Stroke, Complication Clinical Trial
Official title:
Impact of Graded Motor Imagery Training Paradigm on Shoulder Pain and Quality of Life in Patients With Chronic Stroke
Background: Shoulder pain is the most common pain disorder after stroke and one of the most common complications reduced quality of life. Graded Motor Imagery (GMI) is the most up to date rehabilitation program - based on the latest science and clinical trials - to treat many complex pain, and movement problems. Graded motor imagery is the psychological representation of attention doing movement of a part of body, without actually moving that part, it broken down into three unique stages of treatment techniques: 1. Left/right discrimination: The ability to identify left or right images of their painful body parts. This ability appears to be important for normal recovery from pain. The good news is that the brain is plastic and changeable, if given the right training for long enough. 2. Explicit motor imagery: Essentially thinking about moving without actually moving. Imagined movements can actually be hard work if in pain. This is most likely because 25 percent of the neurons in brain are 'mirror neurons' and start firing when thinking of moving or even watch someone else move. By imagining movements, use similar brain areas as actually move. This is why sports people imagine an activity before they do it. 3. Mirror therapy: If putting person left hand behind a mirror and right hand in front, person can trick brain into believing that the reflection of right hand in the mirror is left. Person is now exercising left hand in the brain, particularly if person start to move right hand. Graded motor imagery training has been suggested as a treatment technique that should be utilized in addressing shoulder pain and movement impairments following stroke.
Status | Not yet recruiting |
Enrollment | 42 |
Est. completion date | November 1, 2023 |
Est. primary completion date | May 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 45 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Age ranges from 45 to 65 years old. 2. All patients suffer from shoulder pain post chronic stroke. 3. All patients received same kind of medications. 4. All patients have shoulder mild subluxation diagnosed by X- ray 4. All patients with modified Ashworth scale up to grade 2 muscle tone. Exclusion Criteria: 1. Patient who suffers from shoulder stiffness post chronic stroke. 2. Patient who suffers from bilateral shoulder pain due to multiple stroke. 3. Patient who suffers from loss of hand movement post stroke. 4. Patient who suffers from mental or psychological disorders. 5. Patient dropped out through the study more than three sessions. 6. Patient who suffers from any systemic disease that may interfere with the objectives of the study |
Country | Name | City | State |
---|---|---|---|
Egypt | El Baliana Central Hospital | Sohag |
Lead Sponsor | Collaborator |
---|---|
Mohammed samir |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recognise Online program | The Recognise online application that displays different parts of the body that correspond to the patients' affected limb (left, right). During this portion of GMI, a patient is shown a group of images that correspond to the affected limb.four values for speed and four for the accuracy of responses corresponding to each patient for each treatment session | up to 8 weeks | |
Primary | Flexible electronic goniometer | To assess shoulder range of motion, while the patient was sitting down on a chair. The measurement involved the active flexion and abduction of the shoulder, with the upper limb starting from the neutral position.In each session, there were two measurements, The first was done at the beginning of the session and the second at the end of the session | up to 8 weeks | |
Primary | The Shoulder Pain and Disability Index (SPADI) | It is a self-administered questionnaire that consists of two dimensions, one for pain and the other for functional activities. The pain dimension consists of five questions regarding the severity of an individual's pain. Functional activities are assessed with eight questions designed to measure the degree of difficulty an individual has with various activities of daily living that require upper-extremity use.The SPADI takes 5 to 10 minutes for a patient to complete and is the only reliable and valid region-specific measure for the shoulder every session | up to 8 weeks |
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