Mental Imagery for Lower Limb Functions

Stroke Clinical Trial

Official title:

Effects of Mental Imagery With Virtual Reality Training on Lower Limb Functions in Stroke

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05812638
• Other study ID #: REC/01261 Tasmiya
• Status: Recruiting
• Phase: N/A
• Start date: March 1, 2023
• Est. completion date: September 30, 2023

Study information

• Verified date: March 2023
• Source: Riphah International University
• Contact: Arshad Malik, PhD
• Phone: +92 333 4503754
• Email: arshad.nawaz[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Stroke is a neurological impairment occurs due to cardiovascular abnormality and cerebrovascular disease. The term 'stroke' is mostly used when there is sudden loss of function of the body due any abrupt changes.The rates of disability are increasing along with mortality and morbidity rates due to stroke. The poor motor performance of lower limb affects gait severely. The slow velocity and other gait deviations limit the stroke survivors' ability to perform ADL's and interfere with their quality of life.

Hence, rehabilitation is obligatory for these patients to improve their quality of life

Description:

motor imagery is helpful in improving mobility in healthy and neurologically impaired patients. When the patient is asked to do a movement, for example the patient is asked to walk along a draw line and then that patient has to imagine this same action in kinesthetic imagery. Neuroimaging shows that brain areas are more or less activated in the same manner. It can be concluded that there is some relation between mental imagery ability and muscular actions. In the stroke patients who have intact ability of mental imagery show activation of cortical areas demonstrating its ability to activate sub cortical areas also. Therefore, these results amplify the concept of using mental imagery for rehabilitation purpose of even deep lesion in motor nervous system.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 28
• Est. completion date: September 30, 2023
• Est. primary completion date: September 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• Stroke patients (both genders)

• Age 40-60 years

• Patients with sub-acute/ chronic stroke (>3 months)

• Modified Ashworth Ranking Scale 1-3

• MOCA scoring >24-30

Exclusion Criteria:

• Any active pathological condition

• Visual or hearing impairment

• Orthopedic issues hindering Mobility Substantially (Fractures, Severe Degenerative

• Joint Diseases etc.)

• Psychological issues

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• Mental imagery technique
Warm up Period Mental Imagery (Sit-stand task Static stance (30 seconds) Indoor walk on a leveled surface Walk indoor towards target Forward / Side Stepping) Walk outdoors
• Virtual Reality technique
Virtual reality training (River rush, 20000 water leaks, reflex ridge.)

Locations

Country	Name	City	State
Pakistan	Railway General Hospital	Rawalpindi

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fugl Meyer Assessment Scale - Lower Extremity	This scale is recognized as a golden standard for assessment of motor function of stroke patients worldwide. It focuses on reflex activity, voluntary movements within and outside of synergies, ability to perform isolated movement, and coordination	week 6
Primary	Berg Balance Scale	In elderly Population, BBS is most commonly used outcome measure for functional balance. It is 14 Item balance measure scored on 5-point ordinal scale with range of 0 to 4, where high score indicates good balance & decreased risk of fall and vice versa.; A maximum score of 56 is achievable	week 6
Primary	Timed Up and Go test	It is used to assess functional mobility; the risk of fall and dynamic balance can also be determined. In TUG test, the participant is asked to get up from a chair, walk a distance of 3 meters at Regular pace, turn around, walk a distance of 3 meter back to the chair and sit down	week 6
Primary	10-meter walk test	In this test, the participant walks through a 10-m walkway without any break. At the 4- m of walkway, time is recorded in order to obtain a rhythmic phase of walking speed	week 6
Primary	Wisconsin Gait Scale	This scale is used to assess gait cycle. It consists of 14 items, the higher the score, greater will be the disability. These scale focuses on the components of stance phase, guardedness of affected leg, toe off, swing phase and heel strike	week 6