Arisawa EAL, Lopes-Martins RAB, Lima MO. Long-term analyses of spastic muscle behavior in chronic poststroke patients after near-infrared low-level laser therapy (808 nm): a double-blinded placebo-controlled clinical trial. Lasers Med Sci. 2020 Sep;35(7):1459-1467. doi: 10.1007/s10103-019-02920-3. Epub 2019 Dec 10. — View Citation

Harada T, Miyagi M, Izukura H, Endou G, Ushigome N, Tsuruoka H, Mizutani A, Ohshiro T, Ebihara S. The effect of low level laser therapy for pain in major muscles controlling two joints. Laser Ther. 2019 Jun 30;28(2):111-115. doi: 10.5978/islsm.19-OR-07. — View Citation

Stamborowski SF, de Oliveira Spinelli BM, Lima FPS, Costa DR, de Silveira Souza GA, Lima MO, Lopes Martins RAB. The influence of photobiomodulation on the temperature of the brachial biceps during muscle fatigue protocol. Lasers Med Sci. 2021 Oct;36(8):1741-1749. doi: 10.1007/s10103-021-03360-8. Epub 2021 Jul 13. — View Citation

Vassao PG, Baldini GS, Vieira KVSG, Balao AB, Pinfildi CE, Campos RMDS, Tucci HT, Renno ACM. Acute Photobiomodulation Effects Through a Cluster Device on Skeletal Muscle Fatigue of Biceps Brachii in Young and Healthy Males: A Randomized Double-Blind Session. Photobiomodul Photomed Laser Surg. 2020 Dec;38(12):773-779. doi: 10.1089/photob.2019.4786. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fugle meyer Assessment test		6th week
Primary	Box and block test		6th week
Primary	Nine peg hole test		6th week
Primary	to check Muscle tone	Modified Ashworth Scale	6th week
Primary	to measure grip Strength	Hand handled dynamometer	6th week